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Home My WebLink About203131 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1 ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $14.10 CARMEL, INDIANA 46032 2713 HIGHLAND PLACE INDIANAPOLIS IN 46208 CHECK NUMBER: 203131 CHECK DATE: 10125/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4239039 14.10 GENERAL PROGRAM SUPPL Carme o Clay aFks&RecF ea Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 10/5/2011 AMAZON 82 -3 4239039 Supplies 11.94 Club Supplies Game 10/6/2011 KROGER 82 -3 4239039 Supplies 2.16 Club Supplies Ziplock Bags All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $14.10 Employee Name (print) Nikeesha Pittman Address 2713 Highland Place Check payable to: City, St, Zip A Indianapolis, IN 46208 j I�� Signature: Approved by: Date: 10/12/2011 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request OC 1 rNOODe k 'r Pr6 je More vem 1 ut-- f'or the Wft" 1-4®u 1. i vft 1217 S. RANGELINE RD. 317 846 -4818 YOUR CASHIER WAS S1 =LF CHECKOUT KROGER PLUS CUSTOMER *4857 2 1.08 KVLU SRGE BG 2.16 T TAX 0.15 BALANCE 2.31 *7313 REFU: 000000 PURCHASE; 2.31 CASHBACK; O.OJ TOTAL: 2.31 DEBIT 2.31 CHANG: 0.00 TOTAL NUMBER )F ITEMS SOLD 2 10/06/11 10:5Sam 959 83 28 999 October Fuel Points Now Redeem Fuel Points ,3t Kroger Fuel Centers 'orticipotin9 Shells! Redeem 100pts to save .10 per yal:_ Save up to $1 Per gal ,3t Kroger OR .10 Per 9o1 of Shell on 1 fill up. FUEL POINTS THIS ORDER a 2 FUEL POINTS THIS MONTH 2 Each month is a separate accumulation period. Previ3us and Current months Points do not combine. Highest unredeemed discount from last OR current month will apply, at pump. !o Adtl55333N 1 1N3W,NIOddtl vu Q U N ®fir "i n jxmmm A,• IS6UI/ eS JOJ aJa�4 )ID117 'ti t•ti� iti ti tip O ti ®7 O NO jiffylube TM APPOINTMENT I w NECESSARY I SIGNATURE SERVICE OF F R OIL CHANGE KRO959JAS With coupon. Offer a Iles to most cars. Coda: KR0660. Es p. 11.15.11. 1'270 SOUTH RANGELINE 0 ADVERTISE YOUR BUSINESS HERE I I I I I r t V g sso ss� ss� ss� s. ss� NO TM APPOINTMENT ji l u be NECESSARY SIGNATURE MM S! SERVICE H p C H ANGE 1 g RR095 Wlth cou an 9JA5 L Offer applies to most cars. Code: 1c 10660. Esp. 11.15.11. I I 1270 SO.,l1THJ ANGELINIE 1 2 0 r-JI MMEERN!,l0,11 .3 Pr- DIE S DU GREEN' �HEMICA1.s LTI A _5 5 CAR WAS H 5 N 5 5D 5 Y No 5 S WORKS INCLUDES:- SAVE $4! L Warm Water Wash Undercarriage 5 Clear Coat Polish Bath 5 Clear, Coat Sealer, i es.:Wheel- Bright, Rust Inhibitor *,Rain -X $Z Extra 5 5 431 E. Carftiel ®r Next to Fazolis 5 D rJ�rJ�rJrJ�r�rJ�rPd JflPr PLPd"L LPL 0 0 Order ID: 104-3028112-9451451 Thank you for buying from diskounters on Amazon Marketplace. Shipping Address: Order Date: Oct 5, 2011 Nikeesha Pittman Shipping Service: Standard 2713 HIGHLAND PL Buyer Name: Nikeesha INDIANAPOLIS, INDIANA 46208 -5122 Seller Name: diskounters Quantity Product Details 1 Trivial Pursuit Dvd For Kids [Toy] Merchant SKU: 48- Q2GF -VWLP 'ASIN: B000B74EI6 listing ID: 06251ASKJEJ Order -Item ID: 36074619627866 Condition: New Comments: CHECK TOTAL SHIPPED PRICE! DONT OVERPAY WITH SHIPPING! FACTORY NEW /SEALED! AUTHORIZED RESELLER! FULL WARRANTY! NOT A RE -WRAP! Shipped with delivery confirmation/tracking. Expedited takes 2 -6 business days, Standard takes 7 -14 business days (depending on zip code). UNBG02 Returning your item: Go to "Your Account" on Amazon.com, click "Your Orders" and then click the "seller profile" link for this order to get information about the return and refund policies that apply. Visit http: //www.amazon.com/returns to print a return shipping label. Please have your order ID ready. Thanks for buying on Amazon Marketplace. To provide feedback for the seller please visit www.amazon.com/feedback To contact the seller, please visit Amazon.com and click on "Your Account" at the top of any page. In Your Account, go to the "Orders" section and click on