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218837 04/09/2013
a"*f 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: $947.79 PO BOX 740523 CHECK NUMBER: 218837 CINCINNATI OH 45274-0523 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4355300 2798 15 . 00 ORGANIZATION & MEMBER 1094 4350000 2798 562 . 00 EQUIPMENT REPAIRS & M 1096 4239039 2798 149 . 99 GENERAL PROGRAM SUPPL 1125 4230200 2798 10 . 69 OFFICE SUPPLIES 1125 4342100 2798 6 . 11 POSTAGE 1125 4355200 2798 204 . 00 SUBSCRIPTIONS Fifth Third Bank ACCOUNT NUMBERXXXX XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 04-23-13 CINCINNATI OH 45274-0523 AMOUNT DUE $947.79 CURRENT BALANCE $947.79 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED $ CARMEL CLAY PARKS & RECR •*T0004806 1 CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0000947796 0000947796 Please tear payment coupon at perforation. °---___---°— °---__°----_____ Y eta STATEMENT MESSAGES . ro� : ... �_ v. . ._ _ G,ORPO'RATE ACCOUNTSUMMARY ;rt t .. CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 03-29-13 PREVIOUS BALANCE 1,237.89 PAYMENT DUE DATE 04-23-13 PURCHASES AND OTHER CHARGES 947.79 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 39,052 CREDITS .00 PAYMENTS 1,237.89- 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 947.79 P.O. BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 947.79 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 947.79 MINIMUM PAYMENT DUE 947.79 AVAILABLE CREDIT 39,052.21 PAYMENT DUE DATE 04-23-13 �� � �� � '�` CORPORATE ACCOUNT ACTIVITY CARMEL CLAY PARKS&RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $1,237.89 CR Post Trans Date Date Reference Number Transaction Description Amount 03-21 03-21 75569263080000000000879 PAYMENT RECEIVED-THANK YOU 1,237.89 PY z INDIVIDUAL CARDHOLDER ACTIVITY = .Ax.�.. ,. �i'., w DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2814 $0.00 $726.99 $0.00 $726.99 Post Trans Date Date Reference Number Transaction Description VCN Amount 03-04 03-01 55432863061000136922191 DC DIGITAL 800-977.6872 OH 562.00 03.19 03-18 55429503077849880306343 WHOLE HOUSE FM TRAN 8886746226 MI 99.99 03.21 03-21 55457023080206620000018 NATL AFTERSCHOOL ASSN 07036109000 VA 15.00 03-25 03.21 25121413081082002489801 BLUE MILE CARMEL 317-5710505 IN 50.00 PAULA SCHLEMMER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-9873 $0.00 $6.11 $0.00 $6.11 Post Trans Date Date Reference Number Transaction Description VCN Amount 03-25 03-22 05410193081418167134156 USPS 17127608130911713 CARMEL IN 6.11 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $214.69 $0.00 $214.69 Post Trans Date Date Reference Number Transaction Description VCN Amount 03-19 63-i8 7541823307700071910105Q SURVEYMONKEY.COM 971-2445555 CA 204.00 03-21 03-20 55432863079000776937475 APL'APPLE ITUNES STORE 866-712-71955 CA 10.69 Page 2 of 2 Fifth Third jVendor Fund 101 Equip General General Office Subscripti Member Repairs & program Program Supplies Postage ons ship/dues Maint supplies supplies 1125 11 V#354296 4230200 43421001 4355200 1081-99 1094 1096-22 1096-60 00 435 000 4239039 4239039 03/01/13 Industrial Electronic l $ 562.00 03/18/13 Whole House FM I $ 99'99 03/18/13 Survey Monkey $ 204.00 03/19/13 Apple $ 10.69 03/20/13 NAA 03/21/13 BlueMile $ 50.00 03/21/13 NAA $ 15.00 03/22/13 Carmel P.O. $ 6.11 $ 10.69 $ 6.11 $ 204.00 $ 15.00 $ 562.00 $ 50.00 $ 99.99 $ 947.79 Fifth Third Vendor Fund 101 Equip General General Office Subscripti Member Repairs & program Program Supplies Postage ons ship/dues Maint supplies supplies 1125 1125 1125 1081-99 1094 1096-22 1096-60 V#354296 4230200 4342100 4355200 4355300 4350000 4239039 4239039 its- N Y :. X25 "dust! H ��TE INVOICE 1 . . ; l 201 � 1 07.1. . .. 11 �&&;��1.11 .1 �. t --;:::�,,.::�-... - V.- - 01 I;,I . -- .11 , .. I -...I---, ': } } . .:. % Ca.. � l Clay T'�uks & Rcercritton- 11 1'�I 1 1 16111 �;t� �zrnI IN1'fi{)3 � �1. 11 . -° MAR 0 2013 1. B�; Ft'#c icy n�jke checks:p�t �tal� kn' �triot r iP,O RIO TERMS' diut',DATE 1. 7_ � aa � 1. M -/VIA,/l ` �tlr'201;. 1. t'+�v . QUAI�ITITY D:ESCI2IPYION 11 , 2 DC:-6{ I;' EIN C', . I I - GilsiI m ,ok n0,lt> n l Imri i. ..1.2 P 200. C>GO ca 520.`OD 33555o 11 v �}tG1 ZPit IZv �tl LtrStiu I citufirent: �5 tIlUSt�RV- RtiS�E,.�N 49Q [ tyc�l71 f ac U I, anti ��c� Siu l� f��YCecl'til1its t � t7-6wl2 1. - 1, at��c Sztj �� tllc C)ri' I 1 (l�ot�tr S�•�.ircllcs, It1►n 5 tE i ith: t,t,: 5 ; l�r c7t�t� i}11 �k- -, . �t� ntr1 lunctrc n 130 1. t�t� €� a - XXXXX}tX� XXXZ814 I't#sh I�uttc�b"C',crnt7°«1, NO �Virt'lcss R-cnrcnG Gt�nt�al. s��tr 11 £� C€,:.OQ932 1 t 1 11j: -.:, y Casey "tncl' Y ,;,I i anal Rc.l7tlalt an LTmt�,::t-i 17 ,' :095068 �€' r;1.11 �+US:°1�412 � U'GziDt ._ 9 c btu, TQT-AZ. 1 DC;-Di:0ital I rodLic-t Shif?pin�„uPs G c�rind �2IDO.1 I 02 �o � . 111 cht cz carn e (jq aatkss.cb0n1 :-� rlt ��r a� uc r,rt �fufii )1 A�GRDriIG I� fA � �UE�' p6RtEltit 3l 7 �7 IC131. :lef♦:;Ilf a�lgtlt� t cR. tr :vf,F; t t1 b.7OMER :COPV**ix 1.I�hank yc�u fci� }t��� ' til r 1. 1 . 0 $---,tJ pu•chase 1.r J G�..2 Ces�ription F� `'/J "`"`�" 1� ..- rorlle�trt�n5 ujrz cr r>ire ; tlti, lr,�czr t, (�;Ic4tse P a #1. �O P r 1.11 1. call l ${1� x}77 f� ". �Dr_le;,o t4} ���7 7466.X170-! . . G L # (��t JJ�( j _1. tautluet1�P11J c �1 14'�f 1.b.`I2i:�rtr< VIII ncit.t�t, accc(3tcYc:I rvitltt)tr# ( rti)t Line Uescr 1. 1. . . ,. rztI rizat•ron Purchaser .1 Date Approval D�sa 1 lull ,L� INVOICE DJ L& DC IMUIT� 325 Industry Drive DATE INVOICE # Carlisle,ON 45005 3/1/2013 17075 BILL TO Carmel Clay Parks& Recreation 1411 E 116th Street Carmel, IN 46032 Please make checks payable to INDUSTRIAL ELECTRONIC,SERVICE P.O. NO. TERMS DUE DATE MCNISA 3/1/2013 QUANTITY DESCRIPTION AMOUNT 2 DC-60T-DN Custom - Custom Countdown Timer 520.00 Rework Existing Equipment: - Double Faced Unit into Two Single Faced Units - Same Set-Up as the Original (Rotary Switches, mm:ss Program) - Additional Junction Box - Push Button Control, NO Wireless Remote Control - Modify Cases and Any Additional Rebuild on Units 1 DC-Digital Product Shipping: UPS Ground 42.00 Emehl@carmelclayparks.com 317-573-4031 Thank you for your order Total $562.00 For Questions concerning this Invoice, please call 1-800-977-6872. Or fax to 937-746-9704. Returns will not be accepted without prior authorization. Thank You! Page 1 of 1 Order Num: 22608 Order Date: March 18, 2013 9:28 am ��CE Billed To: XXXXXXXXXXXX2814 (MasterCard) MAR 18 2013 Transaction: 3Y937777UJ146415H (Paid) �!� Ship to �g--- - Billed to Dawn Koepper/Carmel Clay Parks & Dawn Koe er Recreations !Carmel Clay & �3 Recreation 1411 E. 116th Street M11-60 1411 E. 116th Street ; Carmel, Indiana 46032 Carmel, Indiana 46032 USA USA i Shipping: Free Shipping via USPS ................................................................................................... I....................I--...........................I--.............................................................................................................3 Items Ordered Quantity Item Price Item Total Whole House FM Transmitter 2.0 1 $124.99 $124.99 WH-FMT2 Subtotal $124.99 5 r Discount -$25.00 Shipping $0.00 Total $99.99 https:H wholehousefmtransmitter.com/shop/thanks/ 3/18/2013 . ` 3/20/2013 R. T rL ihiV iY Receipt C Customer ID: 012430 Invoice Number: 017900 �AR 2 Q Invoice Date: 3/20/2013 Order Tracking #017620 - 012430 Please remit payment to: Emily Janecek National Afterschool Association Head Facilitator 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 Balance Due $0:00 Total Payment Amount Emily Janecek Customer ID: 012430 Head Facilitator Carmel Clay Parks & Recreation Invoice Number: 017900 1235 Central Park Drive East Invoice Date: 3/20/2013 Carmel, IN 46032 Item Misc Product Motes Unit Price Quantity Amount ' Full Membership $60.00 1 $60.00 [ Term: 3/20/2013 - 3/19/2014 Subtotal $60.001 Invoice Total $60.00 Amount Paid 1,6007 $60.00 Credit Applied 4—$45.00 Balance Due $0.00 Last Payment On This Invoice: Paid by MasterCard ending in 2814 on 03/20/2013 6. #- E4ov3)3b Invoice No. 20881526 https://www.surveynioiikey.com/bill ing/invoice/20881526/80fba8278... SvrveyMonkey Invoice #20881526 Close Print Mar 18, 2013 Paid on M2rch 18, 2093 DESCRIPTION USER NAME BILLING PERIOD QUANTITY PRICE AMOUNT Select Yearly Plan LynnRussell Mar 18,2013-Mar 17,2014 1 $204 $204 Total:$204 BILLING DETAILS NOTES Michael Klitzing Carmel Clay Parks&Recreation 1411 E. 116th Street Carmel Indiana U 46032 Purchase racte United States Descriptionsum Mokw 317-573-4021 P.O.# T Pn or F Purchase Order Number: G.L.# �Zrj ^� 4355200 Budget Line Desc PAYMENT INFORMATION Purchaser Date Approval Date_ Payment made on March 18,2013 Payment Method: MASTERCARD Card Number(last 4 digits):2421 5/3 rd SurveyMonkey 285 Hamilton Avenue,5th fl., Palo Alto,CA 94301 Our Tax ID(EIN):37-1581003.Contact: billing @surveymonkey.com I of] 3/18/2013 12:28 PM Michael Klitzing From: SurveyMonkey [surveymonkey @go.surveymonkey.com] Sent: Monday, March 18, 2013 12:28 PM To: Michael Klitzing Subject: SurveyMonkey Professional Plan Upgrade Confirmation Sign In-Help ,I Thanks for Upgrading! Dear Michael Klitzing, Your account has been upgraded to the Select Yearly Plan plan.Below,you'll find your account details and information to help you start creating great surveys. I I i To view and and retain a copy of your upgrade,click here. Username: LynnRussell Your Plan: Select Annual Plan Renewal Date: Mar 18,2014 -y Billing Name: Michael Klitzing Billing Address: 1411 E. 116th Street Carmel,US-IN US 46032 Billing Email Address: mklitzing @carmelclayparks.com i Credit Card: MASTERCARD I — Credit Card Number Ending with 2421 i Start Gathering Feedback in 3 Easy Steps 1.Create your survey i 2.Collect responses 3.View and analyze real-time results You now have access to... i I 1 • Unlimited questions • Easy exporting,printing,and results sharing Expert templates Advanced survey logic •Advanced reporting,custom charts,cross-tabs and filters • Customization and more! i Need Help? Here are a few helpful tips to get you started: • How to create a survey(tutorial) • How to distribute your survey through collectors(tutorial) • How to analyze survey responses(tutorial) Visit the Help Center Need to speak with us?Please contact us at support@surveymonkey com. This e-mail was sent to mklitzing @carmelclayparks.com and contains information directly related to the associated SurveyMonkey account on file.Please do not reply to this email.If you wish to contact us,you may do so directly through our Customer Support Center. For more information on how we handle your personal information and email communications,please visit our Privacy Policy. @ 2013 SurveyMonkey.All rights reserved. 2 Michael Klitzing From: Michael Klitzing [mwkparks @g mail.com] Sent: Thursday, March 28, 2013 3:20 PM To: Michael Klitzing Subject: Fwd: Your receipt No.129049455348 Michael W. Klitzing, CPRE Assistant Director Carmel Clay Parks &Recreation Sent from my iPhone Begin forwarded message: From: iTunes Store <do not replygitunes.com> Date: March 20, 2013, 3:10:50 AM EDT To: mwkparksggmail.com Subject: Your receipt No.129049455348 Billed To: mwkparks gmail.com Order ID: MHVT6YOHNI Michael Klitzing Receipt Date: 03/19/13 Carmel Clay Parks & Recreation Order Total: $10.69 1411 E 116th St Billed To: MasterCard .... 2421 Carmel , IN 46032-3455 USA Item Seller Type Unit Those who bought your _ Price setection.s also bought: Keynote, v1.7.2 (4+) Apple Inc. App Write a Review Report a Problem x " GoodReader for Wad Good.iWare Ltd. $10.69 Please retain for your records. Please See Below For Terms And Conditions Pertaining Penultimate 1 To This Order. Evernote Apple Inc. You can find the iTunes Store Terms of Sale and Sales Policies by 9 launchin your iTunes application and clicking on Terms of Sale or Sales Policies SkyGrid Answers to frequently asked questions regarding the SkyGrid iTunes Store can be found at http://www.apple.comZsupport/itunes/store/ Apple ID Summary • Purchase History Apple respects your privacy. Information regarding your personal information can be viewed at http://www.apple.com/legal/privacyl Copyright© 2011 Apple Inc. All rights reserved 2 . 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 3/29/13 2798 Office supplies $ 10.69 3/29/13 2798 Postage $ 6.11 3/29/13 2798 Subscriptions $ 204.00 3/29/13= 2798 Membership.dues $ 15.00 _ 3/29/13 2798 Equipment repairs & maint $ 562.00 3/29/13 2798 General program supplies $ 50.00 3/29/13 2798 General program supplies $ 99.99 Total $ 947.79 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 Voucher No. Warrant No. 00352832 Fifth Third Bank Allowed 20 P.O. Box 740523 Cincinnati, OH 45274-0523 In Sum of$ $ 947.79 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 2798 4230200 $ 10.69 1 hereby certify that the attached invoice(s), or 1125 2798 4342100 $ 6.11 bill(s) is(are)true and correct and that the 1125 2798 4355200 $ 204.00 materials or services itemized thereon for 1081-99 2798 4355300 $ 15.00 which charge is made were ordered and 1094 2798 4350000 $ 562.00 received except 1096-22 2798 4239039 $ 50.00 1096-60 2798 4239039 $ 99.99 4-Apr 2013 Signature $ 947.79 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund