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260465 07/07/16
4y yr C�q�� CITY OF CARMEL, INDIANA VENDOR: 368968 `` „ CHECK AMOUNT: $"'""'184.23" .�; ® ONE CIVIC SQUARE KELLI PRADER s9t /?� CARMEL, INDIANA 46032 3920 VERDURE LANE CHECK NUMBER: 260465 .y�«ON�, ZIONSVILLE IN 46077 CHECK DATE: 07/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 062816 152.27 FESTIVAL COMMUNITY EV 1203 4359003 070116 31.96 FESTIVAL/COMMUNITY EV VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KELLI PRADER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3920 VERDURE LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ZIONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $152.27 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Community Relations Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT f- RECEIPT 43-590.03 $96.31 I hereby certify that the attached invoice(s),or 6/28/16 RECEIPT $96.31 1203 ©65 101 1203 101 RECEIPT 43-590.03 $55.96 bill(s)is(are)true and correct and that the 6/28/16 RECEIPT $55.96 1203 Q� 101materials or services itemized thereon for 1203 101 which charge is made were ordered and received except Wednesday,June 29,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 11kqz r-elm ur�� kelG V�r urs zane elk nWI TeJ�h d e7% Ii AILAP" CLUB MANAGER TRACY DANIEL Fortune Park #347 ( 317 ) 871 - 7135 INDIANAPOLIS, IN :! 9010 Michigan Road 06/28/16 12:03 8591 06316 010 3122 Indianapolis, IN 46268 CHRIS PRADER R6 Member 839549950001 E 756988 DUBBLEBUBBLF 6.88 T ` ixrxx # Bott of Bask et �talal3csix E 896321 TOOTSIEROL"L'F 7,96 T E 839559 SWEETSTRIPEF 7.98 T E 994198 FU HOUSE TRT 13.99 E 660015 LAFFY TAFFYF 7.28 T �, c E 660015 LAFFY/.TAFFYF 7.28 T C: _94198 FU HOUSE TRT 13•Jy E 771673 SKIT/,:STRBRSF 11.48 T ! E 994198 F HOUSE TRT 139t? E 771673 SKIT/STRBRSF 11 .48 T F 994198 F NHOUSE TRT, 13.99 E 771673 SKIT/STRBRSF 1 1:48 T E. 831071 BUM DUMS 50F 12.25 T xxx*xxxxx*xBO Count 4 E 831071 BUM BUMS 50F 12.25 T SUB AL 55•.96 SUBTOTAL 96.31 TAX 0.00 TAX 1 7.000 X 6.74 TOTAL ;. TOTAL 103.05 VISA TEND 103.05 ------------------------------------- US,DEBIT x*** * ***# 5498 I 0 ! XXXXXXXXXXXX5498 SWIPED APPROVAL # 090412 SF's#: 11169 APP#: 002511 AID A0000000980840 Visa Resp: APPROVED TC 22EEDDFSBCBES447 TERMINAL # SCO10915 :fran IA#: 618000011169..., *NO' SIGNATURE REQUIRED Merchant ID: 99034711 CHANGE DUE 0.00 V1s1t samsclub,com to see your savinss i APPROVED - Purchase MOUNT:# ITEMS SOLD 10 06//28/20116511:25 347 11 94 '88 1 TC# 7798 9753 2737 0027 9 6 Visa 55.96 I��IIIIIIIII� �I 1i CHANGE 0.00 I IIIIIIIIIIIIIIIIIIIID 1111111111119"IIII I II II II II II, , , Please complete our`"NEW AND SHORTER SURVEY about about today's visit at: - f OTAL NUMBER OF ITEMS SOLD o 4 http:f/wwwsurveysamsclub.com .f;;MkfflP! 11 :25 347 11 94 88 IN RETURN OR YOUR WIN ONE F FIVE$1F,000 SAM'S CLUB SHO PE YOU IING CARDS OP#: 88 Name: Dorothy C (lust be 18 or older and a legal resident of the 50 US or DC to enter. No purchase necessary. Visit. Thank You ! www.entry.survey.samsclub.com for Official Rules, P l ease C o m e R y a i r the end date,and to enter without purchase. Whse:347 Trm:11 Trn:94 OP:88 Survey must betaken within TWO weeks of today: Este encuesta tambidn se encuentra en espatlol en la pdgina de Internet. Total BOB Item Count 4 Happu to Help *** MEMBER COPY **+� VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201 (Rev.1995) KELLI PRADER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3920 VERDURE LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be property itemized must show:kind of service,where performed,dates service ZIONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $31.96 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Community Relations Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT RECEIPT 43-590.03 $31.96 1 hereby certify that the attached invoice(s),or 7/1/16 RECEIPT $31.96 1203 l 101 1203 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,July 06,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer PartyCity, NOBODY HAS MORE PARTY FOR LESS 14299 CLAY TERRACE BLVD, 4100 CARMEL, IN 46032 317-815-3846L/� TAX EXEMPT r I T"l 1 ' 648919997271 29X168IN FRS $7.99 '1x168IN FRSTWHT TBLSKRT PLSTC O)18419497271 29X168IN FRS $7.99 9X168IN FRSTWHT TBLSKRT PLSTC 0°18419497271 29X168IN FRS $7.99 "'ixl68IN FRSTWHT TBLSKRT PLSTC .)118919497271 29X168IN FRS $7.99 ')x168IN FRSTWHT TBLSKRT PLSTC SUBTOTAL $31 .96 . TOTAL $31 ,96 CR AMEX $31 .96 ITEMS - 4 CI: AMEX SALE $31 .96 :jvXXXXXXXXX2019 (IPPR: 501226 ,JOURNAL: 0673126739862987 CUSTOMER COPY STORE 673 TRN 97 REG 2 07-01-2016 02:41 :08 PM 141 1427 002 01N1 I1111111111lIIlI 11111 11111 11111 11111 fllll 11111 11111 11111 11111 1111111 111 1111 liii *141142700201N1* RETURNS MUST BE MADE WITHIN 30 DAYS OF PURCHASE RECEIPT MUST ACCOMPANY EACH RETURN ONLY UNOPENED PACKAGES MAY BE RETURNED SEASONAL ITEMS MAY BE RETURNED UP TO 7 DAYS PRIOR TO HOLIDAY MERCHANDISE CREDITS ARE ONLY REDEEMABLE 111 I SS01 NG.511q;1=S