the link "Leave sellerfeedback Select the order or click on the 'View Order" button. Click on the "seller profile" under the appropriate product. On the lower right side of the page under "Seller Help click on "Contact this seller". Amazon.com Order 104 3028112- 9451451 Page 1 of 2 Today's Deals Gift Cards Help Free Amazon Apps for Mobile Shop by Hello, Nikeesha 0 Wish Department Your Amazon List Your Account Your Orders Order Summary When will your items arrive? Shipment #1 1 item delivery estimate: October 13, 2011 October 28, 2011 Order Placed: October 5, 2011 Amazon.com order number: 104 3028112- 9451451 Order Total: $11.94 Shipment #1: Ordered from diskounters C toblern with this order? Shipping estimate: October 6, 2011 October 7, 2011 4 Delivery estimate: October 13, 2011 October 28, 2011 1 package via USPS Trackyourpadwge ith tracking number 9101785091401268295877 For information about this order, please contact diskounters Learn more about diskounters's return and replacement policy. Shipping Address: Items Ordered Price Nikeesha Pittman 1 of: Trivial Pursuit Dvd For Kids [Toy] $6.45 2713 HIGHLAND PL Condition: New INDIANAPOLIS, INDIANA Sold by: diskounters seller profile 46208 -5122 United States Shipping Speed: Item(s) Subtotal: $6.45 Standard Shipping Shipping Handling: $5.49 Total Before Tax: $11.94 Sales Tax: $0.00 Total for This Shipment: $11.94 Your seller feedback about this order This order is not yet eligible for feedback. See all orders awaiting feedback Payment Information Need to print an invoice? Payment Method: Item(s) Subtotal: $6.45 MasterCard I Last digits: 7313 Shipping Handling: PP� 9 9: $5.49 Billing Address: Total Before Tax: $11.94 Nikeesha Pittman Estimated Tax To Be Collected: $0.00 2713 HIGHLAND PL INDIANAPOLIS, INDIANA 46208 -5122 United States Grand Total. $11.94 See tax and seller information Get to Know Us Make Money with Us Let Us Help You Careers Sell on Amazon Your Account Investor Relations Become an Affiliate Shipping Rates Policies Press Releases Advertise Your Products Amazon Prime Amazon and Our Planet Self- publish with Us Returns Are Easy Amazon in the Community See all Manage Your Kindle Help amazon.com Canada China France Germany Italy Japan Spain United Kingdom https: /www.amazon.com/gp /css /summary/ edit. html /ref'- ?ie= UTF8 &orderID= 104 -3... 10/6/2011 W OOTEA Cwt PP't� B� r MYore vt� 1 ue f'ar t Ftie w45 y aou I. i ve 1217 S. .RANGELINE IRD. 317- 846 -4818 YOUR CAS'4IER WAS SELF CHECKOUT KROGER PLUS CUSTOMER *4857 2 @1 08 KVLU 3RGE BG 2.16 T TAX 0.15 BALAN:E 2.31 *7313 REFU: 000000 PURCHASE: 2.31 CASHBACK: O.OJ TOTAL: 2.31 DEBIT 2.31 CHANG= 0.00 TOTAL NUMBER JF ITEMS SOLD 2 10/06/11 10:55am 959 83 28 999 xxxxxxxxxxxxxKxxxxxxxxxxxxxxxxxxxxxxxx October Fuel Points Now Redeem Fuel Points at Kroger Fuel Centers 'oriiciPoting Shells! Redeem 100pts to save .10 per gal. Save up to $1 per gal at Kroger OR ,10 Per gal nt Shell on 1 fill up. FUEL POINTS THIS ORDER 2 FUEL POINTS THIS MONTH e 2 Each month is a separate accumulation Period. PreviDus and Current months Points do not combine. Highest unredeemed discount from last OR current month will apply at pump. This months Doints expire 11/30/11. See Store fog Details Restrictions Or Visit www.kroger.com *SEE WHAT YOU ARE SAVING TODAY* BY USING YOUR KROGER PLUS CARD,YOUR ANNUAL SAVINGS TO DATE IS $202:58 THANK YOU FOR SHOPPING KROGER CUSTOMER SERVICE IS EVERYONE'S JOB. LET ME KNOW HOW WE ARE DOING. JILL WILLIAMS, MANAGER Amazon.com Order 104 3028112- 9451451 Page 1 of 2 Today's Deals Gift Cards Help Free Amazon Apps for Mobile Shop by Hello, Nikeesha 0 Wish Department Your Amazon List Your Account Your Orders Order Summary When will your items arrive? Shipment #1 1 item delivery estimate: October 13, 2011 October 28, 2011 Order Placed: October 5, 2011 Amazon.com order number: 104- 3028112- 9451451 Order Total: $11.94 Shipment #1: Ordered from diskounters Problem with this order?y Shipping estimate:October 6, 2011 October 7, 2011 %4 Delivery estimate: October 13, 2011 October 28, 2011 1 package via USPS EO,ackager vvith tracking number 9101785091401268295877 For information about this order, please contact diskounters Learn more about diskounters's return and replacement policy. Shipping Address: Items Ordered Price Nikeesha Pittman 1 of: Trivial Pursuit Dvd For Kids [Toy] $6.45 2713 HIGHLAND PL condition: New INDIANAPOLIS, INDIANA Sold by: diskounters seller profile 46208 -5122 United States Shipping Speed: Item(s) Subtotal: $6.45 Standard Shipping Shipping &Handling: $5.49 Total Before Tax: $11.94 Sales Tax: $0.00 Total for This Shipment:$11.94 Your seller feedback about this order This order is not yet eligible for feedback. See all orders awaiting feedback Payment Information Need to print an invoice Payment Method: Items) Subtotal: .$6.45 MasterCard I Last digits: 7313 Shipping &Handling: $5.49 Billing Address: Total Before Tax: $11.94 Nikeesha Pittman Estimated Tax To Be Collected: $0.00 2713 HIGHLAND PL INDIANAPOLIS, INDIANA 46208 -5122 United States Grand Total: $11.94 See tax and seller information Get to Know Us Make Money with Us Let Us Help You Careers Sell on Amazon Your Account Investor Relations Become an Affiliate Shipping Rates Policies Press Releases Advertise Your Products Amazon Prime Amazon and Our Planet Self pubfish with Us Retums Are Easy Amazon in the Community See all Manage Your Kindle Help amaz, on.com Canada China France Germany Italy Japan Spain United Kingdom https: /www.amazon.com/gp /css /summary/ edit. htm l /ref- 1 ?ie= UTF8 &orderID= 104 -3... 10/6/2011 Order ID: 104 3028112 9451451 Thank you for buying from diskounters on Amazon Marketplace. Shipping Address: Order Date: Oct 5, 2011 Nikeesha Pittman Shipping Service: Standard 2713 HIGHLAND PL Buyer Name: Nikeesha INDIANAPOLIS, INDIANA 46208 -5122 Seller Name: diskounters Quantity Product Details 1 Trivial Pursuit Dvd For Kids [Toy] Merchant SKU: 48- Q2GF -VWLP ASIN: B000674EI6 1 rJsting ID: 06251ASKJEJ T' Order -item ID: 36074619627866 Condition: New Comments: CHECK TOTAL SHIPPED PRICE! DONT OVERPAY WITH SHIPPING! FACTORY NEW /SEALED! AUTHORIZED RESELLER! FULL WARRANTY! NOT A RE -WRAP! Shipped with delivery confirmation/tracking. Expedited takes 2-6 business days, Standard takes 7 -14 business days (depending on zip code). UNBG02 Returning your item: Go to "Your Account" on Amazon.com, click "Your Orders" and then click the "seller profile" link for this order to get information about the return and refund policies that apply. Visit htto Wwww.amazon.com/returns to print a return shipping label. Please have your order ID ready. Thanks for buying on Amazon Marketplace. To provide feedback for the seller please visit www.amazon.com/feedback To contact the seller, please visit Amazon.com and click on "Your Account" at the top of any page. In Your Account, go to the "Orders" section and click on the link "Leave seller Select the order or click on the 'View Order" button. Click on the "seller profile" under the appropriate product. On the lower right side of the page under "Seller Help dick on "Contact this seller". 1 b 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. 359461 Pittman, Nikeesha Terms 2713 Highland Place Date Due Indianapolis, IN 46208 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10112/11 Reimb Supplies 14.10 Mileage 5/2 5/27/11 Total 14.10 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 1 20 Clerk- Treasurer i Voucher No. Warrant No. 359461 Pittman, Nikeesha Allowed 20 2713 Highland Place Indianapolis, IN 46208 In Sum of 14.10 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -3 Reimb 4239039 14.10 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 20 -Oct 2011 Signature 14.10 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund