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Home My WebLink About324350 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 369557 CHECK AMOUNT: $**""""*755.12* d ONE CIVIC SQUARE AIMEE RICH CARMEL, INDIANA 46032 4907 SUNVIEW CIRCLE#1222 CHECK NUMBER: 324350 INDIANAPOLIS IN 46237 CHECK DATE: 04/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 755.12 TRAVEL FEES & EXPENSE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 369557 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Rich,Aimee Payee 211 Junction Pass#2G Westfield, IN 46074 In Sum of$ Purchase Order# 369557 Rich,Aimee Terms $ 755.12 211 Junction Pass#2G Date Due Westfield, IN 46074 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#or INVOICE NO. ACCT#frITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 Reimb 4343000 $ 691.74 Board Members 4/13/18 Reimb Travel Expenses CPI $ 691.74 1081-99 Reimb 4343000 $ 63.38 4/13/18 Reimb Travel Expenses IAN Conference $ 63.38 I hereby certify that the attached invoice(s),or 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 $ 755.12 Total $ 755.12 April 17,2018 - 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 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title 1� elf Carmel o Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense �1• •1w Sic,'n l o��-�q 14343 oodQv i k �t taxz GPS All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: J. Employee Name(print) N M,Q,{, SjC,\,) Address Check payable to: City, St, Zip Signature: Approved by: 4,'� Date: L4 . 112) . 1 S Date: Business Services Division,Revised 7-7-08 r-. FILE: SharedWdministrative\Forms\Staff Forms\Employee Exp Reimb Request 1 `i •a:.:; 1 1 APR 1 6 2013 ��. Carmel 0 Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense r IS lobo 3 vG 4 GP 14 16 ) �yy $ 12- ou C Y1 pt1-gq 3K3 kra l -2•lrb ��nnnrt4 S s joS1-4 q q'S*3606 AY01w it - OZ o CPr LA-1-1b la 5)(102 *01 L4SqSOOt>i-lrolva kt *3 l �a�ne,�ra 'g ' 1061-4q bQb 4yolvo kk k 2.5 f CRr -1Chi 1�C..� ' - 1o81-qQ N3ti3b� UGl ACX "6- 4-1 U C &AS 1081-q9 u3Wb +r v A +-c, g 3 -'11 CP-r Ll•u- t� Ghtra r Io�1�'t �pab �r v + Z•�� il Cyr All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: S 1 Employee Name(print) Address Check payable to: City, St,Zip Signature: Approved by: Date: Date: Business Services Division,Revised 7-7-08 �= FILE: SharedWdministrative\FormslStaff Forms%Employee Exp Reimb Request A P ft 6 201 Q � ; �5 n OP Carmel o Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense Ll-L1 .1b W01 wreofts (43LISUP AYOLVA- 42 $ LP.22 LI• 5i m m -'Sams 1*1-gq y 3 WO A-( �U a- e, CI-IS '� 1 . m 'Pah rok st-toLd tOvOj -qq ,LjSq5OD(3 :jj[QVCj kt t $ it - - Cp 'l-S.IRS 'P n dread 10bl-CH WS14 ood JffCIV4,1 �. OLP GT LA-6.100 5olnns 10b0`114 k $ Ot .-I G LA-15-1,0 su4alo v�%Wyp-' ION All ql3q&M 4Y vit, �U -V 1A 'A. •kb n?, a 1 lIq L4 g30QD bra 1 +ex 5•o� e iMYYXA 168115 1D61-9`t y 4 Cb6 }e�. q•13 Q GPS u1•U•1% 11 •[,Y1 IOtiI-9q OGD v tl $ .OZ i C�•P� All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 1 7)� xac*V(4c Employee Name(print) IN Address Check — 4agIr payable to: City, St, Zip 4 , Signature: Approved by: Date: Date: Business Services Division,Revised 7-7-08 FILE: SharedWdministrative\FormslStaff Forms\Employee Exp Reimb Request Carmel 0 Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense M.1% CA11- Cl&i Mall b )Y vtI kk toy.? $ 1 •CON cn 4• o•1% ' C c *1-Gq 43 QAukA- YYp Iib.o� N enu, �t•1O.1 P• . SOrina '37MV 1*1.19 X54 bion ��, s ILI, , rwkrevict, All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name(print) Check U Address 21I l ohm %51 #Z payable to: City, St, zip%X948d crO1� Signature: Approved by: Date: . Date: Business Services Division,Revised 7-7-08 FILE: SharedZrninistrative\Forms\Staff Forms\Employee Exp Reimb Request - 1 y -- - - - Cafe 3182 -- Fort Collins, CO 80525 Phone: 970-530-1020 • is PARADIES SHOPS- INDIANPOLIS INTL AIRPORT Accuracy matters. If your order is not INDIANPOLIS NTERNATIONAL AIRPORT right, please let a manager know. r INDIANAPOLIS, IN 4/2/2018 7:17:02 AM SALESPERSON # 70410 2y_[ ars Check Number: 119926 Cashier: Karen Y� -°'� 1 Toasted Bag & CC 0,ar KS CHEX MIX ORIGINAL 36362741000 '' °•� 1 Peanut Butter 1.10 9.69 NT---- :. a �,_ALBANESE GUMYBEARS ' 58985952000 '_ 1 Sesame Bagel 1.29 4.99 tTT: "lri �� 1 Toasted ITEM $ DISCOUNT 1.00- Reason for Discount PROMO Einstein Bros Bagels SubTotal 2,39 ---DASANI 1 LITER 56588972000 Denver Internati�mal Airport -t;C PIF 0,02 3.99 TT 3100 Pena Blvd. Tax 0.17 _SUBTOTAL $12.67 Concourse C Gratuity 1,00 TAX03 $0.28 - 303-342-6670 Total 3,58 Visa 3.58 TOTAL $$1 .28 ORD EiR #465 Acct:XXXXXXXX1774 VISA $13.28 PURCHASE AuthCode:09755B 71Y[:tMR'iCiCX%C:KYC�YfKA � � ' APPROVED Host: Cashier 2 04/01/2018 Trans#:112686 ORDER #465 6:15 P1,11 Visa 3.58 Total : $13.28 - 2092' Log in at PaneraBread.com. Card Type: VISA Card Entry: CHIP You are 3 visits away from your next rewar '. 'Acct #: *x*x*7RMtYCYfr 1774 Deli sandwich 7,ea d Approval Code: 091088 j Chips 0.99 _ WKx EMV PURCHASE **x* I Soda 2.48 — App Label : VISA CREDIT MyPanera Member: xxxxxxxxxxxx65085 Mode: Issuer Subtotal 11 .17 MyPanera Offers Earned: AID: {OXA00000000310101 TVR: 0080008000 Tay[ 0,1:1-i Visits to Next Reward: 3 IAD: 0601OA03602002 TSI: F800 _-.% TO (30 'Total 1211 v 06 j WE APPRECIATE YOUR BUSINESS! F.. ARC: 00 r: i TELL US HOW WE ARE DOING I . .' . VISA #XXXXXXXXXXXX1774 12.06 i GO TO "CONTACT US" @ CUSTOMER COPY Auth:03655B WWW.PANERA-COLORADO.COM ITEMS 3 BRITNI TOGO POS 04/01/2018 03:26PM Thank You for Dining with us!! 001529 02 70410 3659 Your Order Number is: 126 commentskissionyogurt.com Customer / Pager: Aimee Thank You for Shopping at The Paradies Shops --- Check Closed --- Customer Copy INDIANAPOLIS .NTERNATIONAL A110*10f;l' _ CELEBRATING Is13 YEJks :Its till:JNES`;rt f Patir Care 3082 Fort Collins, CO 80525 Phone: 970-530-1020 '` I Accuracy matters. If your order is not �Ii right, please le't a manager know, IV � Potbelly Sandwich . www.potbelly.c 302 South College fate 4/3/2018 7:28;41 AM � �Y Check Number; 120122 Cashier: Cecilia Jimmy Jnr�;w 141120 4515 -1 P, Parkway 111i t 4C 1 Toasted Bag & CC 0.00 4/2/2018 1 Peanut Butter 1.10 ----_--_ ::_-._.__.__. ,— ��_ Host: Trevor 1 Sesame Bagel 1.29 04-02-20id Chk# 68 Open �` . 5:05 PM 1 Toasted Tkr-122 Reg# 1 12 °'1`4 PM Order335 30037 SubTotal 2.39 PIF 0.02 #16Glub'I,uv.lu 6 9.9 Tax 0.17 NO tomatoes Total 2.58 Tell us about your experience today and Visa 2.58 i LgYFountai:n is7 ,ta enjoy a FREE COOKIE on your next order Acct:XXXXXXXX1774- __._______ with a purchase of a sandwich. AuthCode:05101B -Salt !/i,n,�hips ~� : _ Go to www.potbellylistens.com 1rF the Trans#:112805 Gpmba i' ` R next three days to give us your feedback Visa 2.58 Survey number: Log in at PaneraBread.com. You are 2 visits away from your next rewar Subtotal - 10.27 1778 304 000 024 014 9 1 d Sales Tax (7.3%) 0.75 Bring back this receipt with _ Tr - validation code to redeem offer ` MyPanera Member: xxxxxxxxxxxx65085 Qa� 11. 4: [ Validation code: MyPanera Offers Earned: ,� Visits to Next Reward: 2 " RA D 5.35 WE APPRECIATE YOUR BUSINESS! �, " Turk,-;y BrP:zst g 1 .10 TELL US HOW WE ARE DOING Credit Tendered 11 Q2 4 f � WA Extra � ocad&i 1.30 GO TO "CONTACT US' C� Chips 2.15 WWW.PANERA-COLORADG.COM Fountain Soda-Regular ;IY+ f l I TOGO POS 9.90 Your Order Number is; 122 Subtotal 0.73 Customer / Pager: Aimee a Total Tax 10.63 Order l kir:�Obid Dine in Total Customer Copy 10.63 PB App t Welcome to Chick :1 ar••,a Bread fit-A .:�yf 30X2 Fort Collins FSU `(#02346) Fort Collins, CO Fort ::allies, Co 80525 (970) 377-9644 Potbelly Sandwich Shop Phore: 970-5":0-1020 Operator: Stevan Stein www.potbelly.com CUSTOMER COPY 3541 E. Harmony Rd. Accuracy matt:?r•s. 1:f your order is riot 4/3/2018 .12:.04:10 PM ri ght, In]e<-?.E: l e t :r manager know. DINE IN F ' 4/4/2018 7:29:57 AM Order Number: 5037469 i Host: Rodger 4/3/2018 Check Number: FCashier: Veronica 1 Meal-Grill Nug 8ct 7.59 i Order361 6:35 PM 1 Toasted Baa �l r,:c 0.00 GRL Nug 8Ct 30061 '; 1 Peanut Eaatter 1.10 Fries LG 0.30 1 Sesame B••iwl 1.29 Sprite MD ' 1 ToasteI + No Ice. Tell us about your experience today andiul)Total 2.39 t enjoy a FREE COOKIE on your next order !1= 0.02 Sub.- Total: $7.89 # with a purchase of a sandwich. "< 0. Tax: $0.58 Go to www.potbellylistens.com in ,the `•t"l 2.5588 Total: $8.47 next three days to give us your feedback i.: ►'''e' 2.58 Change $0.00 Survey number: f: _ 1.o;t:;00(XXXXX1774 d r,r.rtf'd:c:de:08584B ransli;10(1852 Visa: $8.47 186 504 000 034 014 2 r i Register:4 Tran Seq No: 5037469 2.58 Cashier:Jacob Bring back this receipt with Log in at Panera:r'•o;r:d,rom. It was a pleasure e$e - validation code to redeem offer I You are :l visit ari.�y Prom your next reward Have a wonderful day. : Validation code: i MyPanera Member: )t'a:>c;<>o(:x::<xxx65085 Visa MyPanera Offers :ernEed: Card Num XXXXXXXXXXXX1774 �. Turkey Breast 5.35 Visits to Next Rnv.ird: 1 Terminal KA08827141004 Extra Avocado 1.10 Approval 024448 Chips 1,30 WE AF'PRE:'I4TE YOUR BUSINESS! Sequence : 040680 Fountain Soda-Regular 2,15 TELL u:: -101^1 WE' ARE DOING Potbelly Perks -6.45 Go 1':) "CONTACTUS" a a WWW.P!N:'RA-COLORADO.COM -ERE_ PDS Subtotal , 3.45 ' Total Tax 0,26 Your Or,dE,r Number is: 593 r 3.71 Customer F'agor•: Aimee Dine in Total ; PBAPP 3.71 i u: �• r :cry < .Y 9F0601COLl'13NE H Hera Brea ------ - ---- ------------- Pa d HARMONY.RD" JMMY,Johns #1129' `` Cafe 3082 CO 80528 970=530'"2692 - 451 a JEK Parka Un�t-4C Fort Collins, co 80525 w y' Phone: 970-530-1020 970-282 1600' 200 54C3 00:?1 04/04/2018 '7:37 -AM --------------- , �--_ CHEX SNACK MIX TRADITIONAL 8 7502 -•04-04-2018.Chk# 6Z-,0pen 12:01 P.M. Accuracy matters. If your order is not 0160C1015�;93 B �2.49.SALE Tkr.'18 Recd# 2 1? 01 PM right, please let a manager know. REGULAR-PRICE 3„29 ------- REWAF:DS SAVINGS 0,130 - #4 T4rkey Tom; 4/4/2018 6:26:38 PM RETURN VkLJE 249 �J (E)•STARBURST`F/S-7:3'E'DRC12-DISE' ' NO' tomatoes Check Number: 313577 Cashier: Phoebe 0400010361-51: .; G 3..49 CUT 1/2 1 You Pick 2 RETURN,VFiLJE ,3.,J�49 ----------------------- ---------------- ------ 1 Cup LF Chx Ndl Soup 3.99 -..,. SUBTOTAL 5.98" - L9 Fountain. 1.89 1 1/2 Turkey Sandwich 3.99 SALES_TA?,:3=2.2!x% 0.06 , ------------------------------- ---------- SALE_ TA}, a=5,.'I!:)% 0.18 f 1 Plain Regular Chips' 1,49 No WG Pan Loaf TOTAL 8,22 Combo . __ _ _ , . _:-0.;10 Focaccia ---------------- ----- _r_-__^ + Mayo VISA ACC1 1774 6 22. ------------- CHANGE. .00 --- 1Soda 2.39 f Subtotal 9.07 1 French Baguette AID=AOOOi000C 31010 ( SaJos Tax .(7.3%) 0.66 SubTotal 10.37 CHASE VI,_;A,:. -- IntegratE;d'..Cr'J P_Qa.r!1 _ _ _ _ : -----===-r _ T - 7 PIF 0.08 i Tota $ 9.73 Tax 0.76 BALANCE REWAF03 SAVINGS 0.'80 Total 11.21 i Visa 11.21 THANK YOU FOF SHOPPING AT WALGREENS PAJ R�, ** Acct:XXXXXXXX1774 4 .- k= ? AuthCode:090696 GET: MORE--WITf--.3ALANCE-:REWARDS, Cred it Tendered 9 73 T i p'-0 UO REDEEM PIDINTS. FOR' SOME1JING EXTRA I Trans#:108768 IN A FUTURE FU.RCHASI -,IRESTRICTIONS ------ --------- - -z, - - - ; Visa 11.21 APPLY;: FORTLERMS AND-.CONDITIONS, Log in at PaneraBread.com. VISIT.WAf.GFEENCOP1'BAL:ANCE. 'f Al �ir'1 1 1'1 f14.� You received a reward RFN# 10.30-1215.=1031-1804-[1403Received 1 Free Pastry or Sw&e I I �I IIII III' I I I :. ILIIIII�I'IIIIIIII�IIIIIII�II�IIIIIIIL�II�I IIII��IIIIuI�II!� III��IIII`�IIIIfIII '� You are 7 visits away from vote ir t i rwtli 1 Order Taker : Ie k ** a,2 Px£�R -'• a a«13 .F 3F > Y MyPanera K-1, Patic-ra Bread Cafe 3082 Fort Collin-°z, CO. 805 Phone: 970-530-1020 'f Accuracy matters. If your order is not f right, please let a manager know, - # _ 4/5/201$ 7:34:40 AM -i; Check Number: 120563 Cashier:' Karen Jinfu, Jahns #1129 1 Toasted Bag & CC 0.00 45:,15 >><<;Prkway UniFt 4C r$. 1 Peanut Butter 1.10 :. 970 2� "100 1 Sesame Bagel 1.29 --- 1 Toasted 04-05-2018 Chk# 66 Ojjen,.j 14"QPM 1 Md Coffee ° 2.29 � Tkr 128 Reg# 1 12 PM SubTotal 4,68 PIF 0.04 #4 Turkey,Tram 5:79 Tax 0.34 Na tomatoes a Total 5.06 CUT �2 Visa 5.06 - -- s - - --___ Acct:XXXXXXXX 1774 Lg F.oUntallnr?- 1,88 AuthCode:03027B Cotpbo ! � - _0_10 - Trans#:113086 - M , Visa 5.06 _ �_ Regu lr Ch!'ps 1 .49 E Log in at PaneraBread,com. ----�- You are 6 visits away from your next rewar d : i; 9..07 0.66 l - --- MyPanera Member: xxxxxxxxxxxx65085 ; 4 Total $ 9,13 MyPanera Offers Earned: � Free Pastry or Sweet: 1 [Exp Date: 04/18/18]. Visits to Next Reward: 6 j i, Gredi4t Tendeled,9'73 Tip Oa00 WE APPRECIATE YOUR BUSINESS! - TELL US HOW WE ARE DOING 1 GO TO "CONTACT US" @ a u WWW.PANERA-COLORADO.COM ; 1 .. ;:. •i 4 ` TOGO POS Your Order Number is: 163 ' Order Taker: Adana Customer / Pager: Aimee 1 - � Customer Copy J :( I it Buffalo Wia.d Wings. . Fort ::oI 111-1*-, �O Sabi Grill and Bar #01.22 Phor_. 970-5K-1020. 1 150 E. Harmony Rd. i i 970-266-9464 Accuracy matt. If your order is riot Buffalo Wild Wings I y • right, ole,:-s:: 1,:::t a manager know. Grill and Bar ;-+0122 150 F Harmony Rd. 07:24 Taylar DDB: 04/05/2018 4/6/2018 7:12:47 AM Table PM 04/05/2018 Check Number: tli�i :3 Cashier: Veronica y;u -66.9464 Table 227/1 `` � Server: Taylar 04/05/2018 7/70026 I 1 Md Coffee 2.29 7:14 PM Sale !` 1 Toasted Bac &: C L`• 0.00 Table 227/1 i 1 Peanut Bu-tter' 1.10 Guests: 1 �' a Sesame E•.�ciE:I #70026 VISA 1.29 Card #: ************,1774 I Toaste I Order Type: DINE IN r Card Entry Method: OHIP ;r.d�lot�rl 4,68 e' 0.00 T;:: ****** EMU PURCHASE ****** (I 0.04 WATER t` A VISA CREDIT ec< G."s4 REG NEW BELGIUM OLD k:: l:d� 5.00 'T`- -,1 :� Pp Label: o tail 5.06 8.99 T ( Mode: Issuer GRLLD CHCKN WRAP T. f AID: a0000000031010 ri'�� 5.06 NO SAUCE ,.. ; TVR: 0000008000 kc.=t-,00(' Xxxx1774 NO CHF!L=SE °�� T TSI: f800 ku th(,�.de:07261B 13.99 -IAD: 06010a03602002 ; r••5ns�i:10.7012 Subtutoi �J ,p 1 .03 , ARC: 00 Tax " Log in at Paners rom. You are 5 visits aivav from your next reward Total 15.02 Approval : 03051B --— - ---B � MyPanera Member: cxxxxxxxxxxx65085 Ba 1 Wince Due 15 - O2J i MyPanera Offers :arned: f Amount: USD $15.02 j .. . Free Pastry or 5 4(i::;t: 1 IF-xp Date: Oraer Takeout Online 04/18/18] owildwings.com +Ti ; p: : www.buffal !` Visits to Next Pw•sr'•d: 5 p =Total: Z Rl N MAIM" i WE APPRE::IATE YOUR BUSINESS! TELL U:; -1011 WE ARE DOING Don't leave points on the table! Download. - i c GO T:r "CONTACT US" Q the Blazin' Rewards Mobile App and scan the code below or enter your claim number is ' X 4 ; WW'rI.P.'N::F:A-COLORADO.COM to receive credit for your visit. Order Takeout Online 1E:1}I_ Poi Your Claim Number: www.buffalowildwings.com Your Ord:,r Number is: 533 122-180405-70026-1399 Customer i F'ra;aer: Aimee H0"P __--- Potbelly Sandwich Shop J 1 mmy'-Johns.'#1129 t �4615JFK' Fa rkway Un r t-'.4C: www.potbelly.com 970 ?a� 1�,ou 3541 E. Harmony Rd. _ 04`06 2016 ,Chkt 'ST pen, W11 _ T.kr ;1'28, . Reg# L T2,06 PM' Host: Mohammad A 1 i 4/6/2018 A Tutrkey Tom f `'5 /.9 Order217 4:30 PM =` NO koma,toes 20017 _ -- Tell us about your experience today and _ l6 Fauriilin, 1.98 enjoy a FREE COOKIE on your next order GL, 0 10; with a purchase of a sandwich. --------- Go to www.potbellylistens.com in the ~rJ6I a, SCh ps 9' 49 next three Your feedback - days to give us yo f dbac -- ---- -- -- - -- ----------- Survey number: Subtotal :07 1766 104 000 064 013 2 Y sales Tax (7.`8% -,-.0-;66 Bring back this receipt with LL Tot al 9.73validation code to redeem offer Validation code: "PAID! Turkey Breast Credit Tendo rod9 73 Tip 0 00 Extra Avocado 5.35 I Chips 1'10 _____ - ;- ,-- , � 1.30 }: Fountain Soda-Regular 2.15 IYIPPotbelly Perks 'Y -1.50 } ' Subtotal :. Order 1'ak B.40 f , Ii a Tota 1 Tax Dine in Total 0'62 ` � 9.02 .� �♦i'� � 4 .. •; PB App �. 9.02 J � K 6 _ a I IrrI �nt�rprise y a ( rh h RA 542232319 all0 Mitt Rental Di-APR-2018 06:40 PM I Einstein Bros Bagels {yxf 01-APR-2018 06:39 PM yM _<ttr;. sr DENVER INTL MPT Denver International Airport ( ��^� w �� Return 05-APR-2018 05:57 PM j 3100 Pena Blvd. ! �` ';�>„,�„ ;�3<:;:��>�: DENVER INTL ARPT Concourse C a AIMEE RICH 303-342-6670 ; 7800 Col. Weir Cook Memorial Or _ Indianapolis IN 46241 ' Vehicle #HW271527 I l Model ROGUE F2 #$5� I i Class Driven IFAR Class Charged CFM, OIF �E F/C #92 A Payment No.00045902 { J License# 77JDS030 State/Province CA Ticket No.020037 MIKms Driven. 