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Home My WebLink About221499 07/02/2013 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: $741.60 PO BOX 740523 CHECK NUMBER: 221499 CINCINNATI OH 45274-0523 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4340700 2798 69. 00 MEDICAL FEES 1091 4341991 2798 395 . 00 MARKETING & PROMOTION 1094 4358300 2798 250 . 00 OTHER FEES & LICENSES 1125 4342100 2798 27 . 60 POSTAGE I Fifth Third Bank FIFTH THIRD BANK ACCOUNT NUMBERXXXX XXXX XXXX 2798 PO BOX 740523 PAYMENT DUE DATE 07-23-13 CINCINNATI OH 45274-0523 AMOUNT DUE $947.20 CURRENT BALANCE $947.20 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT ENCLOSED $ ` too CARMEL CLAY PARKS & RECR —T0004952 -,- CORPORATE BILLING ACCT tf t 14011AED116THOSTRZEWA JUL 213 CARMEL IN 46032-3455 I� F- 5569260004422798 0000947200 000094'7200-------- _� Please tear payment coupon at perforation. °°_°°°°--------------------------°-----°—_------------------------°----°-----_—___------_—____° :STATEMENT' E M 3SAGE§K. .;r _- CORPORATE`ACCOUNeT��SUMMARY CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 06-28-13 PREVIOUS BALANCE 1,274.93 PAYMENT DUE DATE 07-23-13 PURCHASES AND OTHER CHARGES 947.20 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 39,053 CREDITS .00 PAYMENTS 1,274.93- 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 947.20 P.O.BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 947.20 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: )0=X)0(X)0= 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 947.20 MINIMUM PAYMENT DUE 947.20 AVAILABLE CREDIT 39,052.80 PAYMENT DUE DATE 07-23-13 A ..=CO RP TEACCOUNTAC Vllry� M a. IRA CARMEL CLAY PARKS 8 RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $1,124.93 CR Post Trans Date Date Reference Number Transaction Description Amount 06-24 06-24 75569263175000000000016 PAYMENT RECEIVED-THANK YOU 1,274.93 PY 06-25 06-24 75569263176000000027430 ANNUAL MGMT FEE 150.00 'IN VIDUAL e ARDH OLPERA CTIV Ty' x DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXYX-XXXX-XXXX-2814 $0.00 $700.60 $0.00 $700.60 Post Trans Date Date Reference Number Transaction Description VCN Amount 06-12 06-11 55310203163286879500095 CISION US INC 03129222400 IL 395.00 06-19 06-17 85180893169980159882860 SMARTWAIVER 541516-0174 OR 250.00 06-27 06-26 55432863177000775722382 AMAZON.COM AMZN.COMIBILL WA 55.60 PAULA SCHLEMMER CREDITS PURCHASES CASH ADV TOTALACTIVITY XXXX-XXXX-XXXX-9873 $0.00 $27.60 $0.00 $27.60 Post Trans Date Date Reference Number Transaction Description VCN Amount 06-19 06-18 05410193169418187176521 USPS 17127608130911713 CARMEL IN 27.60 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $69.00 $0.00 $69.00 Post Trans Date Date Reference Number Transaction Description VCN Amount 06-06 06-05 55310203157200069600118 ABOUT MY HEALTH SAINT LOUIS MO 69.00 Page 2 of 2 Dawn Koepper From: noreply @salesforce.com on behalf of Cision US [amanda.rueda @cision.com] Sent: Tuesday, June 11, 2013 12:57 PM To: Dawn Koepper Subject: Cision Payment Processed Dear Dawn Koepper, Thank you. Your payment has been successfully processed. Below you will find the details of your payment. Amount : $ 395.00 Payment Date : 06/11/2013 - VF I Credit Card : XXXX-XXXX-XXXX-2814 11 JUN 1 1 2013 ' Reference : Payment for fNV-0000002515 LYE Report-Ad-Hoc-TV-Nielsen(TV) Total $395.00 Paid Amount $395.00 Balance Due $0.00 Sincerely, Cision 1 Market St San Francisco, CA 94105 US Please do not reply to this message. This email is not regularly monitored. i Smartwaiver Invoice #34749616 Page 1 of 1 L� O0 _. s} v, 5,: I„$ @� 0 233 SW Wilson Ave., Suite 1 I M — Bend, OR 97702 Phone: 800-277-0265 Email: cs @smartwaiver.com Invoice #: 34749616 Invoice Date: 06/17/2013 Usemame: monon Service Plan: Smartwaiver Service Plan Description Price USD Smartwaiver Service Plan $250.00 Payment Received 06/17/2013 (Card: XXXX-XXXX-XXXX-2814) - Thank you! $250.00 Ending Balance USD: $0.00 I https://www.smartwaiver.com/m/chargify_parent/sw chargify_main.php?sw_chargemain_... 6/17/2013 In a hurry? Self-service kiosks offer quick and easy check-out, Any Retail Associate can show you how, Order stamps at usps,com/shop or call 1-800-Stamp24. Go to usps,com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-USPS. Get your mail when and where you want it with a secure Post Office Box, Sign up for a box online at usps,com/poboxes, Bill#:1000300651568 Clerk:22 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business HELP US SERVE YOU BETTER Go to: https://Postalexperience.com/Pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS Customer Copy , a F ABOUT MY HEALTH Invoice 2737 Sutton Ave Saint Louis. MO 63143 Date Invoice# 866-926-4669 6/10(2013 1317 info@aboutrnyhealth.us 1% A Bill To —KI Attn:Lynn Russell DV-UQ Phone:317-573-4019 Email:]rLISSell6iearineleliypirks.cc)in 1 b c) -r Kff�12 V NEE VE (. JUN 112013 Item Quantity Description Rate Serviced Amount i Panel Urine Drug Test I Amphetamines 69.00 0/0/2013 69.00 Cocaine Marijuana Opiates Phencyclidine This collection is for: -Katherine Page Paid in full Paid in full -100.00% 6/5/2013 -69.00 A This has been paid in full.Thank you for your business. Total $0.00 Fifth Third Vendor Fund 101 ''f'IFund 109 Other Marketing fees & Medical _ Postage I & Promos licenses l Fees —� 1125 1091 1094 1091 V# 354296 I 4342100, $4395 341991I 4358300,4340700 I-- — 06/11113 Cision US _ 06 / 33 AboutMy Health _ $ 69.00 /10 06/17/13 SmartWaiver $ 250.00 06/18/13 Carmel P.O. f $ 27.60 �_ -- $ 27.6. 0 $ 395.00 $ 250.00 $ 69.00 $ 741.60 ---- —I Fund 101 1i__'Fund 109 ��-- Other - — Marketing fees & Medical Postage_ &_Promos licenses Fees 1125 1091 1094 1091 j I� 4342100, 43419911 435830014340700 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. Terms 00352832 Fifth Third Bank P.O. Box 740523 Cincinnati, OH 45274-0523 Invoice Invoice Description Amount or note attached invoice(s) or bill(s)) PO# Date Number ( $ 27.60 6/28/13 2798 Postage $ 395.00 6/28/13 2798 Marketing $ 250.00 6/28/13 2798 Other fees & licenses 69.00 6/28/13 2798 Medical fees Total $ 741.60 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$ $ 741.60 ON ACCOUNT OF APPROPRIATION FOR 101 General / 109 Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1125 2798 4342100 $ 27.60 1 hereby certify that the attached invoice(s), or 1091 2798 4341991 $ 395.00 bill(s) is(are)true and correct and that the 1094 2798 4358300 $ 250.00 materials or services itemized thereon for 1091 2798 4340700 $ 69.00 which charge is made were ordered and received except 1-Jul 2013 Signature $ 741.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund