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308306 02/13/17
, ur.4�xyf J CITY OF CARMEL, INDIANA VENDOR: 371105 ONE CIVIC SQUARE AMY WOOCK CHECK AMOUNT: $""'"279 75' CARMEL, INDIANA 46032 686 NOTTINGHAM COURT CHECK NUMBER: 308306 CARMEL IN 46032 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 4359033 RECEIPTS 279.75 MAYOR'S YOUTH COUNCIL VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 371105 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AMY WOOCK IN SUM OF$ CITY OF CARMEL 686 NOTTINGHAM COURT 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. CARMEL, IN 46032 Payee $279.75 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 RECEIPTS 43-590.33 $279.75 1 hereby certify that the attached invoice(s),or 2/7/17 RECEIPTS $279.75 1203 854 1203 854 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 Tuesday, February 07,2017 Heck, Nancy Director 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 Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-party whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: Vendor(location of purchase): ck)n Date: Event/Activity(if applicable): Expense Account(see list of accounts): Additional Description: Expense Amount(do not include Sales Tax): - v Reimbursee Name: -A rvi L c)O c,�U- Reimbursee Address (required): g b N) c4i fA VA C+ . �c�V-rne.t 10 (0 0 3 9- I verify to the best of my knowledge that this information is correct, and this purchase was made on behalf of CMYC and not for personal use or gain. Expender Signature Date Please submit this form to Clerk-Treasurer along with the purchase receipt. Appendix 14-Page 1 K r ." CR WO N IVRROPHY Invoice I Date Invoice# Nationally Knmvn,Locally Owned 807 West Carmel Drive 12/9/2016 27678 Carmel, Indiana 46032 Bill To Woock, Ryan 317-525-6686 P.O.No. Terms Payment Due Date 12/9/2016 Item Quantity Description Rate Amount 2136-2 1 16.75in Gold Cup with Top and Figure on 60.00 60.00T Base 19 Set Up Fee 1 Set Up Fee 15.00 15.00T Subtotal Thank You For Selecting Crown Trophy For Sales Tax(7.0%) $5.25 Your Awards and Recognition Needs. Total $80.25 Payments/Credits $0.00 Balance Due $80.25 Phone Fax Email Website 317-818-9400 317-81.8-9200 crowncarmel@sbcglobal.net www.crowntrophy.com ..;J ,I i_t.�.�'1(.i. l.flkr•;FI lid-ib:h� 12/09/2016 16;05;55 CREDIT CARD DISCVR SALE Card# f(XXXX)O(Xf(XXX9273 Chip Card; Discover Credit AID; A0000001523010 ATC: 0018 TC; BE3722F79BB032E4 SEQ#: 12 Batch#: 71 INVOICE 12 Approval Code; 00975R Entry Method; Chip Read Mode: Issuer SALE AMOUNT $80.25 6 J5 fu x Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-parry whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: y �V1 p O C�— Vendor(location of purchase): Date: 1 to u-0 *-- l a ( q I I Event/Activity (if applicable): Expense Account (see list of accounts): Additional Description: �pp ,�, S �-vUl Marxs� i-- ULP Expense Amount(do not include Sales Tax): t 4, 41 Reimbursee Name: An& a W coo cV- Reimbursee Address (required): (D g (.0 K� )+H a3 KO,_� a61 rwve'� I KJ �3 - I verify to the best of my knowledge that this information is correct, and this purchase was made on behalf of CWC and not for personal use or gain. Expender Signature Date Please submit this form to Clerk—Treasurer along with the purchase receipt. Appendix 14—Page 1 Meijer Me1424 ijer West Carmel Dr. Carmel,IN 46032-#130 (317)573.8300 meijerJ o 1424 West Carmel Dr. Carmel,IN 46032-#130 The Meijer Team appreciates your business (317)5738300 me1jer.com 12/06/16 Your fast and friendly checkout was The Meijer Team appreciates your business provided by Fastlane99 12/09/16 Your fast and friendly checkout was MEI J E R S A V I N G S provided by Fastlane101 SPECIALS SAVINGS TOTAL 5 .0 0 MEIJER SAVINGS SPECIALS .49 YOUR ' TOTAL SAVINGS SAVINGS TOTAL • 49 SINCOE.001S/01/1166 GROCERY 4116563033 DISPOSABLE CUP For additional savings and rewards visit 2 5 3.99 7.98 T mPerks.com *70882029172 DISPOSABLE CUP 1 ® 2 / 5.00 GENERAL MERCHANDISE was 2.99 now 2.50 T 74677530599 BARBIE I CAN B 9:99 CT 88796111567 " BARBIE I CAN B 9.99 CT => 50% off 9.99 -5.00 CT TOTAL 11 N IN 7X.Sales Tax .73 rGROCERY, TOTAL TAX .73 1 4300095119 COUNTRY TIME45 .99 F -TOTAL 11.21 240 5.3 PAYMENTS DISCOVER CREDIT CARD TENDER 11.21 mPerks # -- ********79 XXXXXXXXXXXX9273 (E) T OTA L APPROVAL CODE 00919R IN 7% Sales Tax 1.05 Discover Credit TOTAL.TAX, 1.05 AID A0000001523010 TC DFFD78EE86CF553D _ TOTAL NO CVM REQUIRED PAYMENTS CREDIT CARDS TENDER 25.41 XXXXXXXXXXXIO17 (E) NUMBER OF HEMS 3 APPROVAL CODE 5963 AMERICAN EXPRESS For additional savings and .rewards visit AID A000000025010801 mperks.com. TC NO CVMF1207D5ED2AD7.2 REQUI NOW HIRING https://jobs.moijer.com NUMBER OF ITEMS , 4 IIIIIIIIIIIIIIIIIIIIII For additional savings and rewards visit IIIIIIIIIIIIIIIIIIIII I IIIIII II IIII IIIIIIIIIIIIIIIII mperks.com. 13 L K2AN JS NOW HIRING Tx:306 Op:552 Tm:101 St:'130 17:07:08 https://jpbs.meijer.com IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII . A013 L876AJTJS Tx:402 Op:550 Tm:99 St:130 20:07:55 Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-party whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: A o o�- - Vendor(location of purchase): Date: �a- ( (0 ( I. Event/Activity (if applicable): Expense Account(see list of accounts): Additional Description: Expense Amount (do not include Sales Tax): � (3 -7 Reimbursee Name:A vtAj UV od ck- Reimbursee Address (required): -}7�G�p� G� 00-v neA I N L+(0 03a- I verify to the best of my knowledge that this information is correct, and this purchase was made on behalf of CMYC and not for personal use or gain. Expender Signature Date Please submit this form to Clerk—Treasurer along with the purchase receipt. Appendix 14—Page 1 ' 1 BE': ,iiCK O I..Q'E L' l('IPit 'V.Otlf':f.;hdClf to w1r1 £10I)Q Cfl N: 7KOKUM(BllUly Save ml one'y., Life be tt�llr, ( :311 i 8 i4 0090 MANAGFR MU f A ;BION 2001 lf{,-JlbO1� t)Pli IJ(}yt.)�1J if 1�:4► t1�1(:Uhfi[tr; ;: ( 3 IiTG RCPEP (1U71%)219ors'3,I , . `i.41 'N OTC; RC, 9'l.f OO119219623'4 r 5.47 ;il�AA MI. I 4r N,�t)r2 P�OF� 3tf:':IV, f?UN[li' `t73f's�J�141h11R1`5 1 r 00Ii51420207 ( GG 24[:[ ()tl! 1f (: h.9F• N i;:; Ddi i)13f 1 '1 1(i3w' t ' 24AV WC 00,198090110 N INY IAPF0 hrlJB�)rl(l}1i) lNl�lAI' 'Q)-fl 98q)9OL.lr) CN�;.`TAPEI 001198090-flu U ► , IJRD 1 tcf1E(t U)t�`.�490 >71a 5 �-t X I G(i$ 11ti1 ()i:)'fE.1421>1i111 r U 9f..N MNANA� 013010,004011 2.31 1,17 1 i;t, !U `',�2 lt ?_:N I Al;<st If ItIZ (l I`.rfr'f42lZci � ms's s7"X IAi.1_[II;FF2 U�_):�t;'1a211t.if3.3 3 $/;x `7iJBTc I:Af. . 59.7a is I AX 1 LOW X 1.49 .. I6 f At 6:1:22 AMB IL NC) 61.22 iiMFRI.CA4V E.}(I'(2l^> ':r" """R ,,=:1 O17 T U APF'ROV A;_. It 843391 . REF If 0001,00O6.193;'i': . 'I RiNS CiJ O�O'3F3�8 1`i461.)'4�3 7 1�Ifl AOU0QUOO'l`i�1`0801" 'I C 3A04,92(8135Y)(;2R I LRKNAi ff `SCO 10183 :rS i t7r1i3;Lur,:e:V('ci•�:1 cac II T I IMS SOI Ll 19 0314 'S,2E31' 841=1J ; I � r 12/06/16 P, aY - .1411 f�+ '� ti y r�f'd;F i t Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-party whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: R Y a YJ �V pp ck- Vendor(location of purchase): 1� Date: 1 1) 0 I b Event/Activity (if applicable): Expense Account(see list of accounts): Additional Description: Expense Amount(do not include Sales Tax): 'J �� g S Reimbursee Name: Am\-[ WDoc�-- Reimbursee Address (required): (C !�'(p K,J 0.rr) C+ CiarmeN (0 © 3 Z I verify to the best of my knowledge that this information is correct, and this purchase was made on behalf of CWC and not for personal use or gain. Expender Signature Date Please submit this form to Clerk—Treasurer along with the purchase receipt. 4 Appendix 14—Page 1 ✓ { 4 elier 1424 West Carmel Dr. Carmel,IN 46032-#130 s17'573S30o meijeccom The Meijer Team appreciates your business 11/11/16 Your fast and friendly checkouf was -",provided by PATRICK GROCERY 7675018325 GC VISA SPARKLF50.00A XXXXXXXXXXXXXXX4365 99987 CARD FEE 3 ® 4.95 7675018325 GC VISA SPARKLXXXXXXXXXXXXXXX1431 7675018325 GC,VISA SPARKL )o(XXXkXXOXXXXX-1019 TOTAL_ TOTAL TAX .00 TOTAL 164.85 PAYMENTS DISCOVER CREDIT CARD TENDER 164.85 XXXXXXXXXXXX9213 (E) APPROVAL CODE 01410R D i scover 1 Cred i-t - AID A00000015230.10 . TC DE29E1A60-18FFE39 SIGNATURE VERIFIED 5ignatUl-e Captured Electronically NUMBER OF ITEMS 6 For additional savings and rewards visit mperks.com. NOW HTRTNG Iatps://jobs.mei jer.com � i IIIIIIIIillllllllllllllllllllllllllllllll . I�IIlilllllllllllll.IIIIIIIIIIIIIIIIIII^ , .AO13b02Sc29VDNS Tx:34 Op:2197794 Tm:13 .St:'130 20:11:53 r � G Reimbursement Expense Receipt Reimbursement expenses are transactions that were conducted by a third-parry whom needs a reimbursement on behalf of the CMYC organization. Transactions such as CMYC members paying for CMYC event materials would be one example of a reimbursement expense. After completing this form,please submit it to the Council Clerk-Treasurer. Expender: �j VOOOCj/'_. Vendor(location of purchase): Cd-0 S Date: 10 Event/Activity (if applicable): Expense Account(see list of accounts): Additional Description: e'r0.- _�OY T t _o p�l(Yl Expense Amount (do not include Sales Tax): Reimbursee Name: ,fes m,\,t U"'�1 © d- d Reimbursee Address (required): 6 g�q p'1 1 Yl c�bc�►� �� OO.rrne.t i I N (0 U- I verify to the best of my knowledge that this information is correct, and this purchase was made on behalf of CMYC and not for personal use or gain. Expender Signature Date Please submit this form to Clerk—Treasurer along with the purchase receipt. Appendix 14—Page 1 � � I I Where Creat'hrity Happens• MICHAELS STORE #9951 (317)580-9200 GREYHOUND PLAZA 14670 U.S. :31 NORTH 3ARMEL, IPI 46032 ** Return Barcode * 1L41-6745-1545-25%-8111-8115-16*-9923 FI� 1251 SALE 7262 9951 004 10/27/16 18:35 2.016 HALLOWEEN VA 886946929533--.-45 _1 @ 45 d-- 2016 HALLO�IEEN VA 886946929533 .45 b l3 .45 •,. STKR BKT-PUMPKIN 88694693 181 2.69 i:@ 2.69 u, . STK(, BKT-PUMPKIN, 8.36946939181 2.69 1.@ 2.69 STKR BKT-PUMPKIN• 886946939181 .269 „1 @ 2.69 - STKR BKT-PUMPKIN 886946939181 2.69 1 @ '2.69 ,y SUBTOTAL 11.66 Sales Tax 7% ,82 TOTAL 12.48 ACCOUNT NUMBER _ *****K******9273 Discover, 12.48 APPROVAL: 02782R CHIP ONLINE Application Lab-1 Iliscover AID: A00000015:5s j TUR: 0000008000 T l: E800 This receipt expires a, '180 days an 04/30/17 8-9241-6745-1545-2596-11'1-8115-1600-9923 0064-9994-0964-4308-:5'151-6895-0602-993 11111111111116 111111 In a. I