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Home My WebLink About216029 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00352832 Page 1 of 1 ONE CIVIC SQUARE FIFTH THIRD BANK CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2798 CHECK AMOUNT: $6,046.00 PO BOX 740523 CHECK NUMBER: 216029 CINCINNATI OH 45274-0523 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343007 2798 763 .20 FIELD TRIPS 1081 4357004 2798 4, 875 . 00 EXTERNAL INSTRUCT FEE 1125 R4355300 29274 2798 244 . 00 P-CARD CHARGES 1125 R4343000 29277 2798 163 . 80 HOTEL FEES Fifth Third Bank ACCOUNT NUMBERXXXX XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 01-25-13 CINCINNATI OH 45274-0523 AMOUNT DUE $6,046.00 CURRENT BALANCE $6,046.00 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED $ CARMEL CLAY PARKS & RECR ~TOOOa72a CORPORATE BILLING ACCT C!0 AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0006046007 0 006046007 Please tear payment coupon at perforation. STATEMENT-MESSAGES For your protection,the card activation line has been enhanced to require zip code in addition to your card number and unique ID. If you receive a new card,and do not know your zip code, please contact your program adminis Irator. JAN 0 2 2013 i CORPORATE ACCOUNT SUMMARY. CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 12-31-12 PREVIOUS BALANCE 1,512.80 PAYMENT DUE DATE 01-25-13 PURCHASES AND OTHER CHARGES 6,046.00 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 33,954 CREDITS .00 PAYMENTS 1,512.80- FOR CUSTOMER SERVICE CALL: LATE PAYMENT CHARGES .00 1-800-375-1747 CASH ADVANCE FEE .00 SEND BILLING INQUIRIES TO: FINANCE CHARGES .00 FIFTH THIRD BANK NEW BALANCE 6,046.00 P.O. BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 6,046.00 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 6,046.00 MINIMUM PAYMENT DUE 6,046.00 AVAILABLE CREDIT 33,954.00 PAYMENT DUE DATE 01-25-13 CORPORATE ACCOUNT ACTIVITY.,.. CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $1,512.80 OR Post Trans Date Date Reference Number Transaction Description Amount 12-11 12-10 75569262345000000000179 PAYMENT RECEIVED-THANK YOU 1,512.80 PY INDIVIDUAL CARDHOLDER ACTIVITY . DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2814 $0.00 $5,638.20 $0.00 $5,638.20 Post Trans Date Date Reference Number Transaction Description VON Amount 12-03 12-01 55457022336206620700041 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700058 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700066 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700074 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700082 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00, 12-03 12-01 55457022336206620700090 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700108 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700124 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700157 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700173 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700181 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-03 12-01 55457022336206620700199 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-04 12-04 55457022339206620000019 NATL AFTERSCHOOL ASSN 07036109000 VA 375.00 12-12 12-11 55432862346000283779864 INDIANA PACERS 317-917-28271N 763.20 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $407.80 $0.00 $407.80 Post Trans Date Date Reference Number Transaction Description VON Amount 12-17 12-15 85180132350050300001638 HILTON HOTEL AMERICAS HOUSTON TX 163.80 0002673313 ARRIVAL:i2-14-12 12-17 12-14 85500392351400007560034 ILIPRA 00 OF 00 708-5882284 IL 244-00 Page 2 of 2 12/3/2012 It ,,.. Receipt Customer ID: 6109475 _ Invoice Number: 003650 ��. ", �.. _ I Invoice Date: 11/30/2012 DEC 0 3 2012 I BY: _.,�__ __� Please remit payment to: Ben Johnson National Afterschool Association Manager 8400 Westpark Drive, 2nd Fl Carmel Clay Parks & Recreation Mclean, VA 22102 1235 Central Park Drive East United States Carmel, IN 46032 (P) (703) 610-9000 (F) (703) 610-9003 Order Tracking #003830 - 6109475 Balance Due: $0.00 Total Payment Amount $ Ben Johnson Customer ID: 6109475 Manager Carmel Clay Parks & Recreation Invoice Number: 003650 1235 Central Park Drive East Invoice Date: 11/30/2012 Carmel, IN 46032 ' errx a _ •\• __ . nttp i._ utlp A8'm Annual Convention - Two Days: Monday/Tuesday Only& Membership $375.00 i 1 $375.00 _. ,.�.._.M ..__ .. _... . _,..._..•.._..... ._...._.._._..•........._.............. ..._•_._.............._... _. i._._.............__.M_..... _._... _......... ... .. ...u_. -Full Membership Term: 11/30/2012 - 11/29/2013 -2013 NAA Annual Convention(Badge Name: Johnson Ben) Subtotal ,_.•,. ^` µm`J$375.00H Invoice Total $375.00 Balance Due , $0.00 Last Payment On This Invoice: Paid by MasterCard ending in 2814 on 11/30/2012 12/3/2012 Receipt Customer ID: 003790 Invoice Number: 003560 r_i:;:- -, Invoice Date: 11/30/2012 DEC 0 3 2012 Please remit payment to: Trina Floyd-Messer ��._ Y National Afterschool Association Site Supervisor 8400 Westpark Drive, 2nd Fl Carmel Clay Parkes & Recreation Mclean, VA 22102 1411 E. 116th Street United States Carmel, IN 46032 (P) (703) 610-9000 (F) (703) 610-9003 Order Tracking #003730 - 003790 Balance Due $0.00 Total Payment Trina Floyd-Messer Customer ID: 003790 Site Supervisor Carmel Clay Parkes & Recreation Invoice Number: 003560 1411 E. 116th Street Invoice Date: 11/30/2012 Carmel, IN 46032 k;n'it,Pri ..»..i Annual Convention - Two Days: Monday/Tuesday Only& Membership i $375.00 1 $375.00 -2013 NAA Annual Convention(Badge Name: Floyd-Messer Trina) -Full Membership Term: 11/30/2012 - 11/29/2013 Subtotal ' $375.00 Invoice Total $375.00 Balance Due i $0.00 Last Payment On This Invoice: Paid by MasterCard ending in 2814 on 11/30/2012 12/3/2012 Receipt Customer ID: 6108990 Invoice Number: 003550 Invoice Date: 11/30/2012 7DEC 0 3 2012 Please remit payment to: Valeska Simmonds _---- - — =j National Afterschool Association Carmel Clay Parks and Recreation 8400 Westpark Drive, 2nd Fl 1235 Central Park Drive East Mclean, VA 22102 Carmel, IN 46032 United States (P) (703) 610-9000 (F) (703) 610-9003 Order Tracking #003720 - 6108990 Balance Due` $0.00 Total Payment Amount$ Valeska Simmonds Customer ID: 6108990 Carmel Clay Parks and Recreation Invoice Number: 003550 1235 Central Park Drive East Carmel, IN 46032 Invoice Date: 11/30/2012 T .te rc i 9isc. r �$t"t:!:fates .,.. alien. Pric� �....Amnuot Annual Convention -Two Days: Monday/Tuesday Only& Membership $375.00 1 $375.00 i -....... __._..... �. .__ _,.,_. ... -Full Membership i Term: 12/6/2012 - 12/5/2013 -2013 NAA Annual Convention(Badge Name: Simmonds Valeska Subtotal ' $375.00 Invoice Total i $375.00 Amount Paid $375.00 Balance Due $0.00 Last Payment On This Invoice: Paid by MasterCard ending in 2814 on 11/30/2012 12/3/2012 b iCMB 'f Receipt Customer ID: 8638809 Invoice Number: 003540 Invoice Date: 11/30/2012 DEC 03 2012 Please remit payment to: James A Dowell —" National Afterschool Association Site Supervisor 8400 Westpark Drive, 2nd Fl Carmel Clay Parks and Recreation Mclean, VA 22102 1450 N College Avenue United States Apt 21 (P) (703) 610-9000 Indianapolis, IN 46202 (F) (703) 610-9003 Order Tracking #003710 - 8638809 Balance Due; $0.00 Total Payment Amount; $ James A Dowell Customer ID: 8638809 Site Supervisor Invoice Number: 003540 Carmel Clay Parks and Recreation 1450 N College Avenue Invoice Date: 11/30/2012 Apt 21 Indianapolis, IN 46202 Annual Convention -Two Days: i Monday/Tuesday Only& Membership $375.00 t 1 $375.00 -Full Membership Term: 11/30/2012 - 11/29/2013 -2013 NAA Annual Convention(Badge „Name: Dowell James) _,"..� - ...._._.._.. ._.� . _._ ..._.._._.. ._....."__ _._._... Subtotal 1 $375.00 Invoice Total $375.00 Amount Paid i $375.00 Balance Due $0.00 Last Payment On This Invoice: Paid by MasterCard ending in 2814 on 11/30/2012 � � �r 12/3/2012 E-11-1,I i.t'& Receipt Customer ID: 6109476 Invoice Number: 003500 Invoice Date: 11/30/2012 Please remit payment to: Jennifer Brown National Afterschool Association Assistant Manager 8400 Westpark Drive, 2nd Fl Carmel Clay Parks & Recreation Mclean, VA 22102 1235 Central Park Drive East United States Carmel, IN 46032 (P) (703) 610-9000 (F) (703) 610-9003 Order Tracking #003670 - 6109476 Balance Duei $0.00 Total Payment Amount= $ Jennifer Brown Customer ID: 6109476 Assistant Manager Carmel Clay Parks & Recreation Invoice Number: 003500 1235 Central Park Drive East Invoice Date: 11/30/2012 Carmel, IN 46032 a°_rra Mist ?'€adu& d"Jotes „pit Pica,-': -= <Itity A Ain,=iwt Annual Convention -Two Days: � Monday/Tuesday Only& Membership $375.00 1 $375.00 _. _ _ _._ ...._.__. ........ _t.....__._._ ,..------- _........._...... __..._... _._..._..,. -2013 NAA Annual Convention(Badge Name: Brown Jennifer) -Full Membership } Term: 11/30/2012 - 11/29/2013 Subtotal ( $375.00 Invoice Total f $375.00 Amount Paid $375.00 Balance Due $0.00 Last Payment On This Invoice: Paid by MasterCard ending in 2814 on 11/30/2012 Dawn Koepper From: info @naaweb.org Sent: Friday, November 30, 2012 2:21 PM To: Jennifer Brown RECET E D� Cc: Dawn Koepper ; Subject: Purchase Confirmation No. 003470 (Ms Jennifer Brown) ( EC 0 3 2012 i i i Dear Ms Jennifer Brown, �T Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 2:17 PM Purchased By: Ms Jennifer Brown Customer ID: 6109476 (317) 573-5240 jbrown(a,carmelclayparks.com Your confirmation number is: 003470 Please keep this number 1°or anly references, Shopping Cart Items Amount Quantity Total Annual Convention-Two Days:Monday/Tuesday Only&Membership $375.00 1 $375.00 » Full Membership » 2013 NAA Annual Convention Subtotal $375.00 Taxes $0.00 Shipping $0.00 _ Invoice Total. $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Shipping& Billing lnfornialion Billing Address: Jennifer Brown 1235 Central Park Drive East Carmel IN 46032 United States i (317) 573-5240 brown carmelclayparks.com Payment Information Payment Amount: 5375.00 Payment Method: C redit ("',I rd Card Type: s Card Number: *********** Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper From: info @naaweb.org Sent: . . Friday, November 30, 2012 2:31 PM To: Jennifer Hammons Cc: Dawn Koepper R CT..—iVED Subject: Purchase Confirmation No. 003490 (Ms Jennifer Hammons) DEC 032012 Dear Ms Jennifer Hammons, *. Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 2:27 PM Purchased By: Ms Jennifer Hammons Customer ID: 6109474 (317) 573-5240 i h am m ons(ii),ca rmelclayp arks.com °€ ttr ei)nl'irntati(,)tt tatttnl)er is: 003490 Please keep this k:u tit beH- for only refe irences. Shopping Cart Items Amount Quantity Total Annual Convention-Two Days:Monday/Tuesday Only&Membership $375.00 1 $375.00 » 2013 NAA Annual Convention » Full Membership Subtotal $375.00 Taxes $0.00 Shipping $0.00 . Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Shipping ttillin,„ fnforrnr-N n Biilint;Address: Jennifer Hammons 1235 Central Park Drive East Carmel IN 46032 United States i A& (317) 573-5240 jhammons a,carmelcla-yparks.com Payment Information Payment Amount: ` 375,00 Payment Method: Credit ('ter-d Card Type: Card Number: *********** Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper From: info @naaweb.org Sent: Friday, November 30, 2012 2:40 PM To: Nikeesha Pittman Cc: Dawn Koepper Subject: Purchase Confirmation No. 003500 (Ms Nikeesha Pittman) 7DEC2012 i I Dear Ms Nikeesha Pittman, Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 2:36 PM Purchased By: Ms Nikeesha Pittman Customer ID: 8633551 (317) 573-5240 npittman(acarmelclayparks.com Your confirmation ma>rsber is: 003500 PIcase kc�--p this for Shopping Cart Items Amount Quantity Total Annual Convention-Two Days: Monday/Tuesday Only&Membership $375.00 1 $375.00 » 2013 NAA Annual Convention » Full Membership _ _ Subtotal $375.00 Taxes $0.00 Shipping $0.00 Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Shipping& Billing inforrn.€;i€3i1 Bh ina Address: Nikeesha Pittman 1411 E 116th Street Carmel IN 46032 United States i (317) 573-5240 npittman@cartnelclayparks.com Payment Information Payment Amount: 5375.00 Payment Method: Credit Card Card Type: Card Number: Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper From: info @naaweb.org Sent: Friday, November 30, 2012 3:06 PM To: hmettler @carmelclayparks.com Cc: Dawn Koepper 7DEC Subject: Purchase Confirmation No. 003550 (Hilary Mettler) 032012 Dear Hilary Mettler, _ Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 3:03 PM Purchased By: Hilary Mettler Customer ID: 003800 (317) 573-4026 hmettler(a,carmelclayp arks.com ourconfirulatierl number is: 003550 :' cast: this number for an Shopping.Cart Items Amount Quantity Total Annual Convention-Two Days:Monday/Tuesday Only&Membership $375.00 1 $375.00 » Full Membership - - - » 2013 NAA Annual Convention Subtotal $375.00 Taxes $0.00 Shipping $0.00 Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Shipping t3illiat<� iorf nlroioll Hittite;Addreis: Hilary Mettler 1411 E. 116th St Carmel IN 46032 United States i (317) 573-4026 hmettler(c eannelclayparks.com Pay neat Information Payment Amount: 5375. $ Payment Method: ("red i t :a rd Card Type: Card Number: ************ Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper From: info @naaweb.org Sent: Friday, November 30, 2012 3:15 PM To: LoToya Neely Cc: Dawn Koepper �� 7'F,D Subject: Purchase Confirmation No. 003580 (Latoya Neely) 7DEC 03 2012 Dear Latoya Neely, Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 3:11 PM Purchased By: Latoya Neely Customer ID: 003810 (317) 573-4026 Ineely(&carmelclayparks.com Your conl°ic°matioa number is: 003580 Plc.-,�sv 8c€a°£a this T.3zm h r "iiii° art Shopping Cart Items Amount Quantity Total Annual Convention-Two Days:Monday/Tuesday Only&Membership $375.00 1 $375.00 » Full Membership » 2013 NAA Annual Convention Subtotal $375.00 Taxes $0.00 Shipping $0.00 _. Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 491ipping& ll1993it'„)• 31€ ftt-mal€on (3119€n;;Address: Latoya Neely 1411 E. 116th St Carmel IN 46032 United States i (317) 573-4026 lneelyn,canuelclayparks.com Payment Information Payment Amount: S375,00 Payment Method: 're€lip C;ard Card Type: Card Number: ************ Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper From: info @naaweb.org Sent: Friday, November 30, 2012 3:21 PM To: Shandi Bray LDE Cc: Dawn Koepper , Subject: Purchase Confirmation No. 003600 (Shandi Bray) 3 2012 Dear Shandi Bray, ��_ Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 3:18 PM Purchased By: Shandi Bray Customer ID: 003820 (317) 573-4026 sbray(i ,carmelclayparks.com Your ctrn irmatimi iminher is: 003600 Pie.nsu gee,) this number for anly references. ences. Shopping Cart Items Amount Quantity Total . ....._. . ..... _. Annual Convention-Two Days: Monday/Tuesday Only&Membership $375.00 1 $375.00 » Full Membership » 2013 NAA Annual Convention Subtotal $375.00 Taxes $0.00 Shipping $0.00 Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Shipping Hilliri- !i€form €ti€ ii Billincy : ddi es;: Shandi Bray 1411 E. 116th St Carmel M 46032 United States i (317) 573-4026 sbraygcarmelcl ayparks.com Payment Information Payment Amount: S375.0,I) Payment Method: Credii Card Type: Card Number: *********** Card Expiration Date: 08/2014 Cardholder Name: Shandi Bray 2 Dawn Koepper From: info @naaweb.org Sent: Monday, December 03, 2012 9:05 AM To: psign @carmelclayparks.com Cc: Dawn Koepper w: Subject: Purchase Confirmation No. 003740 (Patricia Sign) REC FHI_ AT-"`das DEC 032012 Dear Patricia Sign, Thank you for your purchase I For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 12/3/2012 9:00 AM Purchased By: Patricia Sign Customer ID: 003920 (317) 573-4026 psi14n(&carmelclaynarks.com Your confirmation number is: 003740 Pic ase 14eep this mm ib ,' Im- as-.Y refe -ences. -Shopping Cart Items Amount Quantity Total Annual Convention-Two Days: Monday/Tuesday Only&Membership $375.00 1 $375.00 )> Full Membership » 2013 NAA Annual Convention Subtotal $375.00 Taxes $0.00 Shipping $0.00 Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Billing Address: Patricia Sign 1411 E. 116th St Carmel IN 46032 United States i (317) 573-4026 psin a,carmelclayparks.com Payment Information Payment Amount: 53775.00 Payment Method: `rcfj i a Card Card Type: Card Number: *********** Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper .From: info @naaweb.org Sent: Friday, November 30, 2012 2:25 PM To: Tiffany Buckingham Cc: Dawn Koepper Subject: Purchase Confirmation No. 003480 (Ms Tiffany Buckingham) L0 2012 Dear Ms Tiffany Buckingham, — -- Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 2:21 PM Purchased By: Ms Tiffany Buckingham Customer ID: 6109471 (317) 573-5240 tbuckinaham(&carmelclayparks.com '€tttr e€,ul'irntati€:tt tiut.-t?at;r is: 003480 i'icat.s€ ;w�� tlti, :;b.€rl:lrca 1'€a€ :fc a :°el t�xrtca° Shopping Cart Items Amount Quantity Total Annual Convention-Two Days: Monday/Tuesday Only&Membership $375.00 1 $375.00 Full Membership - - - 2013 NAA Annual Convention Subtotal $375.00 Taxes $0.00 Shipping $0.00 Invoice Total $375.00 Grand Total. 1375.00 Payment $375.00 Order Balance $0.00 `~,!tipping& ffilliw-, Infot-ndation iii€Iin- Address: Tiffany Buckingham 1235 Central Park Drive East Carmel fN 46032 United States i (31`7) 573-5240 tbuckin hamgcarmelclayparks.com Payment Information Payment Amount: S375 00 Payment Method: ,relit card Card Type: Card Number: ************ Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Dawn Koepper From: info @naaweb.org Sent: Friday, November 30, 2012 3:25 PM To: Meagan Storms Cc: Dawn Koepper RR C Subject: Purchase Confirmation No. 003610 (Meagan Storms) ' °'' -` DEC 0 3 2012 Dear Meagan Storms, BY � Thank you for your purchase! For your records, here is a summary of your purchase from The National Afterschool Association. Date/Time: 11/30/2012 3:23 PM Purchased By: Meagan Storms Customer ID: 003830 (317) 573-4026 mstormsncarmelclayparks.com 'Vot,,r confir°ruation number is: 003610 Please liec o i.i-iis &.#a ;bt! l°or a Y refu '.nces. Shopping Cart Items Amount Quantity Total Annual Convention-Two Days:Monday/Tuesday Only&Membership $375.00 1 $375.00 » 2013 NAA Annual Convention » Full Membership Subtotal $375.00 Taxes $0.00 Shipping $0.00 Invoice Total $375.00 Grand Total $375.00 Payment $375.00 Order Balance $0.00 Shipping& Biilliral, liiformalion Billing Address: Meagan Storms 1411 E. 116th St Carmel IN 46032 United States i (317) 573-4026 mstorms a,carmelclayparks.com Payment Information Payment Amount: 107: ,4if; Payment Method: (,redii C;ard Card Type: Card Number: ************WA Card Expiration Date: 08/2014 Cardholder Name: Dawn Koepper 2 Pacers Sports&Entertainment BANKERS LIFE FIannah Guess TT 125 S. Guess lvania Street "Ii` LDHO lJ SEj Indianapolis,IN 46204 Phone:317-917-2824 RECEIPT Fax:317-917-2899 Ben Johnson Date:. Decembe ,FxVED Carmel Clay Parks and Rec 1411 E. 116`' DEC 12 2012 Carmel, IN 46032 Account: 1693118 Bankers Life Fieldhouse Description Price Indiana Pacers 2012-213 Season Wednesday, December 19th vs. Utah Jazz 60 Upper Balcony Tickets ($12.72 per ticket) $763.20 AMOUNT DUE: $763.20 TOTAL AMOUNT PAID. $763.20 REMAINING BALANCE $0.00 Payment Method. xxxx 1xxxx 1xxxx 12814 Exp: 08114 Purchase _ Description 12/lq/12- P.O.# 7�37 PO1�k) G.L.# (0 Lqq -4: 4,43 7 Budget F„Id I Line-bescr Nt t Purchaser Date Approval Date Zeview https://resweb.passkey.com/Resweb.do?mode=ep_view_ei&eventI.,. Reservation Summary Review O s)3 4 Adults: 1 -Hilton-Americas-Houston cam. Children: 0 1600 Lamar Street, Rooms: Houston,TX,77010 ,(y United States 1 King Bed Executive Floor USD (�2 (2 Nights) jttS l^aO' (J`13a�� Room charges 280.00 Acknowledgement#:326M6CCB l _ Taxes 47_60 Total 327.60 1 King Bed Executive Floor Total t 327.60 Guest Address Options Michael W Klitzing 1411 E.116th Street For a better stay Check in: 01/03/13 7:00 PM Cannel,IN,46032 Check out: 01/05/13 UNITED STATES Phone:317-450-1250 Spencer's for mklitzing @carmelclayparks.com )) Steaks and Number of Children:0 Chops An ultimate dining 1(„� S?S experience featuring Payment Details and Rates `W O exceptional food and Mine and the finest Payment Type Billing Address Rates prime steaks. Lobby Bar Credit Card Michael Klitzing Thu Jan 3,2013 - USD 140.00 MasterCard ending in 2421 1411 E.116th Street Fri Jan 4,2013 - USD 140.00 Unwind and catch up Michael Klitzing with friends and Ex / Carmel,IN 46032 associates with a p' UNITED STATES refreshing drink and light Phone:317-45G-1250 fare. Skyline Spa Room Policies Full service spa where . Tax is not included. you can relax, ■ Fees for extra guests:2nd guest=0,00,3rd guest=25.00,4th guest=25.00 j'• rejuvenate,and be . Children Policy: pampered. Children 18 years or younger will slay free of charge in their parent's room. The Cafe Cancellation Policy A one night room and tax deposit is required at the time of booking with this reservation.Cancellations made within 48 hours Great food,service and of arrival will forfeit one night's room and tax. atmosphere,we offer it all. Jiva Jive @ 1600 Stop by for coffee and pastries in the morning or afternoon snacks...offering you some of life's little temptations. All data protected by Passkey International,Inc.No unauthorized use or disclosure is permitted. Supported Browser Copyright®1997-2012 Passkey International,Inc. All Rights Reserved.Privacy Policy Terms and Conditions. I ✓� 1 Porch�.se Lod NaP M.kl itzin�C D� crF�tign - G.L.# Padget Line Desc Purchaser Date Approval Data - 1 of 1 12/14/2012 12:26 PM HILTON AMERICAS-HOUSTON 1600 Lamar I Houston,Texas 1 77010 lt® T: 713 739 8000 1 F: 713 739 8007 AMERICAS-HOUSTON W:hllton.COm NAME AND ADDRESS: KLITZING, MICHAEL Room: 150431K1 1411 E. 116TH STREET Arrival Date: 1/312013 7:26:OOPM Departure Date: 1/5/2013 CARMEL, IN 46032 Adult/Child: 1/0 US Room Rate: 140.00 RATE PLAN C-1 NR H H# AL: BONUS AL: CAR: CONFIRMATION NUMBER: 3494561334 1/5/2013 PAGE 1 DATE_T DESCRIPTION ID REF.NO CHARGES CREDITS BALANCE i YS Fitt-TON 12/14!201,2 ' SBIC 8907139 $163.80 1 HHONORS 11312013 GUEST ROOM EVEIT 8934968 $140.00 1/3/2013 STATE TAX 6.0% EVEIT 8934968 $8.40 1/3/2013 SPORTS AUTHORITY TAX EVEIT 8934968 $2.80 U 2.0% OOC 1/3/2013 CITY TAX 9.0% EVEIT 8934968 $12.60 1/4/2013 GUEST ROOM MSAY 8936259 $140.00 1/4/2013 STATE TAX 6.0% MSAY 8936259 $8.40 C.ON(tnD 1/4/2013 SPORTS AUTHORITY TAX MSAY 8936259 $2.80 2.0% 1/412013 CITY TAX 9.0% MSAY 8936259 $12.60 1/5/2013 MMALI 8936733 $163.80 BALANCE $0.00 Hilt n TITTI,L5 WILL- ONUO;;RI ETRI E'. 0`i:l�unlrn IM ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO. MC "2421 01/03/2013 1397453 A CARD MEMBER NAME AUTHORIZATION INITIAL surti_ KLITZING,MICHAEL 030803 ESTABLISHMENT NO.&LOCATION PURCHASES&SERVICES TAXES HOME® TIPS&MISC. CARD MEMBER'S SIGNATURE TOTAL AMOUNT /41mn Grand Var:rion MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FORA CASH REFUND, PAYMENT DUE UPON RECEIPT ILLINOIS Receipt Itarn.Connect.Inspire Please logon to your account and pay online. Send Checks to: IPRA 536 East Ave. La Grange,IL 60525 64843 RM Michael W.Klitzing Carmel Clay Parks&Recreation 1411 E.116th Street Carmel,IN 46032 United States N,11 Payment Details 2 ---,I ta. ",UgT fg� ;'P W, R M1.0M!4-."R-S' IDat 0 esc gi --�N -k I. t—MMI -"L Q� 7V"i X, .ayme U. t"i- 0" 0:'M -4b M 12/14/2012 Dues:Renewal $244.00 t�4aymerit-Method MR Mastercard Michael Klitzing 14 1411 E.116th Street Carmel,IN 46032 US Paid-for Details sty 5.2 Z RA, •R% Wit U. m—s n 167 n AffiMil". RDA NO, NOW 12/14/2012 5064798 Invoice Member Renewal:Professional $244.00 Kitt O"i i; FW.;f-1 N: kT,ota1Wh6iJntjm'-:-!.0 ig!$244i00i, Fifth ThirdlVendor I Fund 108 Organizati on & External Travel Member Field Instruct expenses dues trips fees _ 1125 1125 1081-99 1081-99 V# 354296 4343000 4355300 4343007 43570041 11/30/12 Natl Afterschool Assc �_ $ 375.00 11/30/12 Natl Afterschool Assc �— $ 375.00 11/30/12 Natl Afterschool Assc $ 375.00 11/30/12{Natl Afterschool Assc J $ 375.00 11/30/12 Natl Afterschool Assc $ 375.00 { 11/30/12 Natl Afterschool Assc 375.00 11/30/12 Natl Afterschool Assc $ 375.00 11/30/12 Natl Afterschool Assc $ 375.00 11/30/12 Natl Afterschool Assc _ $ 375.00 11/30/12 Natl Afterschool Assc 1 �_ $ 375.00 11/30/12 Natl Afterschool Assc $ 375.00 11/30/12 Natl Afterschool Assc �_ _ $ 375.00 11/30/12 Natl Afterschool Assc _ $ 375.00 12/06/12 Indiana Pacers $ 763.20 12/1"4/12' IPRA,IL' "; ;: , " ', $ 24400; -h.' 2012 CT P #29274 12714/12 Hilton $ "163.80 2012 CT"" O';#,29277" j $ 163.80 $ 244.00 $ 763.20 $4,875.0 6,046.00VU Organizati on & External Travel Member Field Instruct expenses dues trips fees 1125 1125 _ 1081-99 1081-99 43430001 4355300 1 4343007 4357004 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. 00352832 Fifth Third Bank Terms P.O. Box 740523 Cincinnati, OH 45274-0523 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 12/31/12 2798 Travel expenses $ 163.80 12/31/12 2798 Dues $ 244.00 12/31/12 2798 Field trips -- $ 763.20 12/31/12 2798 External instruct $ _4,875.00 Total $ 6,046.00 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. 00352832 Fifth Third Bank Allowed 20 P.O. Box 740523 Cincinnati, OH L<; In Sum of$ $ 6,046.00 I ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE ! PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 29277 F 2798 4343000 $ 163.80 1 hereby certify that the attached invoice(s), or 29274 F 2798 4355300 $ 244.00 bill(s) is (are)true and correct and that the 1081-99 2798 4343007 $ 763.20 materials or services itemized thereon for 1081-99 2798 4357004 $ 4,875.00 which charge is made were ordered and received except 3-Jan 2013 Signature $ 6,046.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund