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215090 12/04/2012
�\*f CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1 ONE CIVIC SQUARE BARBARA LAMB ` CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $2,733.00 CARMEL IN 46032 CHECK NUMBER: 215090 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 26421 00129R 1, 975 . 00 WELLNESS PROGRAM 1201 R4341980 26421 2275588 758 . 00 WELLNESS PROGRAM I / Regal Corporate Box OfficeReceipt https://www.corporateboxoffice.conr receipt.aspx?ordemumber-2275588 ®REGA Regal eMedia I ENIERTAINMEI,'r' 1N46 ®IAIB4 ti al S 7132 Regal Lane G R O U P tTl++>oesetes�` Knonville,TN 37918 e'l Phone 800.7848477 Fax 865-925-99,37 Emil CorporateBoxO flice @RagaIClnemas.com —CorporaleBoxCi ice com Order 2275588 Number Customer ID 301805 Order Date 1112712012 8:28:30 AM-CST Bill To: Ship To: Barbara Lamb Human Resources City of Carmel City of Carmel 943 Bimam Woods Trail One Civic Square Indianapolis,IN 48280 Camel,IN 48032 United Slates United States _ 317-W-8501 317-571-2485 ' Ipspelbnng@carmel ln.gov Coupon 2012 Holiday Direct Mail Campaign Coupon Description: DDoot�Ise----�'-- Pay ment CREDI'rCARD t name On Card:Barbara Lamb Method: Card Type: Card Number: ^'� Product Quantity Price Ext.Price Premiere Super Saver Ticket-PR Qty 50.2800 100 $7.50 $750.00 Perwnallze4 Neeeaps:Step By Step To we111es6 SubTotal: $750.00 Shipping: GROUND $8.00 Tax: $000 Payment Received: $758.00 Do you have your Regal Crown Club card?Not a Member?Join today at v—regfllgAs end start earning credits for free popcom,wit drinks,movies and morel P z DEL 3 2112 By 1 of 1 11/27/2012 9:28 AM Page 5 of 6 I 4;rans.l3ate0 PuM DZ11C0 1)c11 I gauuJO Amount c3 ('atuggi}r `i !i 11/27/12 11/27/12 RF"GAT.GIFI"CER"f1FICA'ITKNOXVILLLTN $ 758.00 Travel/Entertainment i i - — \v1is1)n;1 a Pavmcnt" \'nit\'N Dielwt" SECURE Have it question It's easy to find a new card design!Browse our collection of 1 about tit's pa,e? R^.:n 3 b Sec the 1����'"I'_V__atls ;v over 100 designs.G,ai Smrca 1_inil l_s_on Facchooh l ullu\e I,N on'f\3ithr • Pead Our 13-loo 17ucovcr Mobile Credit Cards • Cash tZcn<trd.s Card • Mlles Card • Small 13usiucs Card • All Credit Cards • Discoticr Acceptaucc • Accept Discover Cavil • Rcfcr a Merchant Cashback BonusMILES • 5,X,("ashi'm/,,Romis https://www.discovercard.com/cardmembersvcs/statements/app/ctd 12/3/2012 ro!)er Niort-- va i LA Foa~ #h t-- wawa you I i,1vc-- . 1217 S. RANGELINE RD.0 . 317-896-9818 a YOUR CASHIER WAS DAX KROGER PLUS CUSTOMER *******5906 MR TARGET $100 100.00 GB ***************7430 100.00 Binc MR TARGET $100 100.00 GB ****x**********7422 100.00 Blnc MR TARGET $100 100.00 GB ***************7919 100.00 Binc MR TARGET $100 100.00 GB ***************7999 100.00 Blnc MR TRGT PUP $50 50.00 GB ***************0632 50,00 Blnc MR TRGT PUP $50 50.00 GB ***************0640 50.00 Binc MR TRGT PUP $50 50.00 GB ***************0657 50.00 B1nc MR TRGT PUP $50 50.00 GB ***************0665 50.00 Blnc MR TRGT PUP $50 50.00 GB ***************0673 50.00 Binc MR TRGT PUP $50 50.00 GB ***************0681 50.00 Blnc MR TRGT PUP $50 50.00 GB ***************0699 50.00 Blnc MR TRGT PUP $50 50.00 GB ***************0707 50.00 Binc MR TRGT PUP $50 50.00 GB ***************0517 50,00 Binc MR TRGT PUP $50 50.00 GB ***************0525 50.00 Binc MR TRGT PUP $50 50.00 GB ***************0533 50,00 Binc MR TRGT PUP $50 50.00 GB ***************0591 50.00 Blnc MR TRGT PUP $50 50.00 GB ***************0558 50.00 Blnc MR TRGT PUP $25 25.00 GB ***************1929 25,00 Binc MR TRGT PUP $25 25.00 GB ***************1911 25.00 Binc MR TRGT PUP $25 25.00 GB ***************1903. 25.00 Binc MR TRGT PUP $25 25.00 GB ***************1895 25.00 Binc MR TRGT PUP $25 25.00 GB ***************1887 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1879 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1861 25.00 Blnc MR TRGT-,PUP $25 25.00 GB ***************1853 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1896 25.00 Binc MR TRGT PUP $25 25.00 GB ***************1838 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1531 25.00 Blnc MR TRGT PUP $50 50.00 GB ***************0566 50.00 Blnc MR TRGT PUP $25 25.00 GB ***************1549 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1523 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1515 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1507 25.00 Blnc MR TRGT PUP $25 25,00 GB ***************1999 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1481 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1973 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1965 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1957 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************2919 25,00 Blnc MR TRGT PUP $25 25.00 GB ***************5139 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************5352 25,00 Binc MR TRGT PUP $25 25.00 GB ***************5147 25.00 Blnc MR TRGT PUP $25 25.00 GB ***#***********5159 25,00 Blnc / MR TRGT PUP $25 25.00 GB ***************5162 25.00 Binc MR TRGT PUP $25 25.00 GB ***************1297 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************9320 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************4068 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0764 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0756 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************2922 25.00 Binc MR TRGT PUP $25 25.00 GB***************1550 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************1593 25,00 Blnc MR TRGT PUP $25 25.00 GB ***************1568 25.00 Blnc TAX 0.00 **** BALAN 11975.00 021 KS, RA #9 1217 S. RANGE R CARMEL IN 9 DISCOVER Pur se DEC 3 2012 *********** TOTAL: 1,975. 0 REF#: 00129R By 1,975.00 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 0 12101112 11 :29em 959 30 25 353 VOUCHER NO. WARRANT NO. ALLOWED 20 Lamb, Barb IN SUM OF $ $2,733.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26421 2275588 43-419.80 $758.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 26421 00129R 43-419.80 $1,975.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, December 03, 2012 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 11/27/12 2275588 Reimburse gift cards $758.00 12/01/12 00129R Reimburse Gift Cards $1,975.00 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 Clerk-Treasurer