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HomeMy WebLinkAbout332371 11/16/18 Cqq '' CITY OF CARMEL, INDIANA VENDOR: 368201 ONE CIVIC SQUARE LISA MOTZ CHECK AMOUNT: $*****1,034.46* �'� CARMEL, INDIANA 46032 8675 LUANN ST CHECK NUMBER: 332371 9�.__la' NOBLESVILLE IN 46062 CHECK DATE: 11/16/18 ITON GO' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4239012 REIMB 240.00 SAFETY SUPPLIES 1192 4351000 REIMB 110.48 AUTO REPAIR & MAINTEN 1192 4351100 REIMB 364.00 CAR CLEANING 1192 4355100 REIMB 319.98 PROMOTIONAL FUNDS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368201 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER LISA MOTZ IN SUM OF$ CITY OF CARMEL 8675 LUAN N ST 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. NOBLESVILLE, IN 46062 Payee $1,034.46 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 2296419 42-390.12 $240.00 I hereby certify that the attached invoice(s),or 11/5/18 2296419 25 pairs of socks for employees $240.00 1192 101 1192 101 SUCQ146753 43-510.00 $110.48 bill(s)is(are)true and correct and that the 11/6/18 SUCQ146753 Oil change and replace cabin filter on Vehicle $110.48 1192 101- materials or services itemized thereon for 1192 1 101 1 #7 Kass 645739555 43-551.00 $69.98 11/10/18 645739555 Flowers for Ashley Ulbricht's father funeral $69.98 1192 101 which charge is made were ordered and 1192 101 031-TTT2 43-511.00 $364.00 received except 11/11/18 031-TTT2 Car washes for inspector vehicles $364.00 1192 101 1192 101 46940 43-551.00 $250.00 11/13/18 46940 25 promotional gifts $250.00 1192 101 1192 1 101 Tuesday, November 13,2018 Mike Hollibaugh 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 HCrew CARWASHo iW 1'S1iy eV: Crew Carwash 031 17115 Mercantile Blvd ------------------------------ 031-TTT2 11/11/2018, 11:21 AM, Shift 1 Empl 600239, Sale* 60980351324 -------------------------------- Cwsh Big Book (Scud) 364.00 Credit Card:CREDIT CARD Subtotal 364.00 Sales Tax 0.00 Total 364.00 Visa x9345 364.00 (Sale Appr H 04321D:204518) (Merchant k 191791) ------------------------------ Refund notification Bombas <hello@bombas.com> Mon 11/5/2018, 12:15 PM To:lisamotz@hotmail.com <lisamotz@hotmail.com> OP * ' B MBA S MEN WOMEN KIDS YOU HAVE RECEIVED A REFUND ORDER #2296419 Total amount refunded:'$16.75 USD (46,X66-) ITEMS IN THIS SHIPMENT Men's Solids Calf $12.00 4 1 Sock x 1 white marble / I Women's Originals Calf $12.00 Sock x 1 �l light grey / m Men's Solids Calf $12.00 Sock x 1 grey / I Men's Solids Calf $12.00 Sock x 1 lapis / I Men's Solids Calf $12.00 Sock x 1 navy / I Men's Solids Calf $12.00 Sock x 1 dark charcoal heather / I Men's Solids Calf $12.00 Sock x 1 black / I Men's Vintage Stripe $12.00 Calf Socks x 1 evergreen / I Men's Vintage Stripe $12.00 Calf Socks x 1 light charcoal red / I "r Men's Vintage Stripe $12.00 Calf Socks x 1 navy chambray grey / I Men's Vintage Stripe $12.00 Calf Socks x 1 light charcoal lapis / I Men's Vintage Stripe $12.00 Calf Socks x 1 denim lemon / I Men's Tri-Block Calf $12.00 Socks x 1 navy / I Men's Tri-Block Calf $12.00 Socks x 1 triple grey / I Men's Tri-Block Calf $12.00 Socks x 1 grey / I Women's Classic Marls $12.00 Calf x 1 navy cream / m Women's Classic Marls $12.00 Calf x 1 marled charcoal / m Women's Classic Marls $12.00 Calf x 1 marled chocolate / m Women's Classic Marls $12.00 Calf x 1 marled navy / m Women's Classic Marls $12.00 Calf x 1 marled light charcoal / m Women's Marls Calf x 1 $12.00 marled mint / m Women's Marls Calf x 1 $12.00 marled tangerine / m Women's Marls Calf X 1 $12.00 marled brick / m Women's Marls Calf X 1 $12.00 marled electric purple / m Women's Marls Calf x 1 $12.00 marled violet / m Discount (COMFORT20) $-60.00 SUBTOTAL $240.00 SHIPPING $0.00 IN STATE TAX $16.75 TOTAL $256.75 REFUND - $256.75 Visa (ending in 9345) $256.75 Refund $16.75 Braintree Refund $16.75 SUN KING - CARMEL PH#(317)843-6250 351 Monon Blvd Table # 3793 Check # 46940 Person # 1 ---------------------------------------- Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10,00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00, Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10,00 Open $ GC 46940 1 10.00 Open $'GC 46940 1 10.00 Open $ GC 45940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10,00 Open $ GC 46940 1 10.00 Open $ GC 46940 1 10.00 ---------------------------------------- SUB-TOTAL 0.00 TOTAL 250 .00 ------------------------- Number of Payments: 26 Type: Visa XXXXXXXXXXXX9345 Amount: 250.00 Thank you for your order Legacy.com <noreply@alerts.legacy.com> Sat 11/10/2018, 10:51 AM To:lisamotz@hotmail.com <lisamotz@hotmail.com> Legacy.co m Dear Lisa Motz Thank You For Your Order Your Order Number is: P0645739555-BLM6109692 H f *YYy1 1 � Classic Peace Lily Plant Card Message Your friends in DOCS I Order Details Ordered On 11/10/2018 Earl L. Ulbricht Classic Peace Lily Plant Delivery Info Order#: P0645739555-BLM6109692 Earl Ulbricht 3718 South Michigan Street South Bend, IN Item Price $49.99 46614 Quantity 1 Subtotal $49.99 Billing Info Service Fee $19.99 Lisa Motz Tax $0.00 lisamotz@hotmail.com 8675 Luann Street Noblesville, IN 46062 Order Total Payment Info Visa Scheduled Delivery Last 4 digits: 11/10/2018 Other Ways to Remember Earl L. Ulbricht View Obituary Sign the Cuestbook What's Next? Your order is being sent to a local florist in your area. You will receive an email from Blooms Today with your order and delivery details. Your credit card statement will show TO O 3300 EAST 96TH STREET SUBARU INDIANAPOLIS, IN 46240 TELEPHONE (317) 805-7775 Schedule Your Service 24/7 TomWoodSubaru.com 11111111111111111111111111 HIM 111111111111111111111111111111111111111111111111111 1401ISUCQ146753 CUSTOMER NO. TAG NO. INV L CITY OF CARMEL LABOR=ENSE NO. MILEAGE 21,067 ZV4611ORWHIT K L tMONO. 1 CIVIC SQ CARMEL, IN 46032-2584 /SUAmTVX/F0RESTER74DR 2.5! AT PZEV DEL _ DELIVERY MILES VAICE I.OES j A C 2 F H 5 3 7 8 5 6 SELLING DEALER NO. PRODUCTION DATE whohlt@carmel.in.gov F.T.E.NO. P.O.NO. R. E06/18 RESIDENCE PHONE B EIS S — COMMENTS MOs 21067 LABOR & PARTS---- ---------------------------------------------------------- �J#;,1045UZ00 ,.,,..<�;�:_,�<._EXPRESS>•_OIL.,CIiANGEµ.,,.`'., . �,.x,`.� �,TEg (S):224`w�...�.5»w;,,:�.._.,,_.�� ._ _�..,.,_.1S..:OO.'i ' CUSTOMER REQUESTS LUBE, OIL, AND FILTER CHANGE. DISCLAIMER OFWARRANTIES TOP. OFF FLUIDS Any warranties on the products sold hereby are those ADJUST TIRE'PRESSURE made by the manufaoturer..The Seller,TOM WOOD TEST BATTERY COMPLETED LUBE, OIL, AND FILTER.CHANGE SUBARU,hereby expressly disclaims all warranties, TESTED BATTERY either express or implied, including any implied TOPPED OFF ALL FLUIDS warranty of merchantability or fitness for a particular ADJUSTED TIRE PRESSURES, COMPLETED WORLDCLASS INSPECTION purpose.TOM WOOD SUBARU,`neither assumes nor PARTS----,--QTY __-FP-,NUMBER-.-.7.- D 'authorizes any other person to assume for:it any liability JOB # I 1'. . 1S208AA15A OILCFILTERNC ', ---------- UNIT PRICE-- JOB 6.7 1 in.connection-with the sale of said"products.Ihereby JOB" # 1 1, 803916010 GASKET 1.'68 1.68 agree to pay.,TOM WOOD SUBARU,'attorney's fees JOB # 1 6 SOA635045 SYNTHETIC OW, 6.88 41.28 if collection hereof becomes necessary. JOB # 1 TOTAL PARTS 49.66 JOB # 1 TOTAL "LABOR & PARTS 64.66 -------------------------------------------------------- - _ R _ tJ# 2.,0_4SUZDECROTATE .15REINEDROTATION' GUEST PASSED ON TIRE ROTATION _ GUEST PASSED ON TIRE ROTATION ..PASSED X PARTS-----„-QTY---FP-NUMBER-- DESCRIPTION------- UNIT PRICE JOB # 2 TOTAL PARTS 0:00 JOB # 2 TOTAL LABOR & PARTS 0.00 ” SlIZ5fSI1dSF_. _-]EXPRESSZMULTI POIN7 v: ,a RyTEGH(S.) CUSTOMER REQUESTS SUBARU EXPRESS MULTI-POINT INSPECTION TO BE PERFORMED. ._ PERFORMED FREE MULTI-POINT INSPECTION PARTS------QTY---FP.-NUMBER----------- = DESCRIPTION--------------------UNIT PRICE JOB #. 3-TOTAL PARTS 0.00 JOB # 3,TOTAL LABOR & PARTS: 0.00 o eJ#4f09SIJZCAB.IN EXPRESS U16IN FI. TER , .v _ TEG((S)b.22Qw.� ..: � , ry 15.,.00 :. CUSTOMER REQUESTS."WE REPLACE CABIN FILTER , REPLACED.CABIN .FILTER PARTS- QTY---FP-NUMBER----- --"---DESCRIPTION---------------------UNIT•PRICE JOB # 4 .1 7288OF0000 FILTER 23:32 23.32 w JOB # 4 TOTAL PARTS 23.32 o ; JOB # 4 TOTAL LABOR & PARTS 38.32 s --------=--------------- - - °-------------------- -------------------------- '- ----- --=- Qz MISC------CODE--------DESCRIPTION=---`---- ---------- ,- ------CONTROL NO----- -- JOB- # A SS- ECO-FRIENDLY"FEE: 1.50 �^ JOB # A SS `'SHOP SUPPLIES AND DISPOSAL FEES.. 4.50 JOB # 1 EFS ENVIRONMENTAL DISPOSAL SUBARU 1.50. • PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 09:55am TWS-4020 TOM WOOD 3300 EAST 96TH STREET INDIANAPOLIS, IN 46240 SUBARU TELEPHONE (317) 805-7775 Schedule Your Service 24/7 Tb mW®OdSubarumc®am 1401ISUCQ146753 CUSTOMER N0. 180071 TAG NO. INV CITY OF CARMEL. LABOR RATELICENSE NO. MILEAGE , R N0. 1 CIVIC SQ CARMEL, IN 46032-2584 DEaVUH114 DELIVERY MILES vilicki.06S j A A C Z F H b 3 1 d b b SELLING DEALER NO. PRODUCTION DATE whohlt@carmel.in.gov F.T.E.NO. P.O.NO. R. RESIDENCE PHONE —r31E11s-iS'7A-2418COMMENTS , DISCLAIMER OF WARRANTIES ESTIMATE----= --------------------------------------------------------------' CUSTOMER HEREBY ACKNOWLEDGES RECEIVING' Any warranties on the products sold hereby are those ORIGINAL ESTIMATE OF $69.64 '(+TAX) made by the manufacturer.The Seller,TOM WOOD TOTALS----------- - -------------------------- -------------------------=--- ------- -------- - SUBARU, hereby expressly disclaims all warranties, THANK YOU FOR CHOOSING TOM'WOOD.SUBARU 'AS THE PLACE TO HAVE TOTAL LABOR..: 30.00 either express or.implied, including any implied YOUR VEHICLE SERVICED. ,IF FOR ANY REASON WE DID NOT GIVE YOU TOTAL PARTS. .. '72.98 warranty of merchantability or fitness fora particular TRULY.EXCEPTIONAL SERVICE, .PLEASE CALL',.TW SUBARU SERVICE MGR TOTAL SUBLET... 0.00. JERRY WILLIAMS OFFICE':3,17 705 7024 TOTAL G.O.G.:;.. 0.00 purpose.TOM:WOOD'SUBARU,neither assumes nor TOTAL MISC CHG. QQQ7.�50r � authorizes anyotFepersdntoassumeor ;fitanyliability' In connection with the sale of said products:I hereby TOTAL MISC DISC ' - --1 agree to pay TOM WOOD SUBARU,,attorney's fees TOTAL TAX 5.1 TOTAL INVOICE $ 115:59 if collection hereof becomes necessary.. Request an insurance reviewfromone. of'our onsite agents. - You may discover some gaps—in.,your coverage or identify some opportunities for savings. , Call Integrity Insurance,_,A Tom Wood'Company at 317-805-5581 X CUSTOMER SIGNATURE', r h J M PAGE 2 OF 2 CUSTOMER COPY [ END OF INVOICE ] 09:55am TWS-4020 11/6/2018 Tom Wood Subaru Receipt IMMMORMSURTMccount Transaction Results US u �SS 3230 E 96th St Indianapolis, IN 4,6240 Phone# 888-875-3617 Status: approved Transaction ID: 031-0164974717 Transaction Details Date: 11-06-2018 07:13 PST Transaction Type: sale Amount: UYINUUMP Card Type: Visa Account Number: xxxxxxxx-9345 Name: lisa motz Authcode: 00723D Customer#: 1800071 RO #: 146753 Customer Signature X https://vault.trustcommerce.com/trans-result.php?transid=031-0164974717&returnURL=vt.php&returnName=Virtual+Terminal&nosig=n&status=appro... 1/1 CHASE ! Printed from Chase Personal Online Amazon (...9345) Current balance Available credit Amazon Prime Rewards Next payment due Minimum payment due Remaining statement balance Nov 22, 2018 $0.00 $0.00 Automatic payment is Off. PENDING (5) Pending charges $437.46 Date Description Amount Nov 13,2018 SUN KING CARMEL Nov 12,2018 AMZN Mktp US $22.80 ----------------------------------------------------------------------------------------------------------------------------- Dick'sSportingGoods.com $42.70 ----------------------------------------------------------------------------------------------------------------------------- Dick'sSportingGoods.com _ $73.82 Nov 10,2018 AMZN Mktp US $48.14 SHOWING Activity since last statement Date Description Type Amount Nov 11, 2018 CREWCARWASH 31 Sale Nov 10,2018 SP*SIMPLE GOODNESS S Sale $102.72 ---------------------------------------------------------------------------------------------------------------------------- BOMBAS LLC Sale $157.29 ---------------------------------------------------------------------------------------------------------------------------- FLOWERS BY LEGACY Sale Imm ---------------------------------------------------------------------------------------------------------------------------- BOMBAS LLC Sale $54.45 Nov 6, 2018 TOM WOOD SUBARA Sale Nov 5,2018 BOMBAS LLC Return A` .0011111111111 Nov 4, 2018 BOMBAS LLC Sale Nov 3, 2018 Payment Thank You-Web Payment —$890.43 Oct 30,2018 VINEYARD VINES Sale $113.42 JPMorgan Chase Bank,N.A.Member FDIC ©2018 JPMorgan Chase&Co. Equal Opportunity Lender it