HomeMy WebLinkAbout258296 05/06/16 i m.F�g�ti
�! "'\ CITY OF CARMEL, INDIANA VENDOR: 180865
® ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $"**"**32.99*
r•. _� CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 258296
�M�roN moo` CARMEL IN 46032 CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4239099 2PVTPQQPUY5Y 32.99 OTHER MISCELLANOUS
OT LIFEGUAttD SPORE,INC r^ '•�
Invoice
ALL AMERICAN SWIM
THE SWIM TEAM STORE RECP�TVED
DATE INVOICE#
Cll
2:10 ,4 E�jT4
ALL AMERICAN SWIIVr
r6-70 6 1--, MAR 31 2016
7'
PH (309)451-S�858 COLLEGE,
FAX(309)451-5959 BY: II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
www.thelifeguardstore.com
•
NINE
Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation
Paula Schlemmer Paula Schlemmer
1411 E 116th Street 1235 Central Park Drive E
Carmel,IN 46032 Carmel,IN 46032
Account Number: WEB51975
P.O.NUMBER TERMS REP SHIP VIA Order Number
XX-3538 NEt 30 1 0 UPS GROUND ORD306865
QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT
2 0315 DROPSHIP:C3 Runners $33.00 $66.00
CIS DROPSHIP:C1 Board Bumpers $24.00 $24.00
Page 1 of I
UPS Tracking Number:
Subtotal $90.00
Discount Amount $0.00
Shipping, Packaging &Handling $12.00
Tax $0.00
r—T
VT A L wu--
AJI Balances must be paid within thirty(30)days of invoice date.A 1.5%monthly finance Balance Due $102.00
charge will be applied to all over due balances.
VOUCHER NO. WARRANT NO.
ALLOWED 20
BARBARA LAMB
C/O HUMAN RESOURCES
IN SUM OF$
CARMEL, IN 46032
$32.99
ON ACCOUNT OF APPROPRIATION FOR
Human Resources
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
2PVTPQQPUY5Y8I 42-390.99 I $32.99 1 hereby certify that the attached invoice(s), or
R64C
1201 101 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 04, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/22/16 12PVTPQQPUY5Y8 Reimburse purchase Office Max I $32.99
R64C
1201 101
I 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
Office DIEPOT.
OfficeMar
Office Max Store 6545
14760 Grey Hound Plaza
04/22/2016 16.2.2 3;38 PM
STR 6545 REG 2 TRN 319 EMP 455844
------------------------------------------
SALE
Product ID Description Total
976678 SLING,TABLET,S 32.99 S
Subtotal; 32.99
IN State Tax 7% 2.31
Total; 35.30
Discover Card 8533: 35.30
RUTH CODE 02219R
TDS Chip Read
AID P0000001523010 446973636F7665722043
TUR 0000008000
CVS No Signature Required
GARY LAMB 1743395285
Please create your online rewards
account at officedepot.com/rewards,
You must complete your, account to
claim your rewards arid—v_tew_youur-- -
status.
Shop online at www.officedepot.com
WE WANT TO HEAR FROM YOU!
Participate in our online customer survey
and receive a coupon for $10 off your
next qualifying Purchase of $50 or more on
office supplies, furniture and more. (
Excludes Technology. Limit 1 coupon per
household/business. )
Visit www.afficemaxfeedback.com
and enter the survey code below.
Survey Code;
6595-02-03198
2PVTPQQPUY5Y8R64C
yiiiVVMWdWWbfi'. lk '�.
100%Satisfaction.Guarantee
If you're not satisfied with your purchase, you
can return it, with the Original Receipt and all
original packaging for a refund or exchange
within 90 days for office supplies, 30 days for
all unopened ink & toner or 14 days for
technology, software and unassembled
furniture.Open software,CDs,DVDs and video
games may be exchanged for the same item
only. Special orders are not returnable. See
Tech DepotT"" Services Terms and Conditions
for separate return policy. Catalog and Web
Purchases may be returned/exchanged in
accordance with our policy. Other restrictions
apply. See store or visit officedepot.com for full
details.
Office Depot and OfficeMax Branded
Products Guarantee
Office Depot and OfficeMax Brand products
(excluding ink&toner.) may be returned at any
time for any reason, with original receipt, for a
full refund.
ID may be required for returns.
f
Office ampo
beM"-
100%Satisfaction Guarantee
If you're not satisfied with your purchase, you
can return it, with the Original Receipt and all
original packaging for a refund or exchange
within 90 days for office supplies, 30 days for
all unopened ink & toner or 14 days for
technology, software and unassembled
furniture.Open software,CDs,DVDs and video
games may be exchanged for the same item
only. Special orders are not returnable. See
Tech DepotTM Services Terms and Conditions
for separate return policy. Catalog and Web
Purchases may be returned/exchanged in
accordance with our policy. Other restrictions
apply. See store or visit officedepot.com for full
details.
Office Depot and OfficeMax Branded
Products Guarantee
Office Depot and OfficeMax Brand products
(excluding ink&toner) may be returned at any
time for any reason, with original receipt, for a
full refund.
ID may be required for returns.
discover Card : Account Center Homepage Page 5 of 6
Trans. Description Amount Runnilt,
Date Balance-
04/22/16—OFF I CiMAX/O—FFICEDEPOT#6-a,—.Mil
IN
04/21116 MEUFR#130 CARMEL IN $27.64 52,949.13
04/20/16 BUTLER HYUNDAI INDIANAPOLIS IN $4107
04/20/16 MCALTSTER'S DELI OF CARIA CARMEL IN $2136 S2.439.72
04/19116 1250 GREAT CLIPS AT TOWN $18.00 SZ417.96
NOBLESVILLE IN
04/18116 NIEUER#230 NOBLESVILLE IN $6.92 52,399.96 gggi
04/18116 WWW.GREATCAJ,[,.COM $36A8 P,393.o4
ORLATCALL.CONICA
WWW.GREATCALL.COM
04/17-116 MITCHELLS CARMEL CARMEL IN ______$9526__52..3J6_561_
04/17/16 TH MIDWEST 4602 CARMEL IN $25.23 51,261.30
04/16/16 HACIENDA I I-III I GOSHEN IN $47.39 S7,23(07
04/15116 MEUER#130CARMELIN $9.50 V18,%68
04/14/16 MEIJER#130 CARMEL IN $88.10 SZ179.18
04/13/16 KROGER FUEL CTR 112944 FISHERS IN $9.65 82.091.08
4 it
04/11/16 GAN'INDIANANEAVSPAPRCIR 888426- $26.00 S200.43
0491 IN
00761801742150689876
04/11/16 WAL-MART SC-#0923 NOBLESVILLE IN $7.15
Submitted To
04110/16 REGAL CINEMAS VILLAGE PA CARMEL $1720 S2.018.28
IN
MAY.0 3 2016
04/09116 DON PABLO'S-5155 CARMEL IN $40.96 52,031.08
04/08/16 -AMAZON SERVICES-KINDLE 866-321-8851 $2.13 S1,990.12 Clerk Treasurer
WA
QA705PPJLAO
04/09/16 KROGER#959 CARMEL IN $36.75 S1,987.99
04/08/16 MEIJER#130 CARMEL IN $52.09 51,951.24
04108116 RICKEWS SITE 49 CARMEL IN $12.20 5I'399.15
N066085797729369NV
04/08116 STAPLES 00105171105 NOBLESVILLE IN $20,32
04/07/16 AMAZON.COM AMZN.COM/BILLWA $28.21 S 1.866.M
CGGOFY203Y5
https://www.discovercard.com/cardmembersvcs/achome/homepage 5/3/2016
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CITY OP CARMEL.Expense Report. (required"46r:all lravel-.expe'nses)
EMPLOYEE NAME:
. .Barbara Lamb DEPARTURE,DATE: .TIME:: ; . : : ' AM/.PM: .