224 04/06/20'1+ ; T/D #03 MfKms' Out . 18564 Host: Cashier 2 ID #161 MfKms In 18788 ORDER #$50 7:2:2 PV1 Cashier r � 21'I1 Entry Time 4/6/2018 (Fri) 15:36 Paid Time 4/7/2018 (Sat) 2:40 I Char es No Unit Price Amount t I.. -° I DAMA�E WAI 5.Days 27.99 139,95* 11:04 I FSO 1 Rental 33.98 33.98 Bagel 1 ,4�i l j Parking Time I T $M 1 Week 227,57 227,57* Peanut Butter 1 .50 Parking Fee Rate D $18.00 UNLIM MIKM 0 MIKms 0,00* Bottled Water 2. 1J } CUSTOMER FACILITY CHARGE 10,76* - i VISA i CONCESSION RECOVERY FEE 44.61* 0,00 5.'1f Account # *****************************17za_-... ROAD SAFETY PROGRAM FEE 18.46 Subtotal 12862 i � OWNERSHIP TAK x,000 Y 47 57 0.41 Slip # SALES TAK ®11.250 Y • Tax ; 008458 AUth Code $18.00 '' Total Charges USD 522.89 5 a '��''- CREDIT CARD AMOUNT T � G� �� i $0Deposit Visa 1774 Cash Amount .00 t •VIf:'A #XXXXXX;(XXXXX3234 5,`59 ___________________________________________` Amount Due USD 522.89 Auth:062121 Total $18.00 ; Thank you. Have a nice day! * Taxable Items (317) 487-5017 For Reservatons: 1.800•AENT•A-CAR t to Audit Thank You for Dining with us!! For comments@missionyogurt.coni ___ Cb.nn� I'1nGorj __- i i Circle Centre Mall ' Indianapolis, IN Circle Centre Mall Indianapolis, IN Fee Computer Number: Cashier: 119,..Id #119 Fee Computer Number: 12 Transaction Number: 608203" Cashier: 188 Id #188 Entered: 04/10/2018 08:46'; Transaction Number: 608006 Exited: 04/10/2018 17:14 Entered: 04/09/2018 08:06 Ticket #3182 Qispenser #42 Exited: 04/09/2018 19.01 Lot: World Wonders Ticket #3028 Dispenser #42 Area: Area 1. :a Rate: Lunch2017R Lot: World Wonders j Area: _ Area 1 Parking Fee: $ 18.00 Rate: Lunch2017R Total Fee: $ 18.00 18.00 ' Visa A $ 18.00 Parking Fee: $ Credit Card Number: ************1774 Total Fee: $ 18.00 '}Total Paid: $ 18.00 Visa A $ 18.00 Thank You Credit Card Number;: Total Paid: $ 18.00 Denison Parking Thank You Denison Parking Thank you for dining with P.F. Chang's China Bistro, #8400 317 974 5747 Server Timothy 04/10/2018 Thank you for dining with Table ; 1/9 12:00 PM r P,F• Chang's China Bistro, Guests 10 #8400 00 - 317 974 5747 Sprite 2 95 Server: Timothy DDB: 04/10/2018 Egg Dr( p Soup Cup 3.50 12:13 Table 21/9 04/10/2018 Edamami 5.50 /9 2/20017 Califo nia Roll 8.95 SALE i Subtoti 1 20.90 ! Elisa ;Tax 1,89 i 31457.39; Card #XXXXXXXXXXXX1774 Magnetic card present: RICH/AIMEE Total 22,79 1Card Entry Method: S 3 a 1 , i n c e Due 22 . 79 Approval: 090186 I .F. Chang's Rewards Members: Amount: $22.79 Dint forget to give your phone + Tip: lumber to your server to earn 61 f points for today's meal. x * * a * r = Total: Gratuity Not Included I agree to pay the above total amount according to the card issuer agreement.