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320619 01/11/18
Q CITY OF CARMEL, INDIANA VENDOR: 371412 ONE CIVIC SQUARE KAYLA ARNOLD CHECK AMOUNT: $" " *173.97' CARMEL, INDIANA 46032 C/O COMMUNITY RELATIONS CHECK NUMBER: 320619 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 - 4463202 35.00 SOFTWARE 854 4359025 138.97 ARTS DISTRICT FESTIVA -I .: Prescribed by state Board of Accounts city Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 371412 KAYLA ARNOLD IN SUM OF$ 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 $35.00 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 RECEIPT 44-632.02 $35.00 1 hereby certify that the attached invoice(s),or 1/2/18 RECEIPT $35.00 1203 101 1203 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for Which charge is made were ordered and received except -Monday,January 08,2018 Heck, Nancy Director hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20. Cost distribution ledger classification if claim paid motor vehicle highway fund._ Clerk-Treasurer EMP L WEE REIMBURSEMENT Sales tan is not reimbursable ADDRESS: CA TOTAL$AMOUNT OF RECEIPT(S)ofd TI°AS AGE:-$ -&-Ci, PURPOSE OF EXPENSE: Use separate sheet for differe purposes or ev ts,as account comg g may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE 1/3/2018 Invoice No.30698945 Invoice #30698945 Jan 2,2018 Paid on Jan 2,2018 6:58:00 PM(UTC) Description Billing Period Price `Months Amount Standard Monthly Plan Jan 2,2018-Feb 1,2018 $35 1 $35 TOTAL:$35 . 4 Billing Details Notes City of Carmel Indianapolis Indiana 46280 United States Username:kaylararnold i How To Make a Payment Payment made on Jan 2,2018.6:58:00 PM(UTC). Payment Method:VISA Card Number(Imt 4 d/g/ts)# I SurveyMonkey 3050 South Delaware Street,San Mateo CA 94403,USA Our Tax ID(EIN):37-1587003 Contact:billing@surveymonkey.com l� 4 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 371412 IN SUM OF$ CITY OF CARMEL KAYLA ARNOLD 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 $138.97. 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 attachedinvoice(s)or bill(s)) AMOUNT RECEIPT 43-590.25 $49.00 1 hereby certify that the attached invoice(s),or 12/19/17 RECEIPT $49.00 1203 854 Prior Year 1203 854 RECEIPT. 43-590.25 $89.97 bill(s)is(are)true and correct and that the 1/2/18 RECEIPT $89.97 1203 1 854 1 materials or services itemized thereon for 1203 854 which charge is made were ordered and received except Monday,January 08,2018 Heck, Nancy Director hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have' audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim.paid motor vehicle highway fund. Clerk-Treasurer EMPLDYEE 1EIMOURSEMENT Sales tax is not reimbursable NAME: & 1 6 t ��—q �1-0112 - ADDRESS: llk(.!� )AAa Q �L A TOTAL$AMOUNT OF RECEIPT(S)ON THIS P E: A PURPOSE OF EXPENSE: - _�A 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 CARMLL P0,`,1 OHACL APC'1 __.____._. 27,j MCOICAL OR CARMLL, IN 46032-9998 12/19/2017 01 :18:36 PIN Sales Receipt Product Sale Unit Final (Description Qty Price Price (Forever® 100 $.49 $49.00 Postage Total : __-____-- $49.01[1' ------- $49.0111' Paid by: 'VISA $49.00 Account XXXXXXXXXXX41& Approval 0706413 Transaction 179 4445023580571-99 SSK Transaction 78 USPS® # 171276-9550 Thanks. It's a pleasure to serve you. ALL SALES FINAL ON STAMPS AND POSTAGE. REFUNDS FOR GUARANTEED SERVICES ONLY. Note: Priority Mail Express'" refund restrictions in effect for mailing dates December 22-25 for 1-Day Scheduled Delivery Commitments. Shipments eligible for po.-shigp refirn-d only if service u,ds two Ufa;llivery days. EMPLDYEE REIMBURSEMENT Sales tax is not reimbursable NAME: ADDRESS: SA11, c U, TOTAL$Aft®UNT OF RECEIPT(S)®N THIS APSE:$ t ,Q, PURPOSE OF EXPENSELvxfQ VA : {� se separate sheet for differe purposes or ev ts,as account COM9 g may vary AFFIX ORIGINAL RECEIPT(S)BELOW OR ATTACH,IF RECEIPT IS FULL PAGE i 35aDo 1/3/2018 Amazon.com-Order 112-3255660-7116211 amazon.com• DetaHs for Order #x.12-3255660-7116211 Print this page for your records. Order Placed: January 2, 2018 Amazon.com order number: 112-3255660-7116211 Order Total.: $89.97 Preparing for Shipment Items Ordered Price 3 of: KRUPS GX5000 Professional Electric Coffee Burr Grinder with Grind Size and Cup $29.99 Selection, 7-Ounce, Black Sold by: Amazon.com Services, Inc. Condition: New Shipping Address: Item(s) Subtotal: $89.97 Shipping & Handling: $0.00 INDIANAPOLIS, IN 46280-2716 Total before tax: $89.97 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$89.97 Two-Day Shipping ----- Payment information Payment Method: Item(s) Subtotal: $89.97 Visa I Last digits: Shipping & Handling: $0.00 Billing address Total before tax: $89.97 Kayla Arnold Estimated tax to be collected: $0.00 INDIANAPOLIS, IN 46280-2716 Grand Total:$89.97 United States To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice© 1996-2018,Amazon.com,Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.htmi/ref=oh_aui_pi_o00_?ie=UTF8&orderlD=112-3255660-7116211 1/1