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318162 11/07/2017 s.,,"'@ CITY OF CARMEL, INDIANA VENDOR: 00350224 �' ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: S'"'"*'50.00' CARMEL, INDIANA 46032 CHECK NUMBER: DATE: 1 1 0 62 r.ow 17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359000 50.00 SPECIAL PROJECTS 0 z < « a # m 0 z � O q ¥ ■ 2 n 0 c c ° 0 I m \ 0 q R ;r, w 2 0 0 0 k w 2 0 ] © \ © 2 k # < T \ m 0 S t -n >m 0 ƒ ad E § k m 3 % e 0 m CL ° 2 2 0 1 $ z < > -n O C \ { q o w ( « / m i 3 2 Z > § f = - k a Cl) E H E 0 7 E < © 0 2 E 2 $ /_ K / CD (D f k 2 I w 7 [ v CD 0 ƒ g - < E £ § z § % 3 G , 7 0) 7 0 7 Q / . 7 � o a g S- ,:,4 ƒ 7 » i = k $¢ 8 . o , § [ E E w E Er- k C N / 2 |; o = a # J % i�3 m k Ei qj ¥ \ k [ ;$ w e � / \ {$ i R / 0) - ) / # //� � m C0 2 0 0 M ƒ \ �=L C a ° mCL Z ( ii § \ \ ( �ƒ f > ® / � 0 � � CD 0 D �0 )o @ a �E gC 7 f ; / » X r M ? k / } \ \ 0 \ D _ _ £ E 5 C % / / § m / $ CD , = 0 $ g \ § CL EL 'a % 0 c , � ] \ # ƒ E \ 2 & § i - 0 CD § 8 ¥ / EMPLOYEE REIMBURSEMENT dar ) L(4NrSales tax is not reimbursable NAME: ce c K ADDRESS: /� & Coo I Cc�ee-K Dr_- CaYrn�l, 3 3 TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAGE:$ 5O� PURPOSE OF EXPENSE: h r uib(" -(�Y YT(I1 w©iv— 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 DONATELLOS 9 W MAIN ST CARMEL, IN 46032 DONATELLOS 3175644790 9 W,MAIN ST. ORDER: gift CARMEL,IN 46032 Cashier: Adam 102112011 14:09;00 UL MER# 64890940000 27-Oct-2017 2:45:01 P ALT MER# 21121241599 Transaction 007409 GIFT CARD Total $50.00 RELOAD CREDIT CARD AUTH $50.00 BARD# 606668528089XXXX VISA 5916 RAN#: 00003 f iUTH CODE: 349677 rip — SYS TRACE#; 04891. Total S D- 00 ;EQ#: 00(' BVER ID: Retain this copy for statement validation ENTRY MODE: Swom 27-Oct-2017 2:45:12P RELOAD VALUE $50,00 $50.001 Method: SWIPED VISA XXXXXXXXXXXX5916 NEW BALANCE $502 Ref#: 730000581821 1 Auth #: 027623 MID: ********8992 MERCHANT COPY AthNtwkNm:VISA SIGNATURE VERIFIED Order RMSAGH2N47XNP WWW. DONATELLOSITALIAN.COM 317-564-4780