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Home My WebLink About306487 Q*` CITY OF CARMEL, INDIANA VENDOR: 360618 CHECK AMOUNT: $**«****233.74* ONE CIVIC SQUARE STEPHANIE MARSHALL �,?q CARMEL, INDIANA 46032 578 TULIP POPLAR CREST CHECK NUMBER: 306487 +,y_ CARMEL IN 46033 CHECK DATE: 12/21/16 „ l)ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 233.74 OTHER EXPENSES o n Ln (A < v D --1O q o 0 0 0 0 0 z C 2 D Cl) w w w w w m r D 2 n - z m z m :0M m m :1) M Z (� C rn -0 D O m m m m m m 0 3 co M � w v v m 3 0 = y x c -n 0 r 2 D -4 m r Cl) CoOD Co w w w w m n (D O OD � � � � 7° y T. �z o O oz z a -n O ODo O n O C2w O V w cCD 37 (Ln O V CNO tG S w 3 Q — Z D C CD m m c CO d < N n Ai ai Q CD a =r �, _ < O m 7 x w o °' W 0 (D N m c� C CD D) y z C w W SD n O. CD fD =D - °- f 0 z m m 3 ° m O N 3 N N N 7 Q0 fD .0 n. n m a °_ m CD SO a Q1 �1 m a �Do. m g < %I) N Al j SD n• a CL f�SD K O 3 O CCD c s 1 p > > aQ W j W - Cl) Cl) � w 0 w � m n 0 w rn rn rn rn rn rn P m CD Q CD a D 0 n o m M m :r) M m < �, o n o O S Q7 n W n W n w n OD n co n z 0 y o 0 N a�D v, m m m m m v, m cn m m m p 0 T m ° m 0 $ z C ° N CD Q N cn° ° � y � _ D o o - yv m � F () D 0 m o > in a v mo z m C7 w m' 0 m c r 0 1 =r m c o Z v y CD C: CD CD c co n Q fD <D o C7 fDn = O y o a n m o ° N C CD -a m z 0 CD y o > z °' > m �' N W w w 69 w O CD CD < O i wO V w c N p A CUn 0 v co EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: ADDRESS: f TOTAL$AMOUNT OF RECEIPT(S)dN THI PA E:$ LI PURPOSE OF EXPENSE: �tJO Use separ a sheet for different purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE ALDI Store #70 14620 Greyhound Plaza, Carmel , IN www.ALDI.us Your cashier today was Latanda Holiday Pretzels 3.49 FA Chocolate Figurine 2.99 FB Chocolate Figurine 2.99 FB Chocolate Figurine 2.99 FB Soft Gingerbread 1.99 FA Wafer Assortment 2.99 FA Purchase $ 18.07 VISA #SXXXXXXXXXXXX6577 Auth # 16014B Exp Date **/** Lane # 04 Cashier # 16 11/18/16 17:19 RefiSeq # 047691 EPS Sequence # 047691 ++APPROVED++ SUBTOTAL , 1c 7 44 8.97 B-Taxable @7.000% 0.63 8.47 A-Taxable ®0.00% 0.00 AMOUNT DUE 18.07 T O T A L 18 - 07 6 ITEMS Credit Card 18.07 *6275 444/C'0i004/016 1 . 18/16 05:18PM Make saving a thanksgiving ' -adition with our, deals on aldi .us. 'ell us how we did! Visit survey.aldi .us to participate. No Purchase Necessary. -rater the drawing for a chance to win $100 n ALDI gift eertificates.Sweepstakes ends 9/30/2017, Must be 18 years old to enter. Visit survey.aldi .us for Official Rules and how to enter- without making a purchase or completing a survey. Void where prohibited. EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable 2. NAME: ADDRESS: 0 Ar TOTAL$AMOUNT OF RECEIPT(S)ON TIS PAGE:$ 9 PURPOSE OF EXPENSE: TST7 Use separate sheet for c:-cc----'^•• o *t. as account coding may vary P AFFIX ORIGINAL REC'1P 2016 M.rl„ -i r I 2016 XMAS COLOR A 82694601 J P 2016 XMAS COLOR A 886946(1191)36 311 I @ ;) r 2016 XMAS CO[_Ort A 886,916019036 2016 XMAS COLOR A 886716019036 30 1 @ 2016 XMAS COI OR A 886916()1903(, 50 1 @ 2016 XMAS COLOR A 886916019036 30 1 @ 30 P i 2016 XMAS COLOR A 886946019036 .30 1 @ .30 1, �- 2016 XMAS COLOR A 886916019036 .30 1 @ 30 V l Where Creativity Happens 2016 XMAS COLOR A 886916019036 .30 1 @ 30 P 2016 XMAS COLOR A 886946019036 .30 1 @ 30 P MICHAEL STORE #9951 (31(1580-9200 LQ16 XMAS COLOR A 8869460190,16 30 1 @ 50 r' GREYHOUND PLAZA 2016 XMAS COI-OR A 886946019036 30 1 P ;u 14670 U, 31 NORTH 2016 XMAS COLOR A 886916019036 30 1 ta ?,! CARMEL, IN 46032 2016 XMAS COLOR A 886946019036 ;0 1 @ li,wal ds Number LMR9JutJ4" PAINI POSTER 4 AS 886916019043 30 1 @ 30 I: i'AINT POSTER 4 AS 886946019013 .30 1 @ 30 I &9545-42A/4q�r 7525 Til 11-611 5 16ilir 21x11 'A INT POSTER 4 AS 886946019093 f' 30 1 @ .30 P ,'HINT POSTER 4 AS 88691601904:3 .30 1 @ 30 P HINT POSTER 4 AS 886916019043 .30 1 (( 30 p 'AIN1 POSTER 4 AS 886946019013 .30 1 @ 30 P HINT POSTER 4 AS 88691(1019(143 .30 1 @ 30 P ^HINT POSTCR 4 AS 886','4601)013 SO I ( ?i) 1617 SALE 0'x96 9951 007 11;18/16 '� •+3 a , 'i !'w)R HNGR JING 88691 7 4 99 1 @ 4 99 aINT POSTER 4 AS 886946019043 J0 1 @ ww1R HNGR JII•lli 486946;+ "ii,! 4.99 1 @ a 1[NT POSTER 9 AS 886946019043 30 I Cd Sl, I; CHER KIT AS 8869460V';.K91 30 1 @ IIINT PASTER 4 AS 8`ci:'�1601904"t 30 1 @ e« 1CHER KIT A S 886)46009891 3C 1 (� TINT FOSTER 1 AS 88E 9460 1904 I @ SO P AA11 CHER KIf AS 886946009891 .10 1 (' ' DIY NUTCRACKER 8869960;241'r' , � 1 @ 1.q9 P kA rdCHER KIT AS 886946009891 •:j@ 7" OIY NUTCRACKER 8869%0'4171 ;.-i'j 1 @ 1.19 P AAA r11CHER KIT AS 886946009891 _SG 1 @ WE1RY ENSEMBLE 88694608984 .89 1 @ .89 P ? 44jid CHER KIT AS 886946009891 .30 1 @ I AEI_VET POSTER 6X9 886946030093 30 1 @ 30 P Nr'4!CHER K,IT AS 886946009891 .30 1 @ 11 L%T POSTER 6X9 88046030093 :30 1 @ .30 P 30,iCHER KIT AS 886946009891 .30 1 @ LIVET POSTER 6X9 886946030093 �O 1 Ld i' ., POCKING 6111 886946011610 59 1 @ VET POSTER 6X9 886916030091 1 1'!JI STOCKING WII x86946011610 .59 1 @ 1 LVET POSTER 6X9 886946030093 P ! 1:!+I 'AUCKIN6 WI 1 xf?4,011610 '9 1 (d ,t -VET POSTER 6X9 886946030(.193 .30 1 @ 50 1, MU13 POCKING Wil 8869%0i1610 ��'J 1 @ '(!,VET POSTER 6X9 886946030093 .30 1 '11141 fOCKING W[f 886916011610 0 1 @ ''1_VET POSTER 6X9 886916030093 .30 1 @ 30 P MIN iOCKING WIT 88694601161(1 59 1 @ ;'I_i_VFT POSTER 6X9 886946030093 .30 1 @ i0 p ISI ';HARACTER S 886946011223 1 49 1 @ 1 A I VET POSTER 6X9 886946030093 .30 1 @ .30 P !Wt ;HARACTER S 886946017223 1.49 1 @ I ( 'JET POSTER 6X9 886746030093 30 1 @ 30 P :HARACTER S 886946011223 1 49 1 @ 1 VET POSTER 6X9 886916030093 30 1 @ 311 P :HARACTER S 886946018565 1,49 1 @ 1 0L'-VET POSTER ()X9 886346030093 .301 (d .1AS COLOR A X386946019036 3v I @ -1;'JET POSTER 6X,9 8869%03009; 0 1 @ IAS COLOR A 886946019036 .30 1 @ 11 VET POSTER 6X9 886996030093 30 1 0 IRS COLOR A 886946019036 {0 1 PILVET POSTER 6X9 886946030093 .30 1 @ Su P 11)1b XMAS COLOR A 88694('01906 SO I f, VE1'JET POSTER 6X9 886946030093 30 1 @ 30 P • VMf), I';1;,-� p Rv�aq�;nlun« sil I Id uX 1 "(I_'JET POSTFR AX4 R86yF16nzUr1�"s 1 •t1!f. ;,I' 'I i'?I , I'll I l!', (,:1 436',46(-,, ,' X 'd I VI EMPLOYEE REIMBURSEMENT 7i Sales tax is not reimbursable NAME: ,Q� S / ADDRESS: --6 -cJl i ' TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAG :$ PURPOSE OF EXPENSE: Q.f `• f� 1 r Use separate sheet for different purposes or event as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE VLLVEI POSTER 6X9 886996030093 .3i) 1 L sii i, VELVET POSTER 6X9 886946030093 SO I @ 3o I' CMAS CANVAS PHINI o^� 1"033811 89 I @ .8 VELVET POSTER 6X9 886946030093 30 1 @ 30 1' CHAS CANVAS PAINT 886996033841 89 1 (a VELVET POSTER 6X9 88694 . 6030093 .30 1 L 30 P a VELVET POSTER 6X9 886946030093 .30 1 @CMAS CANVAS PAINT 886946033841 .89 1 @ .8 VELVET POSTER 6X9 886946630093 30 1 L 30 30 E P 1 CMAS CANVAS PAINT 886946033841 .89 1 @ S . VELVET POSTER 6X9 886946030093 .30 1 L „;0 1 6PC/12PC MINI GIF 886946933738 1.79 1 @ 1.? VELVET POSTER 6X9 886946030093 .30 1 0 3() I-V 2PC MINI GIF 886941;933'(38 1 19 1 L 1.7 t^_ 12PC MINI GIF 886996935738 1 79 1 @ 1.7 VELVET POSTER 6X9 886946030093 ;0 1 @ 30 %12PC MINI GIF 886946933738 1 79 1 L 1 ; VELVET POSTER 6X9 886996030093 30 1 @ ,r'.'/12PC MINI GIF 886946933"(38 1.79 1 @ 1 VELVET POSTER 6X9 886946030093 .:50 1 id /12PC MINI GIF 8869469:33738 1.79 1 @ 1.7 VELVET POSTER 6X9 886946030093 30 1 @ 3G 30 LAYERED OR 886946973192 .89 1 L X VELVET POSTER 6X9 886946030093 .30 1 Id 30 L'-i. 3D LAYERED OR 886946973192 .89 1 L 8y r WOOD NECKLACE 9 A 886946030840 30 1 @ 3(1 IDL HOLDER GOLD 8869460021'75 1.50 1 L 1.5` WOOD NECKLACE 4 A 886996030840 1; 1 @ 30 (RETURN VALUE .75) WOOD NECKLACE 4 A 8869460308.40 .30 1 @ .30 L.)UP0+1 GET AN ITEM 50% OFF .75- WI-IOD NECKLACE 4 A 886946030840 .30 1 L 30 WOOD NECKLACE 4 A 886946030840 .30 1 @ 13C G P.Pan(s) Applied: WOOD NECKLACE 4 A 886996030840 .30 1 @ 31, 100100464755 500 RORPI WOOD NECKLACE 4 A 8869960308401 3o i @ , SUBTOTAL 83.29 WOOD NECKLACE 9 A 886996030890 .3u 1 L 3C Seles T5.�i WOOD NECKLACE 4 A 886946030840 .30 1 (� 3( ax ax .�7% 85.83 WOOD NECKLACE 4 A 886996030840 30 1 @ 3(r 9.12 WOOD NECKLACE 4 A 886946030840 .30 1 @ .3(. 