DEPARTMENT:: HR 1201 RETURN DATE: TIME: : AM/PM. .
REASON FOR TRAVEL:: DESTINATION CITY: . .
'
TRAVEL EXPENSES ARE,FOR(check all,that'apply): C
ADVANCEREIMBURSEMENT:. PER DIEM:
Transportation Gas/Tolls% Meals
Date-- Lodging, . .Misc. Total
Air-fare Car Rental _ ,Other Parking Breakfast Lunch . ' . .Dinner Snacks. .Per.Diem
4/22/16 $32:99
41, Q .
. .: � . . . . . •$,0.0.0
$0:00
• � � $0'00
$0 UQ
Mj
.� . . .
WA
-71 RM. $Os00
WCa N
- _ $O.Oo
'W1 9 0,0.0 .
.
ToI � 'I I�`!', ,T �• C'k'$�'t F #, �� K �. w ri Tioo .iT_ " iu '-,-t � • �xa i i T �.I
a 0$ $ $0.00_i$ :$0 00,
DIRECTOR'S STATEMENT: I hereb affirm that all ez enses listed conform to the City's travel policyand_are within mY.de artmenfs appro riated bud et:
Y. _ .. . . . . R _ .. Y. .P. . . . - . . . . .P. . . . .9 . . .
Director.Signature:: - . _.. . . . Date:
City of.Carmel Form#ER06 Revision Date"5/4/2016. . . - . . ' . . . Page 1..
- - -- .
For advance.payments,:claim.form must:be.submitted ten(10)'business:days in advance of traveC
_ Glaim will not be processed without the following documentation
1) 'Conference or:course registration form',if applicable _
2): Travel itinerary.or.car rental.agreement; if applicable
.;3). Original:itemized receipts for all 6xpenges.(or-affidavits.if appropriate), except for meal.per dierris.(whiieh require hotel receipt):
Prorated meal allowance:
Tor travel th6t'dommences before 1:00 pxn.-{flight departure time,--if-traveling.by air);'$50 for in-state'travel and$6546T out=of=state#ravel
For travel-that commences.after 1:00 P.m..(fligfit departure time,�if traveling by air), $25 for in=state travel and $30 for out-of=state:travel
For travel that ends Before 1.00_p.m;(flight arrival.time,:if traveling by air),$25 for in=state travel-and $3l)-for out=of-state.travel:
For travel that ends after 100 p.m.- (flight arrival time;if"traveling by:air), $50�for in-state travel and $65 for out-of-state travel
EMPLOYEE ACKNOWLEDGEMENT-OF.MEAL ADVANCE AND OBLIGATION-TO-DOCUMENT EXPENDITURES:
-herebyacknowledge receipt of$ . , such funds-being'advanced to,me.bythe City-pf Carmel solely for:the.purpose of purchasing meals :.
while-traveling-to participate in.official-business for the City:. I accept responsibility for.those.funds and agree-.to repay-them-if.lost or stolen..
understand,that within-ten:(10) business.days'of myreturn (as stated ori opposite:side),'I am"responsible to`.
:1): Submit original itemized receipts.toahe office of the Clerk=Treasurerdocumenting:all meal expenditures;-and -. .
2) Return all unused funds to the.office of the-Clerk Treasurer
further understand,that failure_to.provide the"required documentation shall result in the.total amou.nt.of the'advance being deducted.
from fhe,first.
paycheck issued more-th:an.30 days after-the date of my:return-. FWureto return uriused funds will.result.in the;amount;of`.the unused funds(total:..
advance minus documented expenditures) being deducted from the first"paycheck issued more.than,30 days after the date of:my.return.
Employee Signature;-. . Date:
City of.Carmel-Form#ER06 . Revision Date-5/4/2016 Page 2.: