186904 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361255 Page 1 of 1
ONE CIVIC SQUARE CARRIE KEAVENEY
0 CARMEL, INDIANA 46032 13789 FIELDSHIRE TERRACE CHECK AMOUNT: $402.28
WESTFIELD IN 46074
CHECK NUMBER: 186904
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4238000 402.28 SMALL TOOLS MINOR E
WHITE AGE HARDWARE
731 S. RANGELINE RD
CARPEL, IN.
5434188 TUBULAR HANGER WHT 2.99
30205 DURACELL ALKLN 9V 2 6.87
5434188 TUBULAR HANGER WHT 2.99
*4C PIPE, TUBING 25.00
SUBTOTAL 37.85
TAX01-
TOTAL 40.50
BANK CARD 40.50
C THAHK -YOU
YBR 05/28/10 2:44PH #35906885 22
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
po ;z 3573
5/19/2010 Recreonics 1094 4238000 Small Tools Minor Equip $364.43 pool vac cartridges hose
Waterpark umbrella and
5 Z� 1(' White's Ace Hardware 1094 4238000 Small Tools Minor Equip 49 5fr- tools
All receipts should be attached in the same order as listed above. D�
No sales tax will be reimbursed. TOTAL: 3 7c 'at r r i F
Employee Name (print) Carrie Keaveney J 20
Address 13789 Fieldshire Terrace 27:
Check
payable to: City, St, Zip Westfield, IN 46074
Signature: Approved b
Date: 1 0 Date: Z
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative \Forms\Staff Forms\Empioyee Exp Reimb Request
Carrie Keaveney
From: aquatics @recreonics.com
Sent: Wednesday, May 19, 2010 4:29 PM
To: Carrie Keaveney
Subject: Your Order WEB28600 with recreonics.com
Dear Carrie Keaveney,
Thank you for shopping recreonics.com.
Your invoice number for this order is WEB28600. Please retain this invoice number for reference information.
Most items on our website are in stock and can ship out in 2 -3 working days. However, some items on our
website are drop shipped from other sources and /or may be fabricated upon order placement. These items
may have lead times from 1 to 8 weeks. Orders f or items in stock requested to ship either next day or second
day air service will be shipped if the order is received by 10:00 AM EST. During the high order volume months
of May, June and July order may take longer to process.
Most orders will qualify for the $7.90 flat shipping charge, however some items due to their shipping
dimensions, weight, hazmat, expedited freight request (any service other than standard ground UPS), orders
outside the contiguous 48 states, will requir e additional freight charges over and above the $7.90. In these
cases a sales consultant will be in contact within 3 working day to advise of the additional shipping charges
and other details. Certain freight restrictions apply, i.e., web site pricing, c redit card required. Special flat rate
web shipping of $7.90 is not available on sale items. All prices are F.O.B. Origin (freight is additional).
State sales tax may be applicable on some items purchased.
You have ordered the following:
Qty Description Unit Amount
2 (25 -013) 155 sq ft Unicel Cartridge $124.55 $249.10
fits Harmsco 155 Filter
1 (10 -422) Heavy -Duty Vacuum Hose 2 in $115.33 $115.33
x 50 ft length
Subtotal: $364.43
Total: $364.43
Order placed at: Wed May 19 20:29:29 2010
We will ship to:
Carrie Keaveney
1235 Central Park Drive East
Carmel, IN 46032
United States of America
E -mail: ckeaveney @carmelclayparks.com
We will bill to:
Carrie Keaveney
13789 Fieldshire Terrace
Westfield, IN 46074
United States of America
Payment Information: Credit Card
Card Type: Visa
Card Number: xxxxxxxxxxxx5591
Card Expire:xx /xx
Purchase Order Number:
Shipping Method: UPSNDA
Email: ckeaveney@carmelclayparks.com
Ship -To Location Is: Commercial
DayTime Phone Number: 317 -573 -5250
Fax Number: 317 573 -5254
Recreonics Account Number:
Thank you again for your order.
2
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
361255 Keaveney, Carrie Terms
13789 Fieldshire Terrace
Westfield, In 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5119110 Reimb Recreonics pool vac cartridges hose 23573 364.43
5!28110 Reimb Waterpark umbrella tools 37.85
Total 402.28
1 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_
Clerk- Treasurer
Voucher No. Warrant No.
361255 Keaveney, Carrie Allowed 20
13789 Fieldshire Terrace
Westfield, In 46074
In Sum of
402.28
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 Reimb 42 38000 364.43 1 hereby certify that the attached invoice(s), or
1094 Reimb 4238000 37.85 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
17 -Jun 2010
Signature
402.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund