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251067 1 1 /04/15 \� CITY OF CARMEL, INDIANA VENDOR: 00352832 j ® ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: $*****7,375.32' r, ?� CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2798 CHECK NUMBER: 251067 PO BOX 740523 CHECK DATE: 11/04/15 CINCINNATI OH 45274-0523 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 2798 91.56 GENERAL PROGRAM SUPPL 1081 4346000 2798 75.00 CLASSIFIED ADVERTISIN 1091 4239099 2798 100.00 OTHER MISCELLANOUS 1091 4343000 2798 1,283.46 TRAVEL FEES & EXPENSE 1091 4346000 2798 -89.00 CLASSIFIED ADVERTISIN 1091 4355300 2798 630.00 ORGANIZATION & MEMBER 1091 4359000 2798 2,490.00 SPECIAL PROJECTS 1093 4238000 2798 263.75 SMALL TOOLS & MINOR E 1093 4350000 2798 427.65 EQUIPMENT REPAIRS & M 1094 4358300 2798 5.00 OTHER FEES & LICENSES 1095 4238000 2798 435.01 SMALL TOOLS & MINOR E 1096 4239039 2798 597.81 GENERAL PROGRAM SUPPL 1125 4232100 2798 158.19 GARAGE & MOTOR SUPPIE 1125 4237000 2798 268.14 REPAIR PARTS 1125 4238000 2798 263.75 SMALL TOOLS & MINOR E 853 5023990 2798 375.00 OTHER EXPENSES ® Fifth Third Bank ACCOUNT NUMBERXXXX XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 11-24-15 CINCINNATI OH 45274-0523 AMOUNT DUE $7,375.32 CURRENT BALANCE $7,375.32 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED CARMEL CLAY PARKS & RECR **To005699 CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 556926❑❑❑4422798 00117375322 0007375322 Please tear payment coupon at perforation. t` STATEMENT MESSAGES CORPORATE ACCOUNT SUMMARY CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 10-30-15 PREVIOUS BALANCE 4929.08 PAYMENT DUE DATE 11-24-15 PURCHASES AND OTHER CHARGES 7,709.32 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 32,625 CREDITS 401.20 PAYMENTS 4,861.88- FOR CUSTOMER SERVICE CALL: LATE PAYMENT CHARGES .00 1-800-375-1747 CASH ADVANCE FEE .00 SEND BILLING INQUIRIES TO: FINANCE CHARGES do FIFTH THIRD BANK NEW BALANCE 7,375.32 P.O.BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 7,375.32 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 7,375.32 MINIMUM PAYMENT DUE 7,375.32 AVAILABLE CREDIT 32,624.68 PAYMENT DUE DATE 11-24-15 CORPORATE ACCOUNT ACTIVITY . CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $4,861.88 CR Post Trans Date Date Reference Number Transaction Description Amount 10-13 10-13 75569265286151013000500 PAYMENT RECEIVED-THANK YOU 4,861.88 PY INDIVIDUAL CARDHOLDER ACTIVITY MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $156.20 $375.00 $0.00 $218.80 Post Trans Date Date Reference Number Transaction Description Amount 10.01 09.29 55541865273004108055995 NEW YORK-NEW YORK-RS LAS VEGAS NV 67.20 CR 000005569 ARRIVAL:00.00.00 - 10.05 10-01 55207395275800431440007 SNAGAJOB GLEN ALLEN VA 89.00 CR 10.20 10.19 55429505292894311897902 PAYPAL*THE NAPF 4029357733 CA 375.00 DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-1502 $245.00 $7,334.32 $0.00 $7,089.32 Post Trans Date Date Reference Number Transaction Description Amount 10-01 09.30 85140515273900016600173 MRSUPPLY.COM DIM@GRANTEP.0 NJ 427.65 10.05 10.02 55432865275000834324192 AMAZON.COM AMZN.COMIBILL WA .435.01 10.05 10.03 55432865276000020653775 PUBLIC RELATIONS SOCIE 212-460-1400 NY 630.00 10-06 10.06 55432865279000582644011 AMAZON MKTPLACE PMTS AMZN.COMIBILL WA 260.95 10-09 10.08 85587465281900010230389 FORMSTACK,LLC 317.5423125 IN 2,490.00 10.12 10.09 55310205283200659000085 NATIONAL AUTISM RESOUR 08772492393 CA 37.59 10.12 10-09 55464945282200206901997 BUILD-CHARGE.COM 08003753403 CA 268.14 10-14 10.12 85432905286701377322257 NATIONAL RECREATION&703-858-2179 VA 100.00 10.19 10-16 85180895291980159882833 SMARTWAIVER BEND OR 245.00 CR 10-19 10.16 55432865289000745573634 JET.COM 844.538-2255 NJ 238.44 10.19 10-15 85180895289980159882829 SMARTWAIVER BEND OR 250.00 10.19 10.18 55436875292732920905526 CROWNE PLAZA WHITE PLA WHITE PLAINS NY 442.62 26429817 ARRIVAL:10-18-15 10.20 10-19 55432865292000284000184 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA 53.97 10.20 10-19 75418235292019804333315 CCI'CARE.COM WWW.CARE.COM MA 75.00 10.26 10-23 55429505296894412618294 PAYPAL'PARKINSONS 4029357733 CA 25.00 10.26 10.24 85180135297050100072507 ROSEN PLAZA ONLINE ORLANDO FL 840.84 7645639611 ARRIVAL:10.23.15 10-28 10.27 55432865300000412030525 AMAZON MKTPLACE PMTS AMZN.COMIBILL WA 23.76 10.28 10-27 55432865300000317655657 AMAZON MKTPLACE PMTS AMZN.COMIBILL WA 289.06 10.30 10.29 55429505302894557689565 BESTTRUCKEQ 4409510500 OH 158.19 10.30 10.29 55429505302894559259789 PAYPAL`THERAQUATIC 4029357733 AL 288.10 Page 2 of 2 NEWYORKNEWYORK. LAS VEGAS HOTEL&CASINO Room No. 90122 Carmel Clay Parks & Recreation Conf No. 750656302 Arrival 09/08/15 Departure 09/29/15 DATE DESCRIPTION CHARGES CREDITS 09/16/15 NY Room Revenue 121.00 09/16/15 NY Room Tax- 12% 14.52 09/16/15 NY Resort Fee 29.00 09/16/15 NY Resort Fee Tax- 12% 3.48 09/16/15 NY Room Revenue 121.00 09/16/15 NY Room Tax- 12% 14.52 09/16/15 NY Resort Fee 29.00 09/16/15 NY Resort Fee Tax- 12% 3.48 09/17/15 NY Room Revenue 121.00 09/17/15 NY Room Tax- 12% 14.52 09/17/15 NY Resort Fee 29.00 09/17/15 NY Resort Fee Tax- 12% 3.48 09/17/15 NY Room Revenue 121.00 09/17/15 NY Room Tax- 12% 14.52 09/17/15 NY Resort Fee 29.00 �)(3 09/17/15 NY Resort Fee Tax- 12% 3.48 09/29/15 Mastercard -67.20 XXXXXXXXXXXX2421 XX/XX Total 3,030.72 3,030.72 Balance 0.00 Paula Schlemmer From: Dawn Koepper Sent: Monday, October 05, 2015 7:26 AM To: Audrey Kostrzewa; Paula Schlemmer Subject: FW: Case Update: 182264-Other Please see below in regards to credit for$89.00 on Michael's Pcard. Thank you, Dawn Koepper CPQ OIT FOPS Purchasing Administrator A#'No F L..P,D A'CC00 nT Carmel Clay Pa..rks&Recr;Aion NAT S t3AL kO MEDALWINN : , NO, 4CA£k SE6 AGENCY... Administration Office 1411 E.116th Street Carmel, IN 46032 P 317.573.4026 dkoepper@carmelclayparks.com carmelclayparks.com From: Lynn Russell Sent: Friday,October 02, 2015 3:16 PM To: Dawn Koepper Subject: FW:Case Update: 182264-Other The$89.00 hit the P Card. They are going to refund it. Lynn Russell HR Director C.8f.mel Clay. Parks&Recreaaion. AND AXCREDITED AdENCY;; Administration Office 1411 E:116th Street Carmel,IN 46032 P 317.573.4019 1 F 317.571.4136 LRussell@carmelclayparks.com www.carmelclayparks.com From: Customer Support[mailto•customersuupport snaciaiob-com] Sent: Friday, October 02, 2015 3:15 PM To: Lynn Russell Subject: Case Update: 182264-Other ##-Please type your reply above this line-## snagajob Update for Case 182264 Hello,please see the update we've posted below for your Case. Feel free to respond by replying to this emai Thank you, Snagajob We'd love to hear what you think of our customer support. Click here to take a quick survey and let us know how we're doing. Message History -----Original Message----- From: Brandy G Sent: 10/02/2015 Subject: Other Hello, Thank you for choosing Snagajob to help with your hiring needs.The refund amount is$89.00. Happy hiring! Your Snagajob team 2 ;,10/19/2015 Payment Receipt-PayPal National Association Of Park Foundations Secure payments by Payment Receipt RECEIVED Transaction time OCT 2 3 2015 Oct 19,2015 06:49:29 PDT Receipt ID BY: 5515-3001-1402-9391 Total $375.00 USD We'll send a confirmation email to mklitzing@carmelclayparks.com.This transaction will appear on your statement as PayPal 'THE NAPF. Paid to Shipped to National Association Of Park Foundations Michael Klitzing 1411 E. 116th Street Carmel, IN 46032 United States Your shopping cart Description Price Quantity Amount Membership application.Level:Regular Membership $375.00 1 $375.00 00013 Item total $375.00 Tax $0.00 Total $375.00 USD.. cam, C https://www.paypal.com/us/cgi-bintwebscr?cmd= flow&SESSION=KZp-ZfwliPe2p4AhCGgdkoXSzx6Jand86jyJ3HJIGM5 Gu nolHVgF7fvxO&dispatch=5Oa2... 1/1 ;?0/19/2015 National Association of Park Foundations-Invoice#W013 Back Invoice #00013 Invoice details Balance due $0.00 Amount $375.00 $375.00 paid on 19 Oct 2015 Invoice# 00013 Date 19 Oct 2015 Origin Member application Regular Membership Invoiced to mkiitzing@carmelclayparks.com Item Amount Membership application.Level:Regular Membership $375.00 Invoice total $375.00 httpl/the-napf.org/Sys/FinDocumenV25886711 1/1 / Page 1 of 1 PO OCT - 1 2015 LZL INVOICE - �- - Date: 09/29/2015 14:42:00 Grant Supplies Y Order No.: #98142 630 Huyler St., South Hackensack Order status: Processed 07606, New Jersey Payment method: United States Credit Card CALL US: 1-888-884-0911 Delivery method: Fax: 1-201-994-0003 Ground E-Mail: support@mrsupply.com Company: Carmel Clay Parks & Recreation First Name: Dawn Last Name: Koepper Cust P.O.: 39112 Phone: 317-573-4026 E-Mail: dkoepper@carmelclayparks.com Cell phone: Billing Address Shipping Address Address: 1411 E. 116th Street Address: 1411 E. 116th Street City: Carmel City: Carmel State: Indiana State: Indiana Country: United States Country: United States Zip/Postal code: 46032 Zip/Postal code: 46032 Company or Name: Attention: Products ordered IMG Product Item price Quantity Total Wiremold, 828R-TCAL, Recessed Floor i. Box Coverplate, Duplex Cover Plate E Recessed Floor Box Coverplate, Duplex $41.55 10 $415.50 Cover Plate, 828R-TCAL sku: M71500 Subtotal: $415.50 Shipping cost: $12.15 Total: $427.65 Thank you for your purchase! FedEx Tracking # will be sent to you via email after merchandise ships. MrSupply.com is an e-commerce division of Grant Supplies. Your credit card statement will reflect the name : GRANT SUPPLIES parts for trim rings and covers for fitness and program room 39112 GLAccount# 1093000-4350000 https://www.mrsupply.com/order.php?mode=invoice&orderid=98142 9/29/2015 E'mazon.com- Order 109-1344088-6929033 Page 1 of 1 D— ) amazon.comT FD Details, for Order #109-1344083-692,9033 Print this page for your records. pyx 7r-ID Order Placed: September 30, 2015 Amazon.com order number: 109-1344088-6929033 OCT -'1 2015 Order Total: $435.01 Not Yet Shipped Items Ordered Price 1 of: Durham Steel/Iron Horizontal Cylinder Storage Cabinet, EGCC8-50, 8 $435.01 Cylinder Capacity, 30" Length x 30" Width x 71-3/4" Height, Yellow Powder Coat F Sold by: Amazon.com LLC Condition: New Shipping Address: Carmel Clay Parks & Recreation ATTN MIKE NORMAND 1235 CENTRAL PARK DR E CARMEL, IN 46032=4421 United States Shipping Speed: Scheduled Delivery Payment information Payment Method: Item(s) Subtotal: $435.01 MasterCard I Last digits: 1502 Shipping & Handling: $0.00 Billing address Total before tax: $435.01 Dawn Koepper Estimated tax to be collected: $0.00 1411 E. 116th Street Carmel, IN 46032 Grand Total:$435.01 United States To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015,Amazon.com, Inc. or its affiliates r ank cabinet count# 1095001-4238000 https://www.amazon.com/gp/ess/summary/print.html/resod_aui—Print invoice?ie=UTF8... 9/30/2015 MyPRSA Purchase History Page 1 of 1 P0 4 39 IQ r ` About PRSA Join PRSA!Newsroom I Latest Jobs I Find a Firm(University Directory(Contact Find Cao Year Pub!e'2.^ ti I and Communications Comm,rift y OCT - 2 2 015 MyPRSA! Logout Cart Welcome Back,Lindsay! �Y:-- PRSA Order Confirmation — Thank you for your order! NOTE:Membership dues are nonrefundable and nontransferrable. MyPRSA – - Mrs.Lindsay Labas Order Details F Marketing Director Date: 10/2/2015 8:22 AM EDT Card Type: MC a Carmel Clay Parks& W:«x«M»«;»«» Recreation Purchase ID: 156325 Card#: 1502 (,a nn nu ' Account#: 1830114 Amount Paid: $630.00 ... (317)573 4020 Ilabas@carmelciayparks.co Mailing Address: Billing Address: Lindsay Labas Lindsay Labas MyPRSA ID:1830114 Marketing Director Marketing Director Status:Active PRSA Member Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation Local Chapter:Hoosier Chapter 1235 Central Park Drive East 1235 Central Park Drive East Full Member since 2012 Carmel,IN 46032- Cannel,IN 16032 Renewal date:October 31,2015 Email: Ilabas rrir:elC:aypork=.co!!r Email: i!<bas@carm.Eciavparks.ccrn ............_--.........--.......... Tel: (317)573-4020 Tel: (317)573-4020 My Account My ProfileItem Description Qty Unit Price Ext.Price _...__. _.:..... ...... _ ..._...... y u,_ha e. list Y !vl., pr., REGULAR Regular National Member Dues(2 years) 1 510.00 510.00 My Dues frcm i.111/2015 tnru 10(31/2017 t-9embershi)Care. 021 Hoosier Chapter(Dues for 2 years) 1 120.00 120.00 PRSA Store tdemY:xrship frrrn 1..1120E thru iCl31J241 Subtotal: 630.00 NY Tax: 0.00 S/H: 0.00 My Learning Order Total: $630.00 My Neturork!ng Tools Amount Paid: $630.00 My Volunteer Resources My Benefits PRSA Calendar Use Your PRSA Member Benefits Live and On-Demand Webinars Broaden your communications and integrated marketing skill set with access to an extensive library of professional developmentwebinars. Register Today! .,200_-1;`tie Pu}lit:Re!dt!or!>Society ar Amr,=ri::z;,Inc.,33 Me:den Lar:e,1.!'11 Fl.,New York,NY 10038-5:.0 At;oi!t PRSA ? !errris of Use ( FAQs 1 „!temac r39 RSA Membership for Marketing Director 11/1/15 - 10/31/17 122 LAccount# 1091000-4355300 https://www.prsa.org/1\4yPRSA/Purchase/History/?pid=156325&ty=1 10/2/2015 Amazon.com- Order 109-6184994-2872200 Page 1 of 1 Details for Order #109-6184994-287220 Print this page for your records. =BY: Order Placed: October 2, 2015 Amazon.com order number: 109-6184994-2872200 Order Total: $260.95 Not Yet Shipped Items Ordered Price 1 of: Hisonic HS700 True RMS 35 Watts Rechargeable & Portable PA System $260.95 with Built-in VHF Wireless Microphones, Bluetooth Connected with Cellphone,Pad,Music Sold by: Electronnix (seller profile) Condition: New Shipping Address: Carmel Clay Parks & Recreation ATTN MARY EVANS 1235 CENTRAL PARK DR E CARMEL, IN 46032-4421 United States Shipping Speed: FREE Shipping Payment information Payment Method: Item(s) Subtotal: $260.95 MasterCard I Last digits: 1502 Shipping & Handling: $17.14 Free Shipping: Billing address Dawn Koepper Total before tax: $260.95 1411 E. 116th Street Estimated tax to be collected: $0.00 Carmel, IN 46032 United States Grand Total:$260.95 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015, Amazon.com, Inc. or its affiliates Aqua sound system 39125 GLAccount# 1096022-4239039 https://www.amazon.com/gp/css/summary/print.html/ref=od_aui_print invoice?ie=UTF8... 10/2/2015 10/8/2015 Formstack Receipt Formstack RECEIPT Hi, Thanks for your subscription to Formstack Platinum.Your yearly renewal payment has been processed and a receipt is enclosed -- please save it for reference. ---------------------------------------- Date: October 8, 2015 Order ID: 10406949 Company Name: Carmel Clay Parks Billing Name: Dawn Koepper Billing Address: 1411 E 116th Street,- Carmel, IN 46032 CC Number: ************1502 Amount Paid: $2490.00 (USD) ---------------------------------------- Your next billing will occur on October 8, 2016. We hope you ienjoyusing Formstack. If you have any questions or comments, please contact us at support@formstack'.com. Thanks, The Formstack Team hftp://www.formstack.com, Formstack, LLC 8604 Allisonville Road, Suite 300 Indianapolis, IN 46250 Tax ID: 26-2860913 Subscriptionfor Forms Oct 2015 - Sept 2016 39141 GLAccount# 1091000-4359000 https://www.formstack.com/admirdaccount/receipts 1/1 Dawn Koepper r From: National Autism Resources<customerservice@nationalautismresources.com> Sent: Friday, October 09, 2015 9:54 AM To: Dawn Koepper Subject: order yhst-13171632195427-70357 from National Autism Resources Thank you for ordering from National Autism Resources. All of our customers are important to us and we will be shipping your order soon! If you would like to connect with us please visit our Facebook page at: http://www.facebook.com/NationalAutismResources We would love to hear from you! You can always find out the current status of your order by going to https:Horder.store.yahoo.net/OS/stat?yhst-13171632195427+70357+lfeedde5lf50015e01e8 Date Fri Oct 9 06:54:27 PDT 2015 Ship to Aimee Rich Carmel Clay Parks& Recreation 1235 Central Park Drive E Carmel IN 46032 US United States 317-573-4026 Bill to Dawn Koepper Carmel Clay Parks& Recreation 1411 E 116th Street Carmel IN 46032 US United States 317-573-4026 E-Mail dkoepper@carmelclayparks.com (emailed) Via Ground Payment MasterCard Name Code Qty Each Options ----------------------------------------------------------- Twisty Water Bracelet T10015 8 1.49 The Original Koosh Ball 920001 . 3 4.33 Subtotal 24.91 Shipping 12.68 Tax 0.00 Total 37.59 Fidgets for Inclusion Participants XX-2809 GLAccount# 1081099-4239039 1 Receipt-FaucetDirect.com Page 1 of 1 59 � Need Help? Call (800) 864-2555 Faucet it c ,Com- Order 63208876 -placed 10/8/2015 Unit Price Qty. Total 2:urn P6900-B-L $268.14 1 $268.14 t Control Box Electronic Metering with Solenoid Valve for Sensor Operated Bathroom Faucets N/A Ships in 1 to 2 business days Subtotal: $268.14 Standard Delivery Shipping: $0.00 Tax(0.00%): _,. $0.00 Grand Total: $268.14 Charged to: Master Card ending in 1502:$268.14 Charge will show as"Build.com, Inc"on your card statement. Billing Address Dawn Koepper 1411 E 116th Street Carmel,IN 46032 f Shipping Address Courtney Weintraut 1427 E 116th Street Carmel, IN 46032 View order status: https://vN4w.faucetdiFect-comrndex cfm?page=ecrm•order&ordernumber=63208876&postal=46032 ©2000-2015 Build.corn, Inc.All Rights Reserved. Faucet control box for Founders Park women's restroom 39140 F XX GLAccount# 1125408-4237000 https://www.faucetdirect.com/index.cfm?page=checkout:receipt&autoprint=true&orderNu... 10/8/2015 Dawn Koepper From: customerservice@nrpa.org Sent: Monday, October 12, 2015 9:30 AM To: Kurtis Baumgartner; Dawn Koepper j Subject: Order Receipt OCT 12 2015 UY: OCTOBER12, ORDER # 15337 22377 Belmont Ridge Road, Ashburn VA 20148 Mr. Kurtis L. Baumgartner, CPRP Carmel Clay Parks 8t Recreation Kurtis Baumgartner, CPRP BILL TO 1235 Central Park Dr. East SHIP TO Carmel Clay Parks 8t Recreation Carmel, IN 46032 1235 Central Park Dr. East (317) 573-5238 Carmel, IN 46032 Customer ID 148264 QTY ITEM# DESCRIPTION UNIT PRICE TOTAL 1 D100047 CPRP Prep Course Bundle $100.00 $100.00 Subtotal: $100.00 Freight $0.00 Tax: $0.00 Total: $100.00 CPRP Prep Course Bundle -For Training XX-2813 PAYMENT(10/12/2015-card ending: 1502) ($100.00) GLAccount# 1091000-4239099 $0.00 If the receipt does not display correctly Click here to open in a browser. You have Electronic Products in this order. Click here to view and access your Electronic Products. i SmartWaiver Statement (59039300) csOsmartwaiver.com Service Plans-Storage Service Plan Account Information °Statement Summary . ..� ..._ . _s...,..: Michael Klitzing Statement Date:Current Carmel Clay Parks&`Recreation Billing Date:10/15/2015 mklitzinaCa carmelclavparks.com Starting Balance:$-244.64 317-573-4018 Current Charges:$244.64 Payments:$0.00 1411 E. 116th Street _ Billing Address Ending Balance:$0.00 .JCEI Ems? Carmel, IN 46032 Balance Paid:Not yet due OCT 16 2015 United States BY: Statement Gletail- Current Charges and Adjustments Date/Time Type Detail Charge 10/16/2015 09:05AM PDT Adjustment offset refund $244.64 Totals $244.64 Payments Date/Time Type Detail Amount 10/15/2015 Michael Klitzing-10,000 Waiver Plan: Renewal payment 05:02AM PDT CC Payment XXXX-XXXX-XXXX-1502 master(08/2016) *$250.00 . __. Totals $0.00 "This payment was made during a later statement period,but applies to charges on this statement. It is shown here for clarity, but its totals are not attributed to this statement. Refunds Date/Time Type Detail Amount 10/16/2015 „� , 0904AM PDT Refund downgraded to Storage $245 00 Totals $245.00 Period Activity _ Date/Time Event Detail No Events logged this period _.... Flowrider Waivers Oct'15 38533 GLAccount# 1094000-4358300 Jet.com Page 1 of 1 46032 Account q Shop by Category Shop jet Anywhere FREE SHIPPING OVER$35+FREE RETURNS. How jet Works My Orders Placed:October 13,2015 Order number:374.307608'.37 _... _ .... _ .... __._.... Total Pay with Deliver to $238.44 Mastercard 1502 1235 Central Park Drive E Carmel,IN 46032 �ride Greer[?etaiJs i �D- 0 F 'OGT 13 2015 Price Subtotal $247.72 Total Savings -$9,28 BY: Shipping Fee FREE Estimated Tax $0.00 Order Total $238.44 __ Fulfilled by Hipp Modern Builders Yeoman In Progress YEOMAN 77030 POLY SCRAPER Qty,4 SNfi1U PUSHER Estimated Delivery 2-5 business days You paid:$59.61 >hyy.Price Decait= Reorder Need help? Social Get aur apps join the world of jet Ask the jet Heads. 1 {855}538 4323 •. . •+ join Now help@,)j�t.com I Ais Submitted to Jet are s!jbjW t to a;;r t°riwcy e Notic• p` 1- t'' Privacy Notice 'terms of Useveli an J 01 e C0P.yright: ;, :')jet.com,In,.. et Atrout Us fieiP �.nreers Cot advice.?f:...r:dt:acl;i<.��let.c.,n; snow shovels XX-2839 GLAccount# 1093000-4238000 = $ 119.22 GLAccount# 1125-4-01-4238000 = $ 119.22 https://jet.com/account/orders 10/13/2015 Smartwaiver Invoice#110430612 Page 1 of 1 t�'�m czrn f r (0 E3�1: w u vo--, 626 NW Arizona Ave. Suite 7 Bend, OR 97703 Phone: (541) 316-8530 Email: cs@smartwaiver.com Invoice #: 110430612 �C1� ED Invoice Date: 10/15/2015 OCT 16 2015 Username: monon Service Plan: Smartwaiver Service Plan BY' Description Price USD Smartwaiver Service Plan, $250.00 Payment Received 10/15/2015 (Card: XXXX-XXXX-XXXX-1502) -Thank you! $250.00 Ending Balance USD: $0.00 Flowrider Waivers Oct'15 38533 GLAccount# 1094000-4358300 https://www.smartwaiver.com/m/chargify_parent/sw_chargify_main.php?sw_chargemain... 10/15/2015 -1 4 v QiO CROWNE PLAZA WHITE PLAINS - DOWNTOWN 10-18-15 Michelle Yadon Folio No. 706432 Room No. 0504 1411 East 116 St A/R Number Arrival 10-15-15 Carmel In Group Code E2C Departure 10-18-15 USA-0001 46032 Company North American Drama Therapy Ass, Conf. No. 62222852 Membership No. Rate Code Invoice No. Page No. : 1 of 1 Date Description Charges Credits 10-15-15 Accommodation 129.00 10-15-15 Occupancy Tax 3% 3.87 10-15-15 State Sales Tax 8.375% 10.80 10-15-15 City Tax 3% 3.87 10-16-15 Accommodation 129.00 10-16-15 Occupancy Tax 3% 3.87 10-16-15 State Sales Tax 8.375% 10.80 10-16-15 City Tax 3% 3.87 10-17-15 Accommodation 129.00 10-17-15 Occupancy Tax 3% 3.87 10-17-15 State Sales Tax 8.375% 10.80 10-17-15 City Tax 3% 3.87 10-18-15 MasterCard XXXXXXXXXXXX1502 442.62 Total 442.62 442.62 Balance 0.00 Guest Signature: I have received the goods and/or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held =-: - personally-liable-in-the event that-the-indicated-person,-company,or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. CC Currency: Exchange Rate: Amount: Crowne Plaza White Plains 66 Hale Avenue White Plains, NY 10601 Tel:(914)682-0050 Fax:(914)682-0405 Amazon.com- Order 109-7262374-0956205 Page 1 of 1 PL)�A Details for Order #109-7262374-095620 Print this Daae for your records Order Placed: October 14, 2015 RECEIVED Amazon.com order number: 109-7262374-0956205 Order Total: $53.97 OCT 13 2015 Not Yet Shipped BY' Items Ordered Price 1 of: Scene it Jr. DVD Game $13.98 Sold by; Light To Your Day (seller profile) Condition: New NEW! FBA! 1 of: Zumba Fitness Exhilarate Body Shaping System DVD Set + Toning $39.99 Sticks Sold by: Fenix Management(seller profile) Condition: New Shipping Address:. Tia Russell 10404 ORCHARD PARK DR S INDIANAPOLIS, IN 46280-1538 United States Shipping Speed: FREE Shipping Payment information Payment Method: Item(s) Subtotal: $53.97 MasterCard I Last digits: 1502 Shipping & Handling: .$8.13 Billing address Free Shipping: -$8.13 Dawnr Total before tax: $53.97 Carmel1,, IN 46032 1411 E. 116t th Street Estimated tax to be collected: $0.00 United States ----- Grand Total:$53.97 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015,Amazon.com, Inc. or its affiliates Site Plan 2 Supplies XX-2845 GLAccount# 1081006-4239039 https://www.amazon.com/gp/css/summary/print.html/resod aui—Print_invoice?ie=UTF8... 10/14/2015 Billing History- Care.com Recruiting Solutions 5/3 Page 1 of.2 Y7 COMCOM' I Recruiting Sol4„tions� Child Care v ZIP Code Search There for yov°" Home` Jobs '15- Home »Profile&Settings » Billing History --------q CEI �y EP Billing History OCT 19 2095 BY: Date Tran ID. Description Card Pre-tax Amount Sales-tax Total Amount Account Type Amount 10/19/2015 820420742062408091 Subscription:12- ""1502 $75.00 $0.00 $75.00 Recruitment month s 9/19/2015. 8258741076467/2919 Subscription:12- -1502 $75.00 $0.00 $75.00 Recruitment month s 8/19/2015 826049809967924056 Subscription:12- ­1502 $75.00 $0.00 $75.00 Recruitment month s 7/19/2015 825873668575888696 Subscription:12- ­2814 $75.00 $0.00 $75.00 Recruitment month s 6/19/2015 8258734577818837.65 Subscription:12- ­2814 $75.00 $0.00 $75.00 Recruitment month s 5/19/2015 826049162328393292 Refund- ­2814 -$23.34 _$0.00 -$23.34 Recruitment 825609191181763295 5/19/2015 825785278760142714 Subscription:12- ­2814 $75.00 $0.00 $75.00 Recruitment month s 4/26/2015 825609191181763295 Subscription:3-month ­2814 $100.00 $0.00 $100.00 Recruitment s 3/26/2015 825784895610554052 Subscription:3-month "'"2814 $100.00 $0.00 $100.00 Recruitment s 2/26/2015 819891316330415873. Subscription:3-month ­2814 $100.00 $0.00 $100.00 Recruitment s Go to Profile Cancel ESE Facilitator Job Posting 38472 GL.8ccotznt# 1081099-430ROW erms&Conditions Help ® Tube Care.com does not employ,recommend or endorse any care provider or care seeker nor is it responsible for the conduct of any care provider or care seeker.Care.com provides information and tools to help care seekers and care providers connect and make informed decisions.However,each individual is solely responsible for selecting an appropriate care provider or care seeker for themselves or ' their families and for complying with all applicable laws in connection with any employment relationship they establish.Care.com does not provide medical advice,diagnosis or treatment or engage in any conduct that requires;a professional license.♦ r. v httns://recruitment.care.com/recruitment/member/billingHistorv.do 10/19/2.015 Dawn Koepper Pn From: service@paypal.com Sent: Friday, October 23, 2015 9:11 AM To: Dawn Koepper =RF-CE-'VPSubject: You sent a payment 1; paypal t You sent a payment Transaction ID:8JF66796KS26001 I B ; Dear Dawn Koepper, You sent a payment for$25.00 USD to Parkinson's Awareness Association of Central Indiana, Inc.. Please note that it may take a little while for this payment to appear in the Recent Activity list on your Account Overview. View the details of this transaction online Your monthly account statement is available anytime; just log in to your account at https://www.i)aypal.com/us/cgi-bin/webscr?cmd= history. To correct any errors, please contact us through our Help Center at https://www.paypal.com/us/cgi- bin/webscr?cmd= contact us. Amount you have sent: $25.00 USD Your total charge: $25.00 USD Parkinson's Awareness Association of Central $25.00 USD i Indiana,.Inc. will receive: Sent on: October 23, 2015 Message in your payment Pam Runyon email: i Sincerely, PayPal Fitness Instructor symposium registration I0/24/15 XX-2886 GLAccount# 1096022-4239039 Help I Resolution Center I Security Center This email was sent by an automated system,so if you reply, nobody will see it.To get in touch with us, log in to your account and click"Contact Us"at the bottom of any page. Copyright© 2015 PayPal, Inc.All rights reserved. PayPal is located at 2211 N. First St., San Jose, CA 95131. PayPal Email ID PP118 -f770eOd325dc7 1 �3 Dawn Koepper From: Auto-Receipt<noreply@mai 1.authorize.net> Sent: Friday, October 23, 2015 11:03 AM To: Dawn Koepper Subject: Transaction Receipt from Rosen Plaza for 840.84 (USD) Thank you for your recent purchase from the Rosen Plaza Hotel. Please review the information below for accuracy and if you have any questions please contact us at 407-996-9700.We look forward to your visit with us. Description: Goods or Services Invoice Number: 8257193 36 5 Billing Information Shipping Information Dawn Koepper Carmel Clay Parks&Recreation 1411 E 116th Street Carmel,IN 46032 US dkoepper@carinelclayparks.com Tax: 0.00(USD) Total: 840.84(USD) Date/Time: 23-Oct-2015 11:02:46 EDT Transaction ID: 7645639611 Payment Method: MasterCard xxxx1502 Transaction Type: Purchase Auth Code: 074054 Rosen Plaza Orlando, FL 32819 US Authorize.net@RosenPlaza.com Rosen Plaza Hotel 9700 International Drive Orlando, FL 32819 www.RosenPlaza.com Main Phone: 407-996-9700 Reservations: 1-800-627-8258 Meeting Services: 1-800-366-9700 NFMT Facilities Conference Travel &Lodging— 39072 GLAccount# 1091000-4343000 I Amazon.com- Order 107-3465706-8540260 5 1 3 Page 1 of 1 r 0n.com- Po A- xx-a.&-I S- etaiis for Order #107-3465706-8540260 RECEIVED Print this page for vour records. OCT 23 2015 Order Placed: October 22, 2015 Amazon.com order number: 107-3465706-8540260 BY: Order Total: $23.76 Not Yet Shipped Items Ordered Price 2 of: Gym Ball Replacement Plug Adapter Kit $8.62 Sold by: MaxMed (seller profile) Condition: New Shipping Address: Carmel Clay Parks & Recreation ATTN MARY EVANS 1235 CENTRAL PARK DR E CARMEL, IN 46032-4421 United States Shipping Speed: Standard Shipping Payment information Payment Method: Item(s) Subtotal: $17.24 MasterCard 1"Last digits: 1502 Shipping & Handling: $6.52 Billing address Total before tax: $23.76 1411 E.. 1116th Street Dawn r Estimated tax to be collected: $0.00 16t Carmel, IN 46032 United States Grand Total:$23.76 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015,Amazon.com, Inc. or its affiliates Fitness Equipment Supplies XX-2875 GLAccount# 1096022-4239039 https://www.amazon.com/gp/css/summary/print.html/resod_aui_print_invoice?ie=UTF8... 10/22/2015 Amazon.com - Order 107-9235524-2741869 Page 1 of 1 amazoncon Details for Order #107-9235524-2741869 Print this page for your records. Order Placed: October 22, 2015 OCT 2 2095 Amazon.com order number: 107-9235524-2741869 Order Total: $289.06 BY: Not Yet Shipped, Items Ordered Price 4 of: Yeoman Co. - 36"Poly Scraper $66.74 Sold by: ProMax Commerce(seller profile) Condition: New Shipping Address: Carmel Clay Parks & Recreation ATTN MIKE KILPATRICK 1235 CENTRAL PARK DR E CARMEL, IN 46032-4421 United States Shipping Speed: Standard Payment information Payment Method: . Item(s) Subtotal: $266.96 MasterCard I Last digits: 1502 Shipping & Handling: $22.10 Billing address Total before tax: $289.06 Dawn Koepper Estimated tax to be collected: $0.00 1411 E. 116th Street Carmel, IN 46032 Grand Total:$289.06 United States II To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2015,Amazon.com,Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.html/ref=od aui_print invoice?ie=UTF8... 10/22/2015 Dawn Koepper From: America's Parts Warehouse DBa, Best Truck Equipment, Inc. <besttruckeq@yahoo.com> Sent: Thursday, October 29, 2015 11:58 AM To: Dawn Koepper Subject: order APW-10495 from America's Parts Warehouse DBa, Best TruckEquipment, Inc. This email is to confirm the receipt of your recent order from America's Parts Warehouse DBA, Best Truck Equipment, Inc. You can always find out the current status of your order by going to https:Horder.store.yahoo.net/OS/stat?yhst-142289799468023+10495+ef0afa9f7bf6625692a9 Date Thu Oct 29 11:57:54 EDT 2015 Ship to Courtney 1427 E 116th street carmel IN 46032 United States 311 7-573-4026 R F_�CF11VFJ:) Bill to Dawn Koepper OCT 2 9.2015 1411 E 116th Street Carmel IN 46032 BY: US United States 317-573-4026 E-Mail dkoepper@carmelclayparks.com (emailed) Via UPS Ground Payment MasterCard Name Code Qty Each Options --------------------------------------------------------------- Snow Deflector,7'0"/ MSC04587 1 128.48 7'6" Sport Duty,7'6" SD Straight Blade Boss P/N MSC04587 Subtotal 128.48 Shipping 29.71 Tax 0.00 Total 158.19 Snow plow rubber deflector for snow removal XX-2920 GLAccount# 1125401-4232100 i Dawn Koepper From: Yhst-51964671464679 <sales@theraquatics.com> Sent: Thursday, October 29, 2015 1:21 PM To: Dawn Koepper Subject: order Theraquatics-14130 from Yhst-51964671464679 RECZI l- .: OCT 30 2015 This email is to confirm the receipt of your recent order from Theraquatics - .. You can always find out the current status of your order by going to https:Horder.store.yahoo.net/OS/stat?yhst- 51964671464679+14130+fd602743b64b4567dbbf Date Thu Oct 2910:20:46 PDT 2015 Ship to Mary Evans Carmel Clay Parks& Recreation 1235 Central Park Drive E Carmel IN 46032 US United States 317-573-4026 Bill to Dawn Koepper 317-573-4026 E-Mail dkoepper@carmelclayparks.com (emailed) Via USPS(3-9 days) Payment PayPal Name Code Qty Each Options --------------------------------------------------------------------------------------- Thera-Band Hand Bars HYG151LT 8 12.95 Resistance= Light- Red (2.5 Ib) (sold individually) Thera-Band Hand Bars HYG151Med 10 14.95 Resistance= Medium -Green (4 Ib) (sold individually) (+$2.00) �I Subtotal 253.10 Shipping 35.00 Tax 0.00 Total 288.10 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 00352832 Fifth Third Bank Terms P.O. Box 740523 Cincinnati, OH 45274-0523 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 10/30/15 2798 General Program Supplies $ 597.81 10/30/15 2798 Equipment Repairs &Maintenance $ 427.65 10/30/15 2798 Other Fees & Licenses $ 5.00 10/30/15 2798 Other Expenses $ 375.00 Total $ 1,405.46 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer Voucher No. Warrant No. 00352832 Fifth Third Bank Allowed 20 P.O. Box 740523 Cincinnati, OH 45274-0523 In Sum of$ Page 2 of 2 ON ACCOUNT OF APPROPRIATION FOR 101 General/108 ESE/109 MCC I PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-22 2798 4239039 $ 597.81 1 hereby certify that the attached invoice(s), or I 1093 2798 4350000 $ 427.65 bill(s) is(are)true and correct and that the 1094 2798 4358300 $ 5.00 materials or services itemized thereon for 853 2798 5023990 $ 375.00 which charge is made were ordered and received except November 2, 2015 Signature Total of Page 2 $ 1,406.46 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 00352832 Fifth Third Bank Terms P.O. Box 740523 Cincinnati, OH 45274-0523 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount $ . 158.19 10/30/15 2798 . Supplies $ 263.75 10/30/15 2798 Small tools $ 53.97 10/30/15 2798 General Program supplies $ 37.59 10/30/15 2798 General Program supplies $ 75.00 10/30/15 2798 Classified Ads $ 268.14 10/30/15 2798 Repair parts $ 1,283.46 10/30/15 2798 . Travel Expenses $ 630.00 10/30/15 2798 r Organization &Member dues $ 2,490.00 10/30/15 2798 Special Projects $ (89.00) 10/30/15 2798 Classified Ads $ 263.75 10/30/15 2798 Small tools $ 100.00 10/30/15 2798 Other fees &license $ 435.01 10/30/15 2798 Small tools I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance TOtal $ 5,969.86 with IC 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. 00352832 Fifth Third Bank Allowed 20 P.O. Box 740523 Cincinnati, OH 45274-0523 In Sum of$ TDTA L- $ 7,375.32 OF _,yo PAbE5 ON ACCOUNT OF APPROPRIATION FOR 101 General/108 ESE/109 Monon Center/853 Gift PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 2798 4232100 $ 158.19 1 hereby certify that the attached invoice(s), or 1125 2798 4238000 $ 263.75 bill(s)is(are)true and correct and that the 1081-6 2798 4239039 $ 53.97 materials or services itemized thereon for 1081-99 2798 4239039 $ 37.59 which charge is made were ordered and 1081-99 2798 4346000 $ 75.00 received except 1125 2798 4237000 $ 268.14 1091 2798 4343000 $ 1,283.46 1091 2798 4355300 $ 630.00 1091 2798 4359000 $ 2,490.00 1091 2798 4346000 $ (89.00) November 2, 2015 1093 2798 4238000 $ 263.75 1091 2798 4239099 $ 100.00 V6'tk&Rq 109571 2798 4238000 $ 435.01 Total from Page#2 $ 1,405.46 Signature $ 7,375.32 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund