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221976 07/17/2013
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: $205.60 PO BOX 740523 CHECK NUMBER: 221976 CINCINNATI OH 45274-0523 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 2798 55 . 60 GENERAL PROGRAM SUPPL 1125 4341999 2798 150 . 00 OTHER PROFESSIONAL FE Fifth Third Bank ACCOUNT NUMBER)OM XXXX XXXX 2798 FIFTH THIRD BANK 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 $ CARMEL CLAY PARKS & RECR --ro004952 CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 s 5569260004422798 0000947200 000094720 JUL. - �Q� Please tear payment coupon at perforation. -------------- <- .. .,..� _:....: .,. ._...._ . ._ ENT:MESS STATEN AGES: `co 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: XXXX XXXX XXXX 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 :C,ORPORATE�AC,COUNT.�ACTIVITY?. ��'�' - -. CARMEL CLAY PARKS&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 h��-I—� -- L.�JI--}I lq 150.00 INDIVIDUAL<CARDHOLDER=ACTIVITTY �'-:.'. DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-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 541.516-0174 OR 250.00 06-27 06-26 55432863177000775722382 AMAZON.COM AMZN.COWBILL WA - 60^^� PAULA SCHLEMMER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY ~C 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 Amazon.com - Order 105-5368571-9149837 Page 1 of 1 amazon.com Final Details for Order #105-5368571-9149837 Print this page for your records. Order Placed: June 26, 2013 PAD Amazon.com order number: 105-5368571-9149837 - 1 2013 Order Total: $55.60 JUL Shipped on June 26, 2 013 LB-1' Items Ordered Price 1 of: Disney's Karaoke Series: Disney on Broadway, Karaoke $9.99 Condition: New Sold by: Amazon.com LLC 1 of: Party Tyme Karaoke: Super Hits 18, Party Tyme Karaoke $11.88 Condition: New Sold by: Amazon.com LLC 1 of: Disney's Karaoke Series: Shake It Up, Various Artists $9.97 Condition: New Sold by: Amazon.com LLC 1 of: Party Tyme Karaoke: Super Hits 19, Party Tyme Karaoke $11.88 Condition: New Sold by: Amazon.com LLC 1 of: Party Tyme Karaoke: Super Hits 17, Party Tyme Karaoke $11.88 Condition: New Sold by: Amazon.com LLC Shipping Address: Item(s) Subtotal: $55.60 Carmel Clay Parks & Recreation Shipping & Handling: $7.94 1411 E. 116th Street Super Saver Discount: -$7.94 Carmel, IN 46032 ----- United States Total before tax: $55.60 Sales Tax: $0.00 Shipping Speed: FREE Super Saver Shipping Total for This Shipment:$55.60 Payment information Payment Method: Item(s) Subtotal: $55.60 ` MasterCard I Last digits: 2814 Shipping & Handling: $7.94 Billing address Super Saver Discount: -$7.94 Carmel Clay Parks & Recreation Total before tax: $55.60 1411 E. 116th Street Estimated tax to be collected: $0.00 Carmel, IN 46032 United States Grand Total:$55.60 To view the status of your order, return to Order 5ur;nmory. Please note: This is not a VAT invoice. Conditions of Use i Privacy Notice © 1996-2013, Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.html/ref=oh_pi_oO0_?ie=UTF8&orderID... 6/27/2013 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 6/28/13 2798 Karaoke CDs Amazon.com $ 55.60 6/28/13 2798 Annual management fee $ 150.00 Total $ 205.60 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 i i Voucher No. Warrant No. 00352832 Fifth Third Bank Allowed 20 P.O. Box 740523 Cincinnati, OH 45274-0523 In Sum of$ $ 205.60 ON ACCOUNT OF APPROPRIATION FOR 101 General / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-70 2798 4239039 $ 55.60 1 hereby certify that the attached invoice(s), or 1125 2798 4341999 $ 150.00 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 10-Jul 2013 Signature $ 205.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund