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HomeMy WebLinkAbout304299 10/20/16 (9, CITY OF CARMEL, INDIANA VENDOR: 360618 ONE CIVIC SQUARE STEPHANIE MARSHALL CHECK AMOUNT: $*****2,047.03* CARMEL, INDIANA 46032 578 TULIP POPLAR CREST CHECK NUMBER: 304299 CARMEL IN 46033 CHECK DATE: 10/20/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4343004 100316 585.28 TRAVEL PER DIEMS 1203 4343003 101816 1,246.00 TRAVEL & LODGING 1203 4359000 101916 156.67 SPECIAL PROJECTS 854 367008 101916A 59.08 CRC FESTIVALS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) STEPHANIE MARSHALL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 578 TULIP POPLAR CREST IN SUM OF-$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $156.67 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 43-590.00 $17.78 1 hereby certify that the attached invoice(s),or 9/23/16 RECEIPT $17.78 1203 101 1203 101 RECEIPT 43-590.00 $27.91 bill(s)is(are)true and correct and that the 10/12/16 RECEIPT $27.91 1203 101 materials or services itemized thereon for 1203 101 RECEIPT 43-590.00 $110.98 10/13/16 RECEIPT $110.98 1203 101 which charge is made were ordered and 1203 101 received except Wednesday,October 19,2016 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: S , I ADDRESS: a TOTAL$AMOUNT OF RECEIPTS) NT IS AGE:$ PURPOSE OF EXPENSE: o�rch ' Use separate sheet for different purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH, IF RECEIPT IS FULL PAGE sweepstakes rules. OCTOBER FUEL POINTS REDEEM 100PTS TO SAVE . 10 PER GAL. ON ONE PURCHASE OF UP TO 35 GAL. SAVE UP TO $1 PER GAL AT KROGER OR .10 PER GAL AT SHELL ON 1 FILL-UP. 1217 S. RANGELINE RD. -----------------------------------.---- 317-846-4818 FUEL POINTS THIS ORDER = 111 Your cashier was SELF CHECKOUT FUEL POINTS THIS MONTH = 111 -------------------------------- ------- CHO SHT CKE 52.99 F THIS MONTHS POINTS EXPIRE 11/30/16. WHT SHT CKE 52.99 F VISIT WWW.KROGER.COM/FUEL FOR DETAILS 4 @ 1.49 ###################################### PUMPKINS PC 5.00 F SC KROGER SAVINGS 0.96 With Our Low Prices, You Saved KROGER PLUS CUSTOMER #######2366 TAX ■ 96 0 BALANCE Annual Card Savings $23.27 #### 110.98 CARMEL IN 46032 Now Hiring - Apply Today! Visa Credit Purchase I jobs.kroger.com #########*#*6577 - C www.kroger.com REF#: 34158B TOTAL: 110.98 AID: A0000000031010 TC: 79FOC284A134AD4C VISA 110.98 CHANGE 0.00 iulhL NUMBER OF ITEMS SOLD = .6 K1'? GER SAVINGS $ 0.96 !UTAt, SAVINGS (0 Z) $ 0.96 1 /13/16 10:18am 959 84 27 999 `Tell Us How We Are Doing! Earn 50 BONUS FUEL POINTS! .f6U6, enter our monthly Sweepstakes: for ONE OF 100 - $100 gift cards and ONE $5,000 gift card grand prize! Go to www.krogerfeedback.com within 7 days. Enter the information below: Date: 10/13/16 Time: 10:18am Entry ID: 021-442-27-959-84-111 Limit one 50 fuel of bonus oer 7 days. EMPLOYEE REIMBURSEMENT " Sales tax is not reimbursable NAME: S G// ADDRESS: V TOTAL$AMOUNT OF RECEIPTS ONIS AGE:$ PURPOSE OF EXPENSE: r i & Use separate sheet for different purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH, IF RECEIPT IS FULL PAGE 11 ' 1217 S. RANGELINE RD. 317-846-4818 Your cashier was DAX KRO CUTLERY 1.39 T KRO CUTLERY 1.39 T KRO CUTLERY 1.39 T, VNFR NAPKINS PC 2.89 T VNFR NAPKINS PC 2.89 T CHNT PLATES PC 7.59 T CHNT PLATES PC 7.59 T KRO CUTLERY 1.39 T KRO CUTLERY 1.39 T TAX 1.95 #### BALANCE 29.86 CARMEL IN 46032 Visa Credit Purchase ######**####6577 - C REF#: 53465B TOTAL: 29.86 AID: AOOOOO00031010 TC: 66A80755EFBE49A3 VISA 29.86 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 9 10/12/16 05:00pm 959 180 65 106 JOIN KROGER PLUS 8 BEGIN SAVING TODAY YOU COULD HAVE SAVED $4.00 MORE. THANK YOU FOR SHOPPING KROGER Now Hiring - Apply Todaj+t jobs.kroger.com www.kroger.com Pin_ tyce, Ity 00000000010401270-1 NOBODY-HAS MORE PAdRlY FOR LESS Order Number: 10401270-1 Contact information: Please visit Date: 09/23/16 The Contact IIs page on our website Bill To: stephanie Marsh Marshall Ship To: stephanie Marsh Marshall 578 TULIP POPLAR CRST 578 TULIP POPLAR CRST CARMEL, IN 46033 CARMEL, IN 46033 Email: smarshall@carmel.in.gov Phone: Phone: (317)496-9116 Payment Method: Visa Shipping Method: SUREPOST Sku Description Qty Ext Price 522273 Patriotic Flag Bunting 2 $9.79 Subtotal: $9.79 Shipping & Handling: $7.99 Sales Tax: TOTAL ORDER: $19.03 ��►mlouY For Information on Returns please visit PartyCity.com/Returnpolicy 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) STEPHANIE MARSHALL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 578 TULIP POPLAR CREST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,246.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 EXPENSE 43-430.03 $96.00 1 hereby certify that the attached invoice(s),or 10/10/16 EXPENSE $1,150.00 REPORT REPORT 1203 101 bill(s)is(are)true and correct and that the 1203 101 EXPENSE 43-430.03 $1,150.00 10/10/16 EXPENSE $96.00 REPORT materials or services itemized thereon for REPORT 1203 101 which charge is made were ordered and 1203 101 received except Thursday, October 13,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer `•�{OF Cqp� O�F1111:ryJ//��f . • C w CITY OF CARMEL Expense Report (required for all travel expenses) No,ANP EXHIBIT A EMPLOYEE NAME: Stephanie Marshall DEPARTURE DATE: 9/29/16 TIME: 10 : 30 A /PM DEPARTMENT: Community Relations RETURN DATE: 10/3/16 TIME: 6:45 AM PM REASON FOR TRAVEL: ArtPrize/Meet Artists DESTINATION CITY: Grand Rapids, MI EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 9/29/16 $24.00 $292.10 $65.00 $381.10 9/30/16 $24.00 $282.90 $65.00 $371.90 10/1/16 $24.00 $282.90 1 $65.00 $371.90 10/2/16 $24.00 $292.10 $65.00 $381.10 10/3/16 $65.00 $65.00 $0.00 $0.00 $0.00 $0.00 $0.00 -$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 °$0.00 $0.00 $0.00 $0.00 Total $0.00 $0.00 $0.00 $96.00 $1,150.00 $0.00 $0.00 $0.00 $0.001 $325.001 $0.00M11MR11, DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: A&�.24LZDate: 10/10/2016 City of Carmel Form#ER06 Revision Date 10/11/2016 Page 1 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim 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 expenses(or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in-state travel and $65 for out-of-state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in-state travel and$32.50 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$32.50 for out-of-state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in-state travel and $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: — I hereby acknowledge receipt of$ , such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen. I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk-Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk-Treasurer I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return. Failure to return unused 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 10/11/2016 Page 2 Kibbe, Sharon 6 From: Marshall, Stephanie L Sent: Tuesday, September 27,201612:57 AM To: Kibbe,Sharon Subject Fwd:Your 2016 ArtClub Membership! Thank you Sent from my Verizon, Samsung Galaxy smartphone -------- Original message-------- From: ArtPrize Membership<artclub(a rize.or > Date: 9/24/161:47 PM(GMT-05:00) ' To: "Marshall, Stephanie L" <smarshall(a�carmel.in.gov> TrOJ J 'Ceg1S\'� � Subject: Your 2016 ArtClub Membership! Cla"yn inn's a\�cead� '5ub�'\kd ;C 5 u{5toexlk Thank you stephanie Marshall! Your ArtClub Membership has been processed. Please review and verify your membership below. Your payment Id#is ATOAED35EC3B. DESCRIPTION AMOUNT 2016 ArtPrize ArtClub Registration $40 TOTAL $40 All base membership fees are 100%tax deductible. ArtPrize Grand Rapids is a tax-exempt charity under the IRS code section 501(c)(3), Tax Id#:26-4571560. Please keep a copy of this receipt for your records.To review your ArtClub membership preferences or for a full list of membership benefits, please visit www.artprize.o[g/artclub. If you have any questions , please contact artclubCaD-artorize.ora. With gratitude, ArtPrize 1 GUEST FOLIO JW MARRIOTT. 9T0 MAMHALL/RICHARD/MR 264%00 1"3/16 121-00 6210 ACCT# GKPe 01129/16 19142 202 Clerk Address om Payment MRW#• XXXXX6126 DATE REFERENCE CHAPGES CREDITS BALANCE DUE. 09/29 SLF PARK 09/29/16 24.00 09/29 ROOM 910, 1 254.00 09/29 CTY TAX 910, 1 12.70 09/29 STATETAX 910, 1 15.24 09/29 CVB TAX 910, 1 10. 16 09/30 SLF PARK 09/30/16 24.00 09/30 ROOM 910, 1 246.00 09/30 CTY TAX 910, 1 12.30 09/30 STATETAX 910, 1 14.76 09/30 CVB TAX 910, 1 9.84 10/01 SLF PARK 10/01/16 24.00 10/01 ROOM 910, 1 246.00 10/01 CTY TAX 910, 1 12.30 10/_0.1_ STATETAX 9.10, 1 - 14.76 10/01 CVB TAX 910, 1 9.84 10/02 SLF PARK 10/02/16 24.00 10/02 ROOM 910, 1 254.00 10/02 CTY TAX 910, 1 12.70 10/02 STATETAX 910, 1 15.24 10%02 CVB TAX 910, 1 10. 16 _ 10/03 VS CARD $1246.00 TO BE SETTLED TO: VISA CURRENT BALANCE .00 THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT, PLEASE CALL THE FRONT DESK AT EXTENSION 11 011 . GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM Your Rewards points/miles earned on your eligible earnings will be credited to your account. Check your Rewards Account Statement for updated activity. To secure your next stay,go tojwmarriott.com CJ VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) STEPHANIE MARSHALL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 578 TULIP POPLAR CREST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $585.28 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 MILEAGE CLAIM 43-430.04 $260.28 1 hereby certify that the attached invoice(s),or 10/3/16 MILEAGE CLAIM $260.28 1203 101 1203 101 EXPENSE 43-430.04 $325.00 bill(s)is(are)true and correct and that the 10/10/16 EXPENSE $325.00 REPORT materials or services itemized thereon for REPORT 1203 101 1203 101 which charge is made were ordered and received except Thursday, October 13,2016 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 OF CA#0 4`44ll,lltt,��� R_ CITY OF CARMEL Expense Report (required for all travel expenses) 4l �NDIAt1AEXHIBIT A EMPLOYEE NAME: Stephanie Marshall DEPARTURE DATE: 9/29/16 TIME: 10 : 30 (AV/PM DEPARTMENT: Community Relations RETURN DATE: 10/3/16 TIME: 6 :45 AM PM REASON FOR TRAVEL: ArtPrize/Meet Artists DESTINATION CITY: Grand Rapids, MI EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT X TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking - Breakfast Lunch Dinner Snacks Per Diem 9/29/16 $24.00 $292.10 $65.00 . 381.10 9/30/16 $24.00 $282.90 $65.00 $371.90 10/1/16 $24.00 $282.90 $65.00 $371.90 10/2/16 $24.00 $292.10 $65.00 r $381:10 10/3/16 $65.00 $65:00 $0.00 $0.00 $0:00 $0.00 . $0.00 $0.00 $0:00 $0.00 $0.00 $0.00 $0.00 =$0.00 $0.00 $0.00 $0.00 Total_ $0.00 . $0.00 $0:00 . $96.00 $1,150.00 $0:00 $0.00 $0,00, $0.00 $325.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated.budget: Director Signature: 1J Date: 10/10/2016 City of Carmel Form#EROS Revision Date 10/11/2016 Page 1 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim 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 expenses(or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in-state travel and$65 for out-of-state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in-state travel and$32.50 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$32.50 for out-of-state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $60 for in-state travel and $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: hereby acknowledge receipt of$ , such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen. I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk-Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk-Treasurer I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return. Failure to return unused 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 10/11/2016 Page 2 Kibbe, Sharon f From: Marshall, Stephanie L Sent: Tuesday, September 27,201612:57 AM To: Kibbe,Sharon Subject: Fwd:Your 2016 ArtClub Membership! Thank you Sent from my Verizon,Samsung Galaxy smartphone -------- Original message-------- From: ArtPrize Membership<artclub(a rize.org> Date: 9/24/161:47 PM(GMT-05:00) . To: "Marshall, Stephanie L" <smarshallacarmel.in.gov> Subject: Your 2016 ArtClub Membership! kkMez. CNVe0CW\ * M\,0ta{' cA- Thank you Stephanie Marshall! Your ArtClub Membership has been processed. Please review and verify your membership below. Your payment Id#is ATOAED35EC3E. DESCRIPTION AMOUNT 2016 ArtPrize ArtClub Registration $40 TOTAL $40 All base membership fees are 100%tax deductible. ArtPrize Grand Rapids is a tax-exempt charity under the IRS code section 501(c)(3), Tax Id#: 26-4571560. Please keep a copy of this receipt for your records.To review your ArtClub membership preferences or for a full list of membership benefits, please visit www.artorize.org/artclub. If you have any questions , please contact artclub@artprize.orq. With gratitude, ArtPrize 1 4 Prescribed by State Board of Accounts MILEAGE CLAIM City of Carmel TO Stephanie Marshall (Governmental Unit) J Dept. of Community Relations & Economic Development On Account of Appropriation No. f (Office,Board,Department or Institution) DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AU 20� Point Point Start Finish T y i I i I I i C1170 7AI, I Auto License No. TOTALS *SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155,Acts 1953, 1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. � ^ Date 10/3/16 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) STEPHANIE MARSHALL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 578 TULIP POPLAR CREST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $59.08 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 3-670.08 $30.89 1 hereby certify that the attached invoice(s),or 10/5/16 RECEIPT $28.19 1203 854 1203 854 RECEIPT 3-670.08 $28,19 bill(s)is(are)true and correct and that the 10/5/16 RECEIPT $30.89 1203 854 materials or services itemized thereon for 1203 1 854 which charge is made were ordered and received except Wednesday, October 19,2016 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 4") Where Creativity Happens-, �` 1 MICHAELS STORE #9951 (317)580-9200 GREYHOUND PLAZA 14670 U.S. 31 NORTH CARMEL, IN 46032 ** Return Barcode ** 8-9341-9766-3095-M"l 11-5115-1600-'351 i .297 SALE 0711 9951 001 '10/05/16 18 'TING GHOST 886946947681 2.49 1 @ 2.49 ;ING GHOST 886946947681 2.49 1 @ 2.49 SING GHOST 886946947681 2.49 1 @ 2.49 1AX 728162747020 2.79 1 @ 2.75 7 2 PACK BL 886946773679 6.99 1 @ 6.99 OVER 52X70" 886946954856 .99 1 @ •95 OVER 52X70" 886946954856 .99 1 @ •95 iN 15CT ORAN 886946957895 1.99 1 @ 1.95 iODIVA MC CA 31290035144 2.99 1 @ 2.99 E 'OD 131 ST 3 E _....I WATER 20 49000009774 1 99 1 @ 1.99 Nd SUBTOTAL Sales Tax. 7% 1.83 TOTAL 30.02 ACCOUNT NUMBER ************657'7 Visa 30.02 APPROVAL: 24702B CHIP ONLINE Application Label: Visa Credit AID: AOOOOO00031010 TVR; 8080008000 TSI; 6800 This receIP4 awires at 180 days cn 04/08/17 i 60D-M ALDI Store #70 � ��S 14620 Greyhound Plaza, Carmel, IN www.ALDI.us Your cashier today was Kellyc— Choc Fav & More 13.95 FB p, Halloween Pretzels 1.99 FA Halloween Pretzels 1.99 FA Halloween Fruit Sn 3.99 F8 Pumpkins 2.99 FA Pumpkins 2.99 FA _Pumpkins 2.99 FA Purchase $ 32.15 VISA #SXXXXXXXXXXXX6577 Auth # 19126B Exp Date **/** 0 l Lane # 02 Cashier # 5 10/05/16 18:18 Ref/Seq # 028879 =PS Sequence # 028879 ++APPROVED++ .:3TOTAL C30]8 _ 94 B-Taxable. @7:000% 1.26 .95 A-Taxabla @0.100% 0.00 A)UNT, DUE O T A L 32 - 1! :ITEMS ,:: )di t Card' 32.15 X5 )7 444/070/002/005 10/05/16 06:15PM The colors are changing, but you'll always see more green when you shop at ALDI. Find even more fall savings at aldi .us I:,!l us how we didi Visit survey.aldi .u:; to participate. No Purchase Necessary. Enter the drawing for a chance to win $100 in ALDI gift certificates.Sweeps-takes ends 9/30/2017. Must be 18 years old to enter. Visit survey.aldi .us for Official Rules and how to enter without making a purchr 1-inn a survey.