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319781 12/21/2017 0-11!, CITY OF CARMEL, INDIANA VENDOR: 371,452"ONE CIVIC SQUARE KAYLA ARNOLD CHECKAMOUNT: $*******618.85* CARMEL, INDIANA 46032 C/O COMMUNITY RELATIONS CHECK NUMBER: 319781 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER,. AMOUNT DESCRIPTION 1203 4359003 REIMB 422.39 FESTIVAL COMMUNITY EV 1203 4463000 REIMB 196.46 FURNITURE & FIXTURES" VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 371412 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KAYLA ARNOLD IN SUM OF$ CITY OF CARMEL C/O COMMUNITY RELATIONS 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. Payee $618.85 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 44-630.00 $196.46 1 hereby certify that the attached invoice(s),or 12/5/17 RECEIPTS $196.46 1203 101 1203 101 RECEIPTS 43-590.03 $422.39 bill(s)is(are)true and correct and that the 12/8/17 RECEIPTS $422.39 1203 101 materials or services itemized thereon for 1203 1 101 which charge is made were ordered and received except Tuesday, December 12,2017 Heck, Nancy Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I_have... audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer EMPLOYEE REIMBURSEMENT 1 Sales tan is not reimbursable NAME: ADDRESS: lyclo Samos Q��t Q�v iS ��� TOTAL$AMOUNT OF RECEIPT(S)ON THIS PA E:$ l� . PURPOSE OF EXPENSE: �-o 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 12/5/2017 Amazon.com-Order 113-1561892-6086636 amazon.com• ®etaHs for Order #113-1561892-6086636 Print this page for your records. Order Placed: December 5, 2017 Amazon.com order number: 113-1561892-6086636 Order Total: $159.97 Not Yet Shipped Items Ordered Price 1 of: Standing Desk Converter Riser Adjustable (Dual Monitors, Black) $159.97 Sold by: Amazon.com LLC Condition: New Shipping Address: Kayla Arnold 1463 SHADOW RIDGE RD INDIANAPOLIS, IN 46280-2716 United States Shipping Speed: Standard Shipping Payment information Payment Method: Item(s) Subtotal: $159.97 Visa I Last digits: 6182 Shipping & Handling: $0.00 Billing address Total before tax: $159.97 Kayla Arnold Estimated tax to be collected: $0.00 1463 SHADOW RIDGE RD ----- INDIANAPOLIS, IN 46280-2716 United States Grand Total:$159.97 To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice © 1996-2017,Amazon.com, Inc. or its affiliates (�k- An "Siv\\r LaS& c hfps://www.amazon.com/gp/css/summary/print.html/ref=oh_oui_pi_o01_?ie=UTF8&orderlD=113-1561892-6086636 1/1 12/5/2017 , Amazon.com-Order 113-7119768-5567430 amazon.con DetaHs for Order 113-7119768-5557430 Print this page for your records. Order Placed: December 5, 2017 Amazon.com order number: 113-7119768-5567430 Order Total: $36.49 Not Yet Shipped Items Ordered Price 1 of: The Original 3/4"KANGAROO (TM)Anti-Fatigue Comfort Mat Kitchen Rug, $36.49 Ergonomically Engineered, Non-Toxic, Waterproof, 32x20 inches (Red) Sold by: Hills Point Industries (seller profile) Condition: New Shipping Address: Kayla Arnold 1463 SHADOW RIDGE RD INDIANAPOLIS, IN 46280-2716 United States Shipping Speed: Two-Day Shipping Payment information Payment Method: Item(s) Subtotal: $36.49 Visa I Last digits: 6182 Shipping & Handling: $0.00 Billing address Total before tax: $36.49 Kayla Arnold Estimated tax to be collected: $0.00 1463 SHADOW RIDGE RD ----- INDIANAPOLIS, IN 46280-2716 United States Grand Total:$36.49 To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice© 1996-2017,Amazon.com, Inc. or its affiliates t L_ https://www.amazon.com/gp/css/summary/print.html/ref=oh_aui_pi_o00_?ie=UTF8&orderlD=113-7119768-5567430 1/1 EMPLOYEE REIMBURSEMENT Sales tax is not reimbursable NAIVE: ADDRESS: .� TOTAL$AM! UNT OF RECEIPT(S)ON THIS PAGE:$ PURPOSE OF EXPENSE: Q(�. �A�B '1 �(•i'� Q A Usk separate L, t J rr "par u«s&e for di erenr purposes or events, as account coding may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE CUSTOMER'S ORDER NO. DATE Indiana Artisan 44 NAME a 111 W Main St. Dec 8,2017 Carmel, IN 46032 1:40 PM ADDRESS (317)964-9455 http://www.indianaartisan.org/ CITYSTATE,ZIP SOL BY CASH C.O.D CHARGE. ON ACCT:. NFOSE.fiETD FANO PUT Authorization 009566 Vis Receipt kKAQ - QDAB1. DESCH,1101 � .1'11Isr kpPqUmr CHASE VISA Q '� AID AO 00 00 00 0310 10 zAA --- — -- -- - ---- -- 3 r JohnTom's BBQ Gift Pack $21.00 a f + 13 oz.Tuttle's Harvest Applesauce $5.95 s + l 'E^Z_ A,r F , 9 oz.Tuttle's Harvest Apple Butter $4.95 s Amazing Hazel's Gourmet Chili Sauce $6.99 e of Custom Amount $6.50 s' - = .10 Custom Amount x 11 $220.00 f. - ($20.00 each) .. 1104 + 12 rao I Total $265.39 Vis $265.39 Kayla Arnold RECENED BY . T--0'528 L'EP'I MBI SLI�_FOR' FFIIGE o,,, " � S�S'� rayrai Great to see you! PayPal makes shopping on the web faster and easier. Sign up today. $157.00 US® Amount $157.00 Subtotal $157.00 Tip $0.00 TOTAL $157.00 Transaction on December 8,2017 at 11:03:36 AM PST Order ID:0120 I agree to pay above total amount according to card issuer agreement. Payment Method SALE(Chip Read) CHASE VISA********** Signature verified Transaction ID:31SB690806972302V This transaction will appear on your credit card statement as'PP*MARIEREAMER' APPROVED:00 TC DF512D4ED29CB379 Additional Details Authorization Code:09678B Terminal ID:********3894 Application Identifier: A000000O031010 Mode: Issuer Terminal Verification Results: 0000008000 Issuer Application Data: 0601OA03602002 Transaction Status Indicator: E800 Application PAN Sequence Number: 01 https://www.paypal.com/us/receipt/?id=1NV2-EL54-XM97-WRWZ-36P4 1/2 _._.__.. ..r. v Merchant Information Art on Main Gallery&Gifts LLC Merchant ID: QD743GHZKM832 111 West Main Street Suite 140 Carmel IN 46032, US info@carmelartonmain.com www.carmelartonmain.com Purchase Location - t. �ir-- 7 s date© - Google Location set by Merchnat's device,may not be accurate. PayPal collects and uses your personal information in accordance with our Privacy Policy,which is available at www.paypal.com. Please retain your receipt as proof of transaction. Leave your wallet at home,pay with the PayPal app. https://www.paypal.com/us/receipt/?id=INV2-EL54-XM97-WRWZ-36P4 212