1' ,'rr.'UUNT NUMBER *******x****6577 WOOD NECKLACE 4 A 886996030840 30 1 @ .5Visa 89.12 WOOD NECKLACE 9 A 886946030840 .30 1 @ 30 r APPROVAL.: 68599B CHIP ONLINE WOOD NECKLACE 4 A 886946030840 .30 1 @ 3( Application Label, Visa Credit WOOD NECKLACE 9 A 886946030816. .30 1 @ 3(' AID: AOOOO000031010 WOOD NECKLACE 9 A 886996030840 .30 1 P 3( 1,1, w WOOD NECKLACE 9 A 886946030840 .30 1 L •( WOOD NECKLACE 4 A 886946030840 .30 I @ ;(. WOOD NECKLACE 9 A 886946030840 .30 1 @ s() WOOD NECKLACE 4 A 886946030840 .30 1 L 30 F WOOD NECKLACE 4 A 886946030840 .30 1 @ .30 P WOOD NECKLACE 4 ( 386946030840 .30 1 @ 30 P WOOD NECKLACE 4 A 886946030840 .30 1 @ .30 P WOOD NECKLACE 4 A 886946030840 30 1 L 30 f' WOOD NECKLACE 4 A 886996030840 .30 1 @ .30 P WOOD NECKLACE 4 A 886996030840 30 1 @ 30 F' WOOD NECKLACE 4 A 886946030840 .30 1 WOOD NECKLACE 4 A 886996030840 30 1 @ 5 WO,111 NECKLACE 4 A 886946030840 .30 1 @ til P FOAM 30 KIT GINGE 886946032769 2.99 1 @ 2 99 P CMAS CANVAS PAINT 8869460133841 .89 1 @ 89 P CMAS CANVAS PAINT 88694F033941 K4 1 0 �a p Irl," 1,IN1ii� EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: AQ I ADDRESS: c� / TOTAL$AMOUNT OF RECEIPT(S)ON T#I�PA PURPOSE OF EXPENSE: a Use separate sheet for di erent purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH, IF RECEIPT IS FULL PAGE HOBBY LOBBY Super Savings,Super Selection! 2003 E. Greyhound Pass Carmel , IN 46033 Hobby Lobby Store #182 (317) 818-9217 S-182 R-5 T-2020 HEATHER G SALE 104000000 Christmas 9.96 50 % Off (4.99-2.50) 4 @ 2.49 ea 107500000 Cards&Party 2.99 104000000 Christmas 8.94 50 % Off (2.99-1.50) 6 C4 1.49 ea 108500000 Jewelry Mkng 7.47 50 % Off (4.99-2.50) 3 ® 2.49 ea 104000000 Christmas 2.49 50 % Off (4.99-2.50) SUBTOTAL TAX TOTAL 2.23 TOTAL 34 . 08 VISA 34.08 ACCOUNT #: ************6577 AUTH#: 260156 REF#: 6324171331 CHANGE DUE 0.00 Number of Items Purchased: 15 Total savings: 29.00 Thank You. Please come again. Become a fan on Facebook. Return Policy on back of receipt Visit our website at www.hobbylobby.com II �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 0182005020201119163 11/19/16 06:12 PM --Continued on Side 2-- EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: ADDRESS: ✓ 0 Q TOTAL$AMOUNT OF RECEIPTS)ON T IS PAGE: PURPOSE OF EXPENSE: u e separate sheet for di erent purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE HOBBY LOBBY Super Savings,Super Selection! 2003 E, Greyhound Pass Carmel , IN 46033 Hobbv Lobby Store #182 (317) 818-9217 S-182 R-9 T-6105 CYNTHIA W SALE 104000000 Christmas 7,96 50 % Off (3.99-2.00) 4 ® 1.99 ea 104000000 Christmas 0.9y 50 % Off (1.99-1.00) 104000000 Christmas 1,49 50 % Off (2.99-1.50) SUBTOTAL P. 4 TAX TOTAL TOTAL 11 . 17 VISA 11.1/ ACCOUNT #: ************6577 AUTH#: 27987B REF#: 6326155053 CHANGE DUE 0.00 Number of Items Purchased: 6 Total savings: 10.50 Thank You. Please come again. Become a fan on Facebook. Return Policy on back of receipt Visit our website at www.hobbylobby.com II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII 0182009061051121162 11/21/16 04.50 PM ( ut,t l nut-,l "11 `,i de !- EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: ADDRESS: TOTAL$AMOUNT OF RECEIPT )ON T IS PAGE:$ v PURPOSE OF EXPENSE: 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 PartyClty NOBODY HAS MORE PARTY FOR LESS 14299 CLAY TERRACE BLVD, #100 CARMEL, IN 46032 317-815--3846 048419937470 54X108 JET B $3.99 1 54x108 JET BL.K TC PAPER 013051372415 5IX102IN PLS $3.45 1 54xl02IN PLSTC TC FRIGHT/FANCY 013051440701 8OCT TREAT B $1 .99 T 8OCT TREAT BAG HLLWN 809801344531 LTX SOLID BU $3.87 1 LTX SOLID BULK BLLN 3 @ $1 .29 SUBTOTAL � 13D3O GEN MERCH TAX @ 7.000% $0.93 TOTAL $14.23 CR VISA $14.23 ITEMS • 6 CR VISA SALE $14,23 XXXXXXXXXXXX6577 CHIP APPR: 14952B JOURNAL: 0673147768677763 AID: AOOOOO00031010 Application Label: Visa Credit Cr,irto�n ,m I iF IC Crvrtn-�ra� EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: S - 4 // ADDRESS: v TOTAL$AMOUNT OF RECEIPT(S)O THIS P GE:$ PURPOSE OF EXPENSE: O I I C I use separates eet or different purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH, IF RECEIPT IS FULL PAGE L.'u AN 1, uULUK i t aoo'1uu I AOU .':,'j I ...., 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ 30 P mi dlim, [+ ?_016 XMAS COLOR A 886946019036 .30 1 @ 30 F J 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P Where Creativity Happens 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P MICHAEtS STORE 1199_l (317)580-9200 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P GREYHOUND PLAZA 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 14670 U.S. `1 NORTH 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P CARMEL, IN 46032 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P Rewards Number: LMR90004993177 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 8-91"` ,","� "�o-rr2249-X1111-8115-160U•38g0 2016 XMAS COLOR A 886996019036 .30 1 @ 30 P 2016 XMAS COLOR A 886946019036 .30 1 C .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P 2326 SALE 9431 9951 004 11/19/16 16:29 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ 30 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P SUNCATCHER KIT AS 886946009E;91 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ 30 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P 2016 XMAS COLOR A 886946019036 .30 1 @ .30 P SUNCATCHER KIT AS 886946009891 .30 1 @ 30 P CYO WOOD ORNAMENT 886946033858 .89 1 @ .89 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P CYO WOOD ORNAMENT 886946033858 .89 1 @ .89 P SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P CNDY CANES BOBS 4 70538075115 1 @ 3.49 SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P SUBTOTAL <L.57 SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P Sales Taos 7% 1,41 SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P TOTAL 22.01 SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P SUNCATCHER KIT AS 886946009891 .30 1 @ 30 P ACCOUNT NUMBER SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P Visa 22.01 SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P APPROVAL: 34203B CHIP ONLINE SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P Application Label: Visa Credit SUNCATCHER KIT AS 886946009891 .30 1 @ .30 P AID: HOOO0000031010 SUNCATCHER KIT AS 886946009891 30 1 @ .30 P TVR: 8080008000 SUNCATCHER KIT AS 886946009E;91 .30 1 @ .30 P TSI: 6800 :,iTi l IFP k TT RC RRr94,nn9F:91 30 1 @ 30 P '' ir ?! I•. I.IY Id VI iti'ttit.`)-1N 1' Sr qle P This receipt expires at 180 days an 06/23217 a 0 ° > -4� 0 O \ \ Cl) 2 / / - > E E D / -0 2 m f q 2 -v m m & q DZ 0 � O§ § § 0§ 2 O n D-n < T OD c « w w -n ƒ q / CC) a = a = & c 0> 3 � � � � 4 � 0 D OD OD CD � W. ® CL 4 > z z CD V) K 3 ( \ / / \ / _ k § K 2 E =r z R - _ m c 0 % 0 / / / mCL m o /_ k \ CD k ) CD I / 2 [ 2 [ ° E _ § - $ E Z CD z G $ 3 Q su o § ] a E § J 0 CD C \ = k $ C ° \ - E 0) % J k g (3) CD CL / \ 0 ; 7 , - ƒ \ ƒ § § § § > < cl 2 G G ° cr ■ � g CL � & R D / � 9 ) ■ o S 0 _ 0 CD 0 _ 0 SD k g \ § / 19 3 q I ] 2 m k / C \ CDJ D f - 0 z » _ i q %E cm, } \ 90 0 ( D \ƒ / � - 0 D �_ 90 J �g [ > 0 / n / 0 = * E ¥_ 2 § $ c ® f CD c \ ¥ a C R m m \ o 2 CD M \ � Q a - M ] k 0 ^ \ 7 � ¥ \ ® -CL CD CD 0D < 7 ) ¥ c CD $ A � 4 k EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: L-/);Q0`/� <'- � . // ADDRESS: TOTAL$AMOUNT OF RECE T( N T IS PAG PURPOSE OF EXPENSE: 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 Goodwill Stora Westfield 1617 E. 151st St Carmel , IN 46032 317-844-1021 Transaction #: 2071130 Date: 12/2/2016 Time: 7:47:21 PM Cashier: jcoll Register #: 2 Item Details Oty You Paid 9005006037 === 4 99 Wares - Black 4.99 Wicker 9005007001 1 $5.99 Wares - Black 5.99 Media 9005004001 1 $2.99 Wares - Black 2.99 Media 9005003037 Wares - Black 1.99 Wicker 9005004037 Wares - Black 2.99 Wicker 1005361 - RoundUp $0.72 Sub Total $19.67 State Sales Tax $1.33 Total $21.00 Credit Cards Tendered $21.00 Change Due $0.00 *63663601368011* Member: Steph Marshall Thank you for being a Goodwill Rewards Memberl EMPLOYEE REIMBURSEMENT Sales tax is not ren bursable NAME: C__ M d"r-s ht / / ADDRESS: TOTAL$AMOUNT OF RECEIPTS)ON TH19 PA E:$ PURPOSE OF EXPENSE: t c- 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 A14W Q1AL.IFIED FOR DISCOIW: $ 28.76 Cama(s) A1pl led-, 4001000751029 250FF ALL RE 400100075104 4iYi, OFF ONE ; • SUBTOTAL 33.9E SSales Tax 7% Where Creativity Happens TOW 35.80 ACCOUNT NUMBEP, * ** *** 6577 MICHAELS STORE 49951 (317)580-9200 Visa 35.80 GREYHOUND PLAZA APPROVAL. 377328 CHIP ONLINE 14670 U.S. 31 NORTH Application Label: Visa Credit CARMEL, IN 46032 AID: AOOOOO00031010 Rewards Number: 01R9000499317f TVR: 8080008000 TSI: 6800 8-9945-T756-%45-2948-8111-9115-1600--2286 This reoeiPt expires at 180 days an 05/24/17 Now Hiring! Apply at htip: '/www.m-haeiS.caa/.n,ir> Click. Buy, Create. Shop michaels.com todag! 4342 SALE 5646 9951 002 11/20/16 18:18 CMAS PHOTO BOX-OR 886946046872 1.66 1 @ 1.66 I' Get Savings & Lnspiration! Text* SIGNUP to 2147x3 CMAS PHOTO BOX-RE 886946046889 1.66 1 @ 1.6r, 1, To Sign Up for Email & lext M,ssaties. CMAS PHOTO BOX-BL 886946047015 1.66 1 @ 1.66 !' *Msg & Data Rates May APP 1:a CMAS PHOTO BOX-BL 886946047015 1.66 1 @ I f,b You will receive 1 autodiated messa,3e CMAS PHOTO BOX--ME 886946047039 1.66 1 @ 1 (,E. 1 with a link to .join Michaels iterts DEC BOX RECT SIZE 886946045172 5.99 1 @ 5.99 (RETURN VALUE 3.59) THANK YOU FOR SHOPPING Al MICHAEL'S COM GET AN ITEM 40% OFF 2.40-- Dear Valued Customer, RBN CMAS CANDY CA 886946008016 6.79 1 @ 6 (9 I' Michaels return and coupon Policies are avaclable (RETURN VALUE 5.09) at michaels.com and in store at revisters. RBN CMAS STN GN C 886946986666 1.99 1 L 1 '39 ^' (RETURN VALUE 1.49) VANILLA FROST JAR 886946035579 3.33 1 @ 3 ?3 (RETURN VALUE 2.50) VANILLA FROST JAR 886946035579 3.33 1 [± 5.S< 1 (RETURN VALUE 2.50) VANILLA FROST JAR 886946035579 3.33 1 @ (RETURN VALUE 2.50) VANILLA FROST JAR 886946035579 3.33 1 @ 3.3.3 P (RETURN VALUE 2.50) VANILLA FROST JAR 886946035579 3.33 1 @ S 33 E (RETURN VALUE 2.50) VANILLA FRUST JAR 886996035579 3.33 I h 3 3; (RETURN VALUE 2.49) 25% OFF DISCOUNTABLE RM 7.19•- EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: ADDRESS: "k- _T 2 TOTAL$AMOUNT OF RECEIPTS)ON THIS AGE:$ PURPOSE OF EXPENSE: Use separate sheet for different purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPTS)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE t, Where Creativity Happens MICHAELS STORE 49951 (31-0580 '?200 GREYHOUND PLAZA 14670 U.S. 31 NORTH CARMEL, IPJ 46032 Rewards Number: LMR900049931I ** Return Bdreode *x B-9345.5815 5945 2419-5111-9i 15-16OD-23994 1 N 1023 SALE 3(26 9951 002 11/07/16 11,01 6X8 COLOR PAD GLO 611356959323 2 99 1 P 2 9`i STKR SHIMMER HAUN 767636256392 1.19 1 @ 1.19 STKR SHIMMER HAUN 167636256392 1 19 1 CO 1 1` STKR BLACK BATS 1 886946935374 49 1 is 11+ WD LED LSR BOX 886946945700 1 19 1 @ 1 1' WD LED LSR BOX 886946945700 1.19 1 @ 1 l,r CENTERPIECE SCARY 886946955549 2.59 1 @ 2.59 CENTERPIECE SCARY 886946955549 2.59 1 @ DASANI WATER 20 49000009774 1.99 1 @1.99 SUBTOTAL 15.41 Sales Tax 7% 94 ' TOTAL 16.35 ACCOUNT NUMBER ****1x ***x*6577 Visa 16.35 APPROVAL: 53708E CHIP ONLINE Application Label: Visa Credit AID: AOOOOO00031010 TVR; 8080008000 TSI: 6800 This receipt expires at 180 days on 05/11/17' 8-9345-Ul5-5945-2419-5111-9115-1600--2394