The URL can be used to link to this page

314053 7/26/2017 CITY OF CARMEL, INDIANA VENDOR: 00350224 CHECK AMOUNT: S"""*'*176.16' ONE CIVIC SQUARE NANCY HECK CHECK NUMBER: 314053 ,' CARMEL, INDIANA 46032 CHECK DATE: 07/26/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 26.16 FESTIVAL COMMUNITY EV 854 4359025 30460172 150.00 ARTS DISTRICT FESTIVA 0 2 « « f § 70 p ¢ 0 O u _ 2 n o \ ° 0 x ^ m q q q A w 2 (aCL X m \ o K O 2 0 ® n 0 A > � £ m o kCl. 0 k m k % # 0 OL 2 2 0 1 f z < > -n O o \ z � _ z / ` K g c 0 A $ 7 / $ 0 m o m 0 D § / 7 i o . 0 _ m R f O 0 k CL \ § k - m - E 7 CD z < $ ¢ § & \ 7 } \ C? $ I E f E w CL a w $ k k EL E f � k ƒ& � § CD � ) / C « w q = G � ' a ® 0 `2 k _ ) acr � E q c \ / 0 % 0 g} G m 0 0 ƒ \ � § ° Z ( ii § R C cn\ 3 6r e2 % 0 \\ \ � ( $ ( � � §/ ) _ i � � § 2 E \ M 2 E @ f n / o B = - % ) / E $ C % / / E $ / A p E 2 M / § ] / \ 7 A { ` \ k � \ 2 Cal g / - o z ® \ EMPLOYEE REIMBURSEMENT /! Sales tax is not reimbursable NAME: �t2 rla4 ADDRESS: &, 00 r/ r"-ec,1L by-I V-e ArY►�Ci (o D 3 3 TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAGE:$ 2Co. l(o PURPOSE OF EXPENSE: + i f-em S -'r)r (70 vvtle i e-e ff 90e+k k 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 lqe 14?4.`'Vest Cannel Dr. Cavv,iel, IN 46032-0130 317157-i(-fflC meIIel.CC)ni The Meijer Team your business Vourfast and rr i e nci l ,i c.ieckout wE;s provi lid I .u.JN`HEtl SPE(,'IP,LS 11.�k1 Af�'),II IANDISF_ 1 )23340;347 E; CI Ct IF" 2 14 3.29 3.5Es Ci 16148;i'iW9 C;d_J4r' TLE-E: was `.x.00 noW IT 01 1727545319 `:T 41; L 1 U-11 i 2 lV 7.79 was 25 98 I IOW I).SE ( T 1 O T At- f01-AI- 10 .01, TOTAL 25.1E VISA P,iymen[ it l'JDE 2•:;.1 -�XXKXXXi{XXX5T1E, rIPPROVAI._ WDF 0021'l"-7 VISA CREDIT AID A00ocI000031011! TC 7F2A8433DAFE,91.:C8 140 CVM REOUIREt) {JUNIE3ER Of t 1 ITEM 'VALUE FXE�iMPTEI: 2(,.1E .1 TAX E-1(EMPTI-D 8 T2 ITEM VALUE FXEMI]ED 00 T2 TAX EXEMPTED 00 T4 ITEM VALUE 1=XEIMFTEf, 00 T4 TAX EAEMPTED .0(1 For addi t i ond aria i rewards i i I ml:erk<, -:)m. N U 4)' 1--11 F;. F:N G :,ons A01 3140371 100,3 i Tx:87 Op:2134e149 JM:1`.:. St:1c:0 14:`.,9:17 } g We Vill u,,� Air 'feedback, Share your eq eri eriC,', b'y Rai I i ng, a Customer.rcIbi jermm E 0 2 « « S 7 O ¢ \0 q _ 2 9 0 n rr 0 I ® 2 / . q q S ' ;K 9 2 ƒ 0 0 0 R / O § § 3 § -n 40 cm J . > � E T E w - / 3 ƒ k 2 \ E 0 k m a � � 2 2 2 O |= o � ) i 3 E =r # e g f k % $ / ( § m ƒ 2 D ] 7 K C ; o 0 � ƒ = k m - E I § z % 3 § & 7 � � i D.± � $ « E } E w CL § Sr / g E f = g ƒ § £ y 3 | o / [£ q f @ k/ \ § ) \ CL CD j \ ) � # § k m -n < (D /} km 0PQ ƒ I lc:) \\ a (n �0. > k X22 E \ � -n � §o ) Q $ i > �7 § ƒ 7 / / § M n ? } 0E \ \ r 0 E 7 / % ) / E $ C % \ % $ / A p B k 2 i M - 8 m 7 ] ( , \ \ m E _ 2 g } :rQ . 2 § 8 ¥ \ EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAME: L ADDRESS: TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAGE: ls�.– PURPOSE OF EXPENSE:_ Ge :Dl>J 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 �M UUNAtELLOS �� .1• I I :�T C, • ^: . .h: - 6032 I 1 : )0 ORDER- gift Cashier: Beth 14-Jul-2017 12:42:17P Transaction 005241 Total 3 " 60 $150.00 UUNA1 LLLOS CREDIT CARD AUTH $150.00 + y ►.IA 1 ST VISA 5916 t '- Ir► 16032 Tip C©„"-J'5- ;r.i 19 ORDER c� gift Total J u Cashier: Beth Retain this copy for Statement validation 14-Jul-2017 12:41:1 (P 1 Custom Item $150.00 14-Jul-2017 12:42:39P $150.001 Method: EMV Total $150.00 VISA CREDIT XXXXXXXXXXXX Ref#: 719500560581 1 Auth#: 014017 Order "1 Y 1 i ,?KJYM MID: ********8992 WWW. : t I + i !)SITALIAN.COM AID: A000000O031010 317-sr,I I. �++ AthNtwkNm: VISA SIGNATURE VERIFIED Order 7S8Av I I ,,,IiYM WWW. CIS J! ' ' ; I I f IAN.COM 317-564 1. '