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317510 10/19/2017
(9, CITY OF CARMEL, INDIANA VENDOR: 00352899 ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: $*****1,180.82CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 317510 CHECK DATE: 10/19/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 REIMB 1,180.82 TRAVEL FEES & EXPENSE nn D < < 0 mo p p` O N N co co co co N Z Z n Z m _ p0 CD Mo X _ o 8 0 c m d z 0 C m Cil z n d 5 m v o < z r N O O N OD W tQ V d d m O (31m n 0 co $ c c D o O -n G7 3 y OD 3 -0 o c c T bD 3 � C 3 c wo o wo o wo c ow o woo wo o wo 0 c X v 0 0 0 0 0 0 0 CD � z 0 O z D n O iD N N 0 O n O W .OND (1) t01 O C I m ? O W O N OI - O m S 3 - D $ ? m = m CCA 0 < c 0 FL Ol n N vi CL =rv, p m $ y A G y z CSpr vO 03 a m o 3 $ d o U Q m m w (C " 3 5 m oDo W m o m ; v a o $ c o crc a ID D am my �. y m� � � ojorn (D (DCL C7 oo� o �+ � D m < N $ Q O 3 LQ Z_ a S n sl an d o o W o o o W o o � v 0 $ o ' x Ln m C ' o a D S 'k m n N .? =r c _o 0. `Y 0 Y'$ o c -n co T d n ODo m m l _ o v -� m G W Z m n 3 CD Jk r 9v �' = a C Nn@ O C co 0 40 Cr N fD o = C7 N a g = O m 7 N a T 0 C g a N o N 49 40 df 40 O d <O N Ln W <O 0�1 < W W W f0 CT O c O W O N O) V O QD 2017 CINCINNATI, OHIO FIELD STUDY- OCTOBER 6 & 7 11*1w 06 Bus Parking $ 60.00 Metro Streetcar(14 passes, $2 each) $ 28.00 a. . FRIDAY BREAKFAST $ 153.92 Einstein (Sandwiches, Fruit, &Coffee) $ 153.92 FRIDAY LUNCH - The Senate Total $ 289.16 $ 289.16 FRIDAY DINNER- Maplewood Total $ 195.71 $ 195.71 SAT 1 44.03 SATURDAY BREAKFAST-Coppins Hotel Covington $ 260.10 $ 260.10 SATURDAY LUNCH - Panera Box Lunches $ 193.93 $ 193.93 GRAND TOTAL $ 1,180.82 Payable to Adrienne Keeling Receipt Page I of 1 AIIPro Parking Ohio Office 170 Marconi Blvd Columbus,OM 43215 Tel:716-646-7275 Date:10/05/17 11:13:20 Cardholder:Adrienne M Keeling Card Number:xxxxxxxxxxxxxx8355 Card Type:Visa AVS Street:513-314-9532 Javier 325 John Street 45202 AVS Zip: Type:Credit Card Sale Ref k:1701540541 Auth Code:096131 Invoice:lot 775 Description:bus parking at John Street lot 775 10-6-17 AMOUNT: 60.00 TAX: 0.00 TOTAL: 60.00 X Adrienne M Keeling I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT https://secure.usaepay.com/console/print_receipt`?receipt=vterm&transid=1701540541 10/5/2017 10/17/2017 CREDIT CARD-chase.com CHASE !i Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 5,2017 ALLPRO PARKING OHIO OFFIC Sale $60.00 This transaction posted on Oct 8,2017 Additional merchant and transaction information COLUMBUS,OH 432150000 US Online,Mail,or Telephone transaction Rewards earned with this transaction +3 Points per$1 earned on travel 180.00 Total Points 180.00 JPMorgan Chase Bank,N.A.Member FDIC 02017 JPMorgan Chase&Co. Equal Opportunity Lender 10 https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 10/17/2017 CREDIT CARD-chase.com CHASE C)" Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 6,2017 SORTA METRO Sale $10.00 This transaction posted on Oct 8,2017 r - Additional merchant and transaction information GlS5C5 , �Zeac� CINCINNATI,OH 452020000 US In-person transaction Rewards earned with this transaction +3 Points per$1 earned on travel 30.00 Total Points 30.00 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 10/17/2017 CREDIT CARD-chase.com CHASE !O Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 6,2017 SORTA METRO Sale $10.00 This transaction posted on Oct 8,2017 Additional merchant and transaction information �j SeS 2 eac� CINCINNATI,OH 452020000 US In-person transaction Rewards earned with this transaction +3 Points per$1 earned on travel 30.00 Total Points 30.00 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 10/17/2017 CREDIT CARD-chase.com CHASE C.) Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 6,2017 SORTA METRO Sale $8.00 This transaction posted on Oct 8,2017 r QQ� Additional merchant and transaction information 4 CINCINNATI,OH 452020000 US In-person transaction Rewards earned with this transaction +3 Points per$1 earned on travel 24.00 Total Points 24.00 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https:Hsecure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 Invoice No: 2782392 Invoice Date: Fri, Oct 06, 2017 Store Code: 2280 go Store: 116th and Keystone INVOICE Billing/Client Information Pick-Up Information City of Carmel Pick-Up Date: 10/06/2017 (7:00-7:15 AM) 621 2nd Ave NE Carmel,IN 46032 Adrienne Keeling Billing Phone: (317)402-6629 City of Carmel Credit Card: Phone: (317)402-6629 VISA(...8355) Number of Guests: 14 Client:Adrienne Keeling Client Phone: (317)402-6629 Order entered by:Online Printed: 10/07/2017 02:15 AM MDT Qty Description Tax Price Extension 1 Classic Fresh-Cracked Egg Sandwich Nosh Box(Dozen) All Day Breakfast S 67.99 67.99 Egg Sandwiches 4 Applewood Bacon&Cheddar Egg Sandwich on Plain Bagel 4 Ham&Swiss Egg Sandwich on Plain Bagel 4 Turkey-Sausage&Cheddar Egg Sandwich on Plain Bagel 3 Add-on Fresh-Cracked Egg Sandwich All Day Breakfast S 5.99 17.97 Add on Egg Sandwich 1 Southwest Egg on Plain Thintastic Bagel 2 Spinach,Mushroom&Swiss Egg Sandwich on Plain Bagel 2 Individual Fruit Salad(6 Pack) Sweets,Fruit&More S 17.99 35.98 2 Coffee for the Group Beverages S 15.99 31.98 Coffee 2 Coffee-Light Roast Catering Orders and Questions: Thank you for your business.Please tell SubTotal: 153.92 1.800.BAGEL.ME(224-3563) us about your experience by visiting Tax: 0.00 the following website and completing a Total: 153.92 short survey for$5 off your next For Corporate Accounts only please send catering order of$50 or more. Payment: 153.92 payment to: (Visa) www.catering.bagelexperience.com Balance Due: 0.0 Einstein Noah Restaurant Group,Inc. NW 6042 Delivery minimums and the applicable PO Box 1450 taxes for the order may vary per Minneapolis,MN 55485-6042 location and may be adjusted prior to your final Invoice.Please contact the store at which your order was placed Create smiles through delicious food and for more details. beverages!Join the fun today. einsteinbros.com/careers or coffeea nd bagels.com/ca ree rs *Tax Exempt(0031201550020) Powered by MonkeyMedia Software 10/17/2017 CREDIT CARD-chase.com CHASE l Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 7,2017 EINSTEIN BROS-ONLINE CAT Sale $153.92 This transaction posted on Oct 8,2017 Additional merchant and transaction information LAKEWOOD,CO 802280000 US Online,Mail,or Telephone transaction Rewards earned with this transaction +3 Points per$1 earned on dining 461.76 Total Points 461.76 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender fat https:Hsecure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 Senate Blue Ash Senate Blue Ash 1100 Summit Place, Suite A 1100 Summit Place, Suite A Cincinnati OH 45202 Cincinnati OH 45202 513-769-0099 513-769-0099 10/06/2017 1:26 pm Opened: 10/06/2017 12:27 pm Order: 20021 Check: 1 Order: 20021 Check: 1 Name: Table Pdrl Order Type: Dine In Server: Paige Name: Table Pdrl Server: Paige Card Type: Visa 1 Beet Salad 12.00 Card Number: 8355 (swiped) 1 Chicago 11.00 Auth Code: 08719I 1 Big Fat Greek Gyro 12.00 2 Hawaiian Tuna Poke 30.00 2 Coke 6.00 Check Total 239.16 3 Iced Tea 7.50 1 Lindsay Lohan 11.00 Charge Amount 239. 16 1 Diet Coke 3.00 2 Elote Corndog 24.00 1 Korean 11.00 2 Cleo McDowell Burger, 26.00 Tip _ b 1 Lemonade 3.00 1 B.F.F 6.00 1 Lobster BLT 15.00 �� 1 Ribeye 24.00 Total 1 Trailer Park 11.00 1 Falafel Taco 11.00 Subtotal 223.50 X OH Tax 15.66 ADRIENNE KEELING Total 239. 16 Thank You Please join us for brunch on Sundays Happy Hour $2 off all draft beers $2 off all wine by the glass $2 off house cocktails Tue-Fri 3pm-6pm 10/17/2017 CREDIT CARD-chase.com CHASE Clop" Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 6,2017 SENATE-BLUE ASH Sale $289.16 This transaction posted on Oct 8,2017 Additional merchant and transaction information BLUE ASH,OH 452420000 US In-person transaction Rewards earned with this transaction +3 Points per$1 earned on dining 867.48 Total Points 867.48 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 Maplewood Kitchen and Bar Maplewood Kitchen and Bar 525 Race Street 525 Race Street Cincinnati, OH 45202 Cincinnati, OH 45202 513-421-2100 513-421-2100 10/06/2017 7:05 pm Opened: 10/06/2017 6:57 pm Order: 156974 Check: 1 Order: 156974 Check: 1 Name: 49 2of2 Order Type: Dine In Server: PMONE Name: 49 2of2 Server: PMONE Card Type: Visa Card Number: 8355 (swiped) 3 Chicken Hash 42.00 Auth Code: O6OO8I 2 Flavored San. Pellegrino 6.00 2 Chicken Tinga 20.00 2 Side Salad 8.00 1 Cobb Salad 14.00 Check Total 163.71 1 Chicken Club 12.00 1 Soda 2.00 Charge Amount 163.71 1 Power Bowl 14.00 1 Side Fries 4.00 2 Iced Tea 4.00 1 Chicken Hash 14.00 001 Caesar Salad 13.00 Tip -- Subtotal 153.00 Total State Tax 10.71 Total 163.71 X Z4 Visa 8355 (O6OO8I) 163.71 ADRIENNE KEELING Balance Due 0.00 Thank You For Dining With Us! 10/17/2017 CREDIT CARD-chase.com CHASE 100 Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 6,2017 MAPLEWOOD KITCHEN&BAR Sale $195.71 This transaction posted on Oct 9,2017 Additional merchant and transaction information CINCINNATI,OH 452020000 US In-person transaction Rewards earned with this transaction +3 Points per$1 earned on dining 587.13 Total Points 587.13 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 CHK:7638534 TABLE:58 Hotel Covington 10/07/17 SALES DRAFT 10:31 638 Madison Ave. Coppins Covington, KY 41011 638 Madison Ave, 10/7/2017 9:34 Covington, KY 41011 (866) 501-1700 Coppins MERCH ID: 0000600304 Check: 7638534 Table: 58 CASHIER: Tim Server: Tim Guests: 12 TERMINAL: 762 Terminal: 747 Visa NAME: KEELING/ADRIENNE Bar Check Visa XXXXXXXXXXXX8355 2 Roebling Benedic 24.00 AUTH: 04308I @ 12.00 TOTAL: 220.10 3 Biscuits & Gravy 33.00 GUEST COPY @ 11 .00 2 Free Range Egg 6.00 @ 3.00 2 Shrimp & Grits 26.00 @ 13.00 2 French Toast 22.00 @ 11 .00 1 Burger 14.00 $Bfast Pots 1 Farm House Omele 12.00 1 Brunch Bread Pud 6.00 1 Add Egg 2.00 1 Pancakes 11 .00 1 Applewood Bacon 5.00 1 McCoppin's 12.00 12 Coffee 24.00 @ 2.00 12 oz 4 Orange Juice 12.00 @ 3.00 Orange Juice Subtotal 209.00 Tax 11 .10 Total 220.10 + I 10/17/2017 CREDIT CARD-chase.com CHASE Cho Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 7,2017 COPPINS Sale $260.10 This transaction posted on Oct 9,2017 Additional merchant and transaction information COVINGTON,KY 410110000 US In-person transaction Rewards earned with this transaction +3 Points per$1 earned on dining 780.30 Total Points 780.30 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https:Hsecure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1 10/17/2017 Panera Bread Catering Application Customer Information CMMtetll GoauetlMaiMlMralb�n Adrienne Keeling 317-402-6629 • �iAd�rtwr akeeling@carmel.in.gov Thank you for your orderl 01drNwmbm Order Details 4725738 OWN Too Mdt11lpAdd� ap"Mmalv1lmn Pick Up 2911 Dixie Highway 10/7/2017 Crestview Hills,KY 41017 12:15 PM-12:30 PMr OgdwPlmWlbm 10/7/2017 Saturday maple llMNunbm 10/5/2017 4:09 PM EDT 1.859-371.9010 lfyou needassistancewith m oocbdm*UpTi m your order please contact: 12:15 PM-12:30 PM tlraabrMftepla 14 06WAWzii-0hk"ry opumbobute w Cafe#204904 2911 Dixie Highway Order Summary Crestview Hills.KY 1.859.371-9010 OF UA AiNe d< 1 Mediterranean Veggie Boxed Lunch $9.99 $9.99 (Whips (I)Chocolate Chipper Cookie 3 Steak&Arugula Boxed Lunch $13.99 $41.97 (i)Chips (1)Chocolate Chipper Cookie 4 Napa Almond Chicken Salad Sandwich Boxed Lunch $11.99 $47.96 h)Chips (1)Chocolate Chipper Cookie 4 Ham&Swiss Sandwich Boxed Lunch $9.99 $39.96 (1)Chips (1)Chocolate Chipper Cookie 2 The Italian Sandwich Boxed Lunch $13.99 $27.98 (Whips (1)Oatmeal Raisin with Berries Cookie bixilliNWINYOW01dt Napkins,utensils,plates and/or bowls,etc.for 14 people sw mfalr $167.86 vm $10.07 up $16.00 Taub $193.93 h Wll1WP "ft $13.85 Tip: Total: Signature: Our delivery fee is not a tip or gratuity provided to the driver.Please consider tipping your driver and cafe staff in appreciation of great service. https:Hcatering.panerabread.com/#i/receipt?orderid=4725738 1/2 10/17/2017 CREDIT CARD-chase.com CHASE imp Printed from Chase Personal Online CREDIT CARD (...8355) Date Description Type Amount Oct 7,2017 PANERA BREAD#204911 Sale $193.93 This transaction posted on Oct 8,2017 Additional merchant and transaction information 330-856-3176,KY 410420000 US Online, Mail,or Telephone transaction Rewards earned with this transaction +3 Points per$1 earned on dining 581.79 Total Points 581.79 JPMorgan Chase Bank,N.A.Member FDIC ©2017 JPMorgan Chase&Co. Equal Opportunity Lender Q https://secure0l a.chase.com/web/auth/dashboard#/dashboard/accounts/summary/creditCard;params=card,596399862 1/1