329050 08/22/18 aY 4 CITY OF CARMEL, INDIANA VENDOR: 00350224
is® 't. ONE CIVIC SQUARE NANCY HECK CHECK AMOUNT: $********36.94*
r. ?� CARMEL, INDIANA 46032 CHECK NUMBER: 329050
9'�troN CHECK DATE: 08/22/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359025 36.94 ARTS DISTRICT FESTIVA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350224 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NANCY HECK IN SUM OF$ CITY OF CARMEL
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
. S C,A,
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
RECEIPT 43-590.25 $11.99 1 hereby certify that the attached invoice(s),or 7/22/18 RECEIPT $11.99
1203 854 1203 854
RECEIPT 43-590.25 $ bill(s) is(are)true and correct and that the 7/22/18 RECEIPT $28.04
1203 854 materials or services itemized thereon for 1203 854
which charge is made were ordered and
received except
Wednesday,August 22,2018
Heck, Nancy
Director
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EMPLOYEE REIMBURSEMENT
Sales tax is not reimbursable
NAME: Nancy S. Heck
ADDRESS: 1326 Cool Creek Drive Carmel, IN 46033
TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAGE:$ q O• O3
PURPOSE OF EXPENSE:
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
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7/22/2018 10:20:25 AM
Order Number: 2355361
Circle K 2368
545 S RANGE LINE RD
CARMEL, IN 46032-2140
(317) 574-1021
':.gister:2 Gregg-W-287854
5 LG BAG ICE 20 22 25 LB $24.95
MONST ULTRA VIOLET 16OZ $2.89
Sub. Total : $27.84
Tax: $0.20
Total: $28.04
Discount Total : $0.00
-- TOTAL $2.0 . 04
VISA: $28.04
Clhanue -sq. 00
VISA
Card Num : XXXX XXXX. XXXX 2481
CustomerName:
Approval : 022162 *
Invoice #. 186205 S—
Signature:
TO THE AGREEMENT WITH THE CARD ISSUER \
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From:AI Boulanger via Square<receipts@messaging.squareup.com>
To:nhecklaw<nhecklaw@aol_com>
Subject:Receipt from AI Boulanger
Date:Sun,Jul 22,201812:14 pm
Square automatically sends receipts to the email address you used at any Square seller_Learn more
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Al Boulanger
405 Karen Dr
Pittsboro, IN 46167-8970
Tisa 2481 (Swipe) Jul 22 2018 at 12:10 PM
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NANCY S HECK Auth code:022701
@ 2018 Square,Inc.
1455 Market Street,Suite 600
San Francisco,CA 94103
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