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306688 01/05/17
CITY OF CARMEL, INDIANA VENDOR: 371412 KAYLA ARNOLD CHECK AMOUNT: $***'"**128.12* ONE CIVIC SQUARE e• 1463 SHADOW RIDGE ROAD CHECK NUMBER: 306688 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46280 CHECK DATE: 01/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPFESTIVAL CO TM O LAITY EV 1203 4359003 REIMB 128.12 0Q 2 - « \ § § § § k k / w w w # 2 ? ? E q / 0 0 Z CL m X m 2 n C Cl) * r O % 0 0 0 0 m ° ] ] q k 3 O 0) 8 0 ¥ ¥ ¥ ■ 2 -nq k k / ' S S -n > 3 § \ § § § § k ] ƒ 7 f w w w ° ca > g w 2 3 ) 01 E , o . 2 \ ` ` > 2 k C. / E � m | a k k % ) ■ 3 - 2 A ( fu k c k a E g E J 0 E 2 2 -� i \ m v E 2 (D U) # J I f 0) , { v n g . E a k 2 § & CD § k a § 0 E0= 2 i ± / CD ƒ CL < / § J 2 CL f 747 f ƒ § C ; ju C G , � v o a \ K) � i3 Q 4 m > , ! k i0. S \ S q 8 \ ¥ X < $ o o ■ -0 ; \ 2$ i / D Cl) ) rr 0 # § k m m m c < a m 0 8 » - 0 0 0 z g E 7 g C o m o m o m Q 0 ƒ 2 C a It e \ > � fi j CD- aD ¢ -n � §/ 0 m E �7 ƒ 3 $ / / 2 E § M n / } } E � j E 2 )% A CD C / / § E / A p B 2 f 0 M q m i L X } k k 7 7 \ / P ( 70 E 8 k W ol EMPLOYEE REIMBURSEMENT VV nn -- . AA�--__ Sales tax is not reimbursable NAME:�,cx AuNl6k. ADDRESS: -bg` pt Q.,(_S Qa= Qr! ��I�ti a•�a(Jp�� �� 17 TOTAL$AMOUNT OF RECEIPT(S)ON THIS PA E:$ 121 .12- PURPOSE 12_PURPOSE OF EXPENSE: e seporat beet for differenl purptses or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH,IF RECEIPT IS FULL PAGE All ; Dol[AR TREE STORES, INC.::. Storeli 4467 (317) 913-1271 11629 Fishers Station Dr Fishers IN 46038-2322 ----------------------==:=-----— DESCRIP'TION OTY PRICE TOTAL WIRE 13ASKET 1 1.00 1.00N WIRE 13ASKET 1 1.00 1.00N WIRE 13ASKET 1 1.00 1.00N WIRE 13ASKET 1 1.00 1.00N WIRE 13ASKET 1 1.00 1.00N ROUND TIN 1 1.00 LOON TISSUE: 1 1.00 1.00N TISSUE 1 1.00 LOON Sub Total $8.00 SALES TAX $0.00 Total $8.00 Cash $10.00 CHANGE $-2.00 **** Tax Exempt it— ID #: 0031201550 Thank You for Shopping at Dollar Tree Where Everything's $1.00 Now Shop On-Line at Dollartree.com We value your opinion! y, Please provide your feedback at r ,do11_ar#r'g_feedmck,wm Receive chances to win $1,000 daily plus* instant pri2es valued at $1,500 weekly * * or by calling 1-877-368-2540. * N. For complete rules, eligibility and sweepstakes * N, period and previous winners please visit vim_,do 11 w1:reefeedack.com No purchase/survey required to enter. N. Sweepstakes sponsored by Empathica, Inc. N, across multiple international clients. N: Survey Code: 2946 0630 1274 0214 N: * * We will gladly exchange any unopened item N, with original receipt. We d<, not offer refunds. if*)vA****X*****r A****k***Y(******.k**A XX*Y(* 6130 04467 02 022 21516275 12/29/16 16:11 Sales Assoc iate:.loshua 12/30/2016 Amazon.com-Order 111-2276279-2499421 amaxon.com' Final Details for Order #111-2276279-2499421 Print this page for your records. Order Placed: December 29, 2016 Amazon.com order number: 111-2276279-2499421 Order Total: $11.00 Shipped on December 30, 2016 Items Ordered Price 1 of: WGV Clear Bubble Bowl Glass Vase, 8-Inch $11.00 Sold by: OPUSGLASSVASES (seller profile) Condition: New Shipping Address: Item(s) Subtotal: $11.00 Kayla Ernsberger Shipping & Handling: $0.00 1463 SHADOW RIDGE RD ----- INDIANAPOLIS, IN 46280-2716 Total before tax: $11.00 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$11.00 Two-Day Shipping ----- Payment information Payment Method: Item(s) Subtotal: $11.00 Visa I Last digits: 8205 Shipping & Handling: $0.00 Billing address Total before tax: $11.00 Kayla Ernsberger Estimated tax to be collected: $0.00 7711 BAYWOOD DR S INDIANAPOLIS, IN 46236-9093 Grand Total:$11.00 United States Credit Card transactions Visa ending in 8205: December 30, 2016:$11.00 To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice © 1996-2016, Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.htmi/ref=oh aui_pi 900 ?ie=UTF8&orderlD=111-2276279-2499421 1/1