167109 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: T362297 Page 1 of 1
ONE CIVIC SQUARE JAMES KELB
CARMEL, INDIANA 46032 CHECK AMOUNT: $36.00
5179 BRIARWOOD TRAIL
CARMEL IN 46033 CHECK NUMBER: 167109
CHECK DATE: 12/17/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 36.00 REFUNDS AWARDS INDE
..z
"r xi s:'. •°°e, a..... f a'P@'s
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: n0- C, 15 ang
Check payable to:
Name: j p,M S V-� E L-13
Address: 5 1 79 [31 12W oob T12 U
City, State, Zip CAP M LLB (M 40033
V Mail check to payee Return check to requestor
Check Amount 3 (o W Date Required
Check needed for For QVerd l Ch0.rG}t� due-
c
�o our A U� Of-10 tCd In
To be paid from
PO (if applicable) N A
Budget account GL 104 L} 356 c)c
Budget Line Description RE FU I IDS
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): P AULA SCH LAM I CV
I
Requested by (signature): POI P a ANTI P /Wuni J
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared Forms Business Service Forms Check Request
DEC 5 200
7Y -o9
NadonM j
NATIONAL CITY BANK
101 W. WASHINGTON STREET
INDIANAPOLIS, IN 46255
—JAMES KELB,AND /OR
DON EDWIN KELB
5179 BRIARWOOD TRL
CARMEL IN 46033
11120/08
Overdraft Non- Sufficlanf IFtinds Notirp
On 11/20/08, there was not enough money in your National City checking account 977009150
to cover the debit items we received that day. We tool; the following action:
Debit Item(s)
Received Action National Cif Fee
$20.00 PAID /ACCT OVERDRAWN $36.00 CHARGED
As a result, the final available balance* in your account after posting was $52.70
A deposit to your account may be required to avc:id incurring future fees. If an account
is overdrawn and remains so for more than 3 consecutive days, a $8.00 continuous
overdraft fpp will he charged mach day that it is still overdrawn.
National City offers several ways to protect your account from overdrafts or non sufficient funds.
For more information about overdraft protection options, or if you have any questions about this
notice, contact your National City branch or call our customer service center at 1 -800- 774 -2424
Thank you for choosing National City.
Returned: As a result of the non sufficient funds (NSF), debit item was returned unpaid to the merchant or payee.
Paid /Ac ct. Qverdrawn: Debit item was paid and charged to the account. This action caused the account to be overdrawn.
'Available balance This is the total balance in your account less deposited funds not yet available for your use, pending
debit card transactions, and holds placed on your account. if you have overdraft protection, funds available through
overdraft protection are also included in this amount.
Branch: 375
Region: 60
National City Online Banking Page 1 of 6
PRIN'r CLOSE WINDOW
View Account Activity
To print this page, select the print button above.
Date: 11/24/2008
Account: Checking...
Current Balance: $52.70
Available Balance: $52.10
Includes amounts .,.atlabie. through oveid!'aft pro?eotion, if applicable Check Image
DATE DESCRIPTION TYPE DEBIT( CREDIT( RUNNING
BAtANCE'
f PENDING ITEMS
No pending transactions for this account.
POSTEDITEMS
11/20/2008 NON NATIONAL CITY ATM Debit $12.00
ACTIVITY F ($52.70}
CARMEL CLAY PARKS,
1112012008 CARMEL, IN Debit $20.00 ($40.70)
NC CHECKCARU I RAMS.
11/20/2008 OVERDRAFT CHARGE Debit $36.00 ($20.7 -0)
11/05/2008 CHECK 1170!' $531.00
$$.30
ONLINE TRANSFER FROM
I 11/05/2008 CHECKING Xfer $300.00 $56.30
762734708
NON -NC ATM CASH
11/04/2008 WITHDRAWAL Debit $42.00 $246.30
14091 TRADE CENTER,
FISHERS,IN
11/03/2008 CHECK 3001! $150 $288.30 If
NOWNC ATM CASH
11/03/2008 WITHDRAWAL 1217
Debit $2275
1217 S. RANGELINE, $291.80':
CARMEL,IN
NON -NC ATM CASH
11/03/2008 WITHDRAWAL Debit $32.00
1789 E 10TH ST., $314.55
BLOOMINGTON,IN
NAT CITY ATM CASH
11/03/2008 WITHDRAWAL Debit $40.00
21 N. RANGELINE RD, $346.55
CARMELIN
10/31/2008 NAT CITY ATM CASH Debit $40.00 $386.55
WITHDRAWAL
littps: /on linebanking. iiationalcity.com /OLB /secure /AccountActivityPrint. aspx ?AE= zxaD... 11/24/2008
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.
t
ti Payee
Purchase Order No.
Kelb, James Terms
5179 Briarwood Trl Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/15/08 Reimb Overdraft charge due to our ACH debited in error 36.00
Total 36.00
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.
Kelb, James Allowed 20
5179 Briarwood Trl
Carmel, IN 46033
In Sum of
36.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 Reimb 4358400 36.00 1 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
15 -Dec 2008
Signature
36.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund