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225811 11/05/2013
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: $6,176.47 PO BOX 740523 CHECK NUMBER: 225811 CINCINNATI OH 45274-0523 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 PARKS 1, 967 . 28 GENERAL PROGRAM SUPPL 1091 4341991 PARKS 100 . 00 MARKETING & PROMOTION 1091 4343000 PARKS 1, 879 . 64 TRAVEL FEES & EXPENSE 1091 4346000 PARKS 285 . 00 CLASSIFIED ADVERTISIN 1094 4358300 PARKS 4 . 06 OTHER FEES & LICENSES 1096 4239039 PARKS 624 . 58 GENERAL PROGRAM SUPPL 1096 4350000 PARKS 113 . 01 EQUIPMENT REPAIRS & M 1125 4343000 PARKS 1, 202 . 90 TRAVEL FEES & EXPENSE 11.58 25.00 60.90 50.00 179.94 66.82 14.58 3.75 963.63 730.80 730.80 38.00 36.20 173.63 8.43 29.16 63.64 4.10 26.52 45.00 149.00 136.00 4.06 113.01 100.00 21.96 9.88 44.68 1,922.60 412.80 6,176.47 'PECE1 TED NOV I - 2013 07 Fifth Third Bank 13"'i ACCOUNT NUMBERKXXX XXXX XXXX 2798 FIFTH THIRD BANK PO BOX 740523 PAYMENT DUE DATE 11-25-13 CINCINNATI OH 45274-0523 AMOUNT DUE $6,176.47 CURRENT BALANCE $6,176.47 FIFTH THIRD BANK PO BOX 740523 CINCINNATI OH 45274-0523 AMOUNT Q ENCLOSED $ CARMEL CLAY PARKS & RECR "T0005231 CORPORATE BILLING ACCT C/O AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 5569260004422798 0006176473 0006176473 Please tear payment coupon at perforation. Effective 10/23/13,Fifth Third is introducing a new automated phone system. You will be able to promptly access account information including balances,due dates,and an explanation for declines. To access the new automated phone system,please call 1-800-375-1747 and select Option 1. fhy^ ��'i 'C-i":�.�y`{ OR ROOT, COUNT SUMIVIAR CORPORATE ACCOUNT NUMBER XXXXXXXXXXXX2798 CLOSING DATE 10-31-13 PREVIOUS BALANCE 2744.51 PAYMENT DUE DATE 11-25-13 PURCHASES AND OTHER CHARGES 6,176.47 CREDIT LIMIT 40,000 CASH ADVANCES .00 AVAILABLE CREDIT 33,824 CREDITS .00 PAYMENTS 2,744.51- 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 6,176.47 P.O.BOX 630781 CINCINNATI OH 45263-0781 TOTAL PAYMENT DUE 6,176.47 DISPUTED AMOUNT .00 Page 1 of 2 ACCT. NUMBER: XXXX XXXX XXXX 2798 CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00 CURRENT BALANCE 6,176.47 MINIMUM PAYMENT DUE 6,176.47 AVAILABLE CREDIT 33,823.53 PAYMENT DUE DATE 11-25-13 r3 V atsr ray �1 ' =1-CORRORATE--f 7C:C y y CARMEL CLAY PARKS 8 RECREATION TOTAL CORPORATE ACTIVITY XXXX-XXXX-XXXX-2798 $2,744.51 CR Post Trans Date Date Reference Number Transaction Description Amount 10-15 10.15 75569263288000000001281 PAYMENT RECEIVED-THANK YOU 2,744.51 PY " k Y ° DIUIDUA T CARDH ER ACTI�Uu�1T� .° 1$ rc_ DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2814 $0.00 $2,808.93 $0.00 $2,808.93 Post Trans Date Date Reference Number Transaction Description Amount 10-02 10-02 55432863275000467639945 AMAZON.COM AMZN.COM/BILL WA 412.80 10-02 10-01 55429503274849001923522 PAYPAL'RAINBOWLOOM 4029357733 CA 1,922.60 10-10 10-09 55432863282000349785321 AMAZON.COM AMZN.COMIBILL WA 44.68 10-15 10-14 05410193287503240879760 BESTBUYMKTPLACE 888-237289 MN 7.14 10.15 10-14 05410193287503240810476 BESTBUYMKTPLACE 888-237289 MN 9.88 10-15 10.14 05410193287503240810468 BESTBUYMKTPLACE 888-237289 MN 14.82 10-16 10-16 75432503289440754016031 VECTORSTOCK MEDIA LTD MOUNT EDEN 100.00 10-17 10.15 75122253289004862032509 INTRNTNAL BARCODE SYS GLASTONBURY CT 113.01 10-21 10.17 85180893291980159882846 SMARTWAIVER 541.516-0174 OR 4.06 10.31 10-31 55432863304000412033470 AMAZON.COM AMZN.COMIBILL WA 179.94 MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY XXXX-XXXX-XXXX-2421 $0.00 $3,367.54 $0.00 $3,367.54 Post Trans Date Date Reference Number Transaction Description Amount 10-02 09.30 85500393274400009300035 AMERICAN THERA00 OF 00 6013502872 MS 136.00 10-04 10-03 55436873277132777350922 COMPUTER INTERNET SERV MORGANTOWN WV 149.00 10-08 10-06 55432863280000485603918 UNITED 01626071828485 800.932.2732 TX 25.00 KLITZING /FIRST CHE Departure Date 10-07-13 IND UA E IAH 10-08 10-06 55432863280000404015970 NEXUS LIMO 317-777-1868 IN 45.00 10-08 10-07 55429503281313000786951 HOUSTON TRANSPORT SVC HOUSTON TX 66.82 10-09 10-08 55432863282000188428322 METRO TRANS HARRIS CTY HOUSTON TX 3.75 10-09 10-08 05140483281720044803030 MCDONALD'S F5764 HOUSTON TX 4.10 10-09 10-07 55541863282072004034913 HYATT HOTELS HOUSTON F HOUSTON TX 14.58 000005569 ARRIVAL:111.07-13 10-10 10-08 25259583282282197520201 THE LAKE HOUSE HOUSTON TX 26.52 10-10 10-08 55460293282207788502217 GUADALAJARA DEL CENTRO HOUSTON TX 63.64 10-11 10-09 55541863284072004043896 HYATT HOTELS HOUSTON F HOUSTON TX 8.43 000005569 ARRIVAL:10-09-13 10-11 10-10 55432863284000800873564 JASON'S DELI#060 064 HOUSTON TX 29.16 10-11 10-09 55432863283000567883773 III FORKS 422 HOUSTON TX 173.63 10-14 10.11 85548803286900018700255 IAH SHIPLEY S DONUTS HOUSTON TX 11.58 10-14 10-10 25247803284000364467948 PONZOS ITALIAN FOOD HOUSTON TX 36.20 10.14 10.11 55432863284000941824732 SQ'KOUAKOU ASSIE HOUSTON TX 38.00 10-14 10-11 55432863285000412872359 UNITED 01626073974700 800-932.2732 TX 50.00 BEAURAIN/FIRST CHE Departure Date 10.11-13 IAH UA E IND 10.14 10.11 05410193284090754781312 A STAR TAXI LONG ISLAND C NY 60.90 10-14 10.12 55541863286004060124839 HYATT HOTELS HOUSTON HOUSTON TX 730.80 000005569 ARRIVAL:10-07-13 10-14 10.12 55541863286004060124854 HYATT HOTELS HOUSTON HOUSTON TX 730.80 000005569 ARRIVAL:10-07-13 10-14 10-12 55541863286004060124847 HYATT HOTELS HOUSTON HOUSTON TX 963.63 000005569 ARRIVAL:10-07-13 Page 2 of 2 UN I TED Baggage Receipt A STAR ALLIANCE MEMBER -14r Issue Date: 11 OCT 2013 IAH ATO I Baggage Document Description Qty Fees Method of Payment :1162607397470 First Bag Fee 2 $50.00 Ticket Number 0167296246732 Cardholder Name MICHAEL W KLITZING BAGGAGE FEES Total Fees USD $50. 00 Confirmation: E54MJ9 Excess Baggage Terms and Conditions: - All excess baggage is subject to space availability. Carrier Routing - - Receipt for payment must be presented at bag check. UA• IAH IND - For' refunds or, adjustments, see a United representative. AGENT REFERENCE: GG ESC BAG TERf'1 4 7 il.1r'11_? 1_11._5 ; i_i Hil SHIPLEY DONUTS INTERCONTINENTAL AIRPORT - r (281) 230-3406 FAX (281) 230-3443 DATE 10/11/2013 FRI TIME 06;44 KOLACH SINGL $1,73 F k'� ;_ << ; , ICE/FIL SING $0.77 SPEC SINGLE $2,27 TIP i:',1.5 SOF DRINK MD T1 $2,19 KOLACH SINGL $1,73 - CAKE SINGLE $0.72 TiITAL!I :A,4l BOTTLE WATER $1,99 TAXI $0.18 hG:pF LiEr , r+,nil;.;T; TOTAL $11.58 CHARGE $11.58 CLERK 1 No,952207 00001 V FAH".. H'r'FRIIIED THAII!�-' `C III i i iMPORTH"HT: �_ G'r i_.i 1 i I OF'',, I I' Amazon.com - Order 104-7486354-6031458 Page 1 of 2 al'i'tazon.Gom' Final Details for Order #104-748 6354-603145 Print this page for-your s. Order Paced: October 29, 2013 1 F:Z-P`(''T°-INTFD Amazon.com order number: 104-7486354-6031458 j NOV - 4 2013 Order Total: $299.90 I ITV• Shipped on October 31, 2013 -- Price Items Ordered 6 of: Supermats Heavy Duty P.V.C. Mat for Cardio- Fitness Products (2.5-Feet $29.99 x 5-Feet) Condition: New Sold by: Amazon.com LLC Item(s) Subtotal: $179.94 Shipping Address: Shipping & Handling: $55.59 Carmel Clay Parks & Recreation Promotion applied: -$55.59 1235 CENTRAL PARK DR E ----- ATTN MARY EVANS CARMEL, IN 46032-4421 Total before tax: $179.94 Sales Tax: $0.00 United States ----- Total for This Shipment,$179.94 Shipping Speed: FREE Shipping Shipped on October 31, 2013 Price Items Ordered 4 of: Supermats Heavy Duty P.V.C. Mat for Cardio- Fitness Products (2.5-Feet $29.99 x 5-Feet) Condition: New Sold by: Amazon.com LLC Item(s) Subtotal: $119.96 Shipping Address: Shipping & Handling: $37.0 Carmel Clay Parks & Recreation Promotion applied: -$37.06 1235 CENTRAL PARK DR E ----- ATTN MARY EVANS Total before tax: $119.96 CARMEL, IN 46032=4421 Sales Tax: $0.00 United States ----- Speed: Total for This Shipment:$119.96�-,��Q��,� Shipping Sp \.Y( FREE Shipping Payment information Payment Method: Item(s) Subtotal: $299.90 MasterCard I Last digits: 2814 ShPromot on applliied: -$92.65 Billing address Carmel Clay Parks & Recreation y/print.html/ref=oh_pi_o00_?ie=UTF8&order1D._ 11/4/201') https://www.amazon.com/gp/css/summar Amazon.com - Order 104-7486354-6031458 Page 2 of 2 1411 E. 116th Street Total before tax: $299.90 Carmel, IN 46032 Estimated tax to be collected: $0.00 United States ----- Grand Total:$299.90 Credit Card transactions MasterCard ending in 2814: October 31, 2013:$179.94 MasterCard ending in 2814: October 31, 2013:$119.96 To view the status of your order, return to Order Summary. 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=oll—Pi_o00_?ie=UTF8&orderID... 11/4/201-3) Confirmation: E54M]9 Baggage Receipt Issue Date: October 06, 2013 Traveler Baggage Document Ticket Number KLITZING/MICHAELW 01626071828485 01672962467315 FLI T-INFOI�tMATION /Day, Date \Blight Departure City/Time Arrival City/Time Aircraft Mon, 070CT13 5150 INDIANAPOLIS (IND) HOUSTON-BUSH INTL (IAH) ER1 170 5:40 PM 7:07 PM FEE INFORMATION Description Quantity Fees _ od of Pavment First Bag Fee 1 $25.00 ----=----- --=-------=----------------------- Cardholder FEES: 25.00 Michael W Klitzing Excess Baggage Terms and Conditions • All excess baggage is subject to space availability. • Receipt for payment must be presented at bag check. For up to the minute flight information, go to mobile.united.com. F NOV - 4 2013 BY- 2013 NRPAM CONGRESS and EXPOSITION TVM No: 6039 �- `' L HOUSTONJEXAS I OCTOBERHU Houston Metro Payment Receipt C -----------------------10 10812013 08:35PM 6039-073054—CD MICHAEL LI�°ZI MC XXXXXXXXXXXX2421 Station: Museum District CARMEL CLAY PARIS & RECREATION TOTAL PRICE: $3.75 Quantity: 3 CARMEL, IN Ruth: 084163 G 39172880 42,y3o-o _ OCT 17 * Copy * HOUSTON TRANSPORTATION SERVICES, LLC HYATT REGENCY HOUSTON -- -- Cab #1072 EINSTEIN ' S BAGELS & MORE 1305238 GUERRERO HTS, LLC ----------------------------------- 5825 Kelley St. CHK t 6 A I' OCT07 ' 13 9 : I3GST 1 Houston, TX 77026 ____--•--------- ------•--_•--___--- 7134444999 1 FOUNTAIN DRINK 2 . 49 Date 10/07/13 1 MUFFIN BLUEBERRY 2 . 99 Time 20; 00: 38 1 BAGEL THIN CLUB 7 . 99 Food Sales 13 . 47 1 Distance 23. 70mi Tax i . 11 FARE. . . . . . . . . . . $ 55. 35 Total Paid 14 . 58 EXTRAS. . . . . . . . . $ 2. 75 j XXXXXXXXXXXX2421 XX/XX TIP. . . . . . . . . . . . $ 8. 72 MasterCard $ 14 . 50 --•1305238 CLOSED OCT07 9 : 14PM--- TOTAL. . . . . . . . . . $ 66. 82 Master Card xxxx xxxx X.xxx 2421 Auth 019-677 Signature; 1 7 2013 I OCT 1 7 2013 LB`' p A °� Hyatt Regency Houston A 1 HouOt ouiTX 77002 et REGENCY/ Tel: 713.654.1234 Fax: 713.951.0934 houstonregency.hyatt.com INVOICE Payee Eric Mehl i Room No. 0903 1 Main Arrival 10-06-13 Houston TX 77002 OCT 16 2013 Departure 10-11-13 BY: Page No. 1 of 2 Confirmation No. 2914287101 Folio Window 1 Group Name Nat'l Recreation & Park Assocation Folio No. 382777 Booking No. 327BFC6R Date Description Charges Credits 10-06-13 Deposit Transferred at C/I 232.83 10-06-13 Group Room 199.00 10-06-13 State Occupancy Tax-6% 11.94 10-06-13 City Occupancy Tax-7% 13.93 10-06-13 County Occupancy Tax-2% 3.98 10-06-13 Sports Tax-2% 3.98 10-07-13 Group Room r 199.00 10-07-13 State Occupancy Tax-6% J /k 11.94 10-07-13 City Occupancy Tax-7% ) 13.93 10-07-13 County Occupancy Tax-2% 3.98 10-07-13 Sports Tax-2% 3.98 10-08-13 Internet(Guest) Room#0903 : Internet (Guest) 29.85 10-08-13 Internet Sales Tax- 8.25% 2.46 10-08-13 Group Room i� 199.00 10-08-13 State Occupancy Tax-6% 1 11.94 10-08-13 City Occupancy Tax-7% Lodm 13.93 10-08-13 County Occupancy Tax-2% � ' 3.98 10-08-13 Sports Tax -2% 3.98 10-09-13 Group Room �O ( _ 343oloo 199.00 10-09-13 State Occupancy Tax -6% 11.94 10-09-13 City Occupancy Tax-7% 13.93 10-09-13 County Occupancy Tax- 2% 3.98 10-09-13 Sports Tax -2% 3.98 10-10-13 Group Room 199.00 10-10-13 State Occupancy Tax-6% 11.94 10-10-13 City Occupancy Tax-7% 13.93 10-10-13 County Occupancy Tax- 2% 3.98 10-10-13 Snorts Tay- 9% 3.98 10-11-13 XXXXXXXXXXX X/XX 963.63 Total 1,196.46 1,196.46 Guest Signature Balance 0.00 I agree that my liability for this bill is not waived and I agree to be held personally liable in the event that the indicated HOW WAS YOUR STAY AT THE HYATT REGENCY HOUSTON person,company or association fails to pay for any part or the full amount of these charges. Contact us: consumeraffairshourh @hvatt com or 713.375.4600 For inquiries concerning your bill please call 855-869-0846 or email NA CustomerService(cDHyatt.com Hyatt Gold Passport Summary Please remit payment to: Hyatt Regency Houston Hyatt Regency Houston 1200 Louisiana Street i A 1 6 Houston, TX 77002 a. R E G E N GY Tel: 713.654.1234 7 Fax: 713.951.0934 houstonregency.hyatt.com INVOICE Payee Eric Mehl Room No. 0903 1 Main Arrival 10-06-13 Houston TX 77002 Departure 10-11-13 Page No. 2 of 2 Confirmation No. 2914287101 Folio Window 1 Group Name Nat'l Recreation & Park Assocation Folio No. 382777 Booking No. 327BFC6R No Membership to be credited P.O. Box 202658 Join Hyatt Gold Passport today and start Dallas,TX 75320 earning points for stays, dining and more. Visit gold passpo rt.com OCT 16 2013 i f� Hyatt Regency Houston �/ -�°�° 1200 Louisiana Street i A 1 1 Houston, TX 77002 R E G E N CY�' Tel: 713.654.1234 Fax: 713.951.0934 !' houstonregency.hyatt.com T, INVOICE OCT 16 2013 Payee Susan Bearuain iB�: Room No. 1505 1 Main Arrival 10-07-13 Houston TX 77002 Departure 10-11-13 Page No. 1 of 1 Confirmation No. 2911902401 Folio Window 1 Group Name Nat'l Recreation & Park Assocation Folio No. 382776 Booking No. 327BD47C Date Description Charges Credits 10-07-13 Internet(Guest) Room# 1505 : Internet(Guest) 29.85 10-07-13 Internet Sales Tax-8.25% 2.46 10-07-13 Deposit Transferred at C/I 232.83 10-07-13 Group Room 199.00 10-07-13 State Occupancy Tax-6% 11.94 10-07-13 City Occupancy Tax-7% 13.93 10-07-13 County Occupancy Tax-2% 3.98 10-07-13 Sports Tax-2% 3.98 10-08-13 Group Room ^1(� p� �/1,/l r� 199.00 10-08-13 State Occupancy Tax-6% '�J T l 11.94 10-08-13 City Occupancy Tax-7% Lcd I13.93 10-08-13 County Occupancy Tax-2% �w U 3.98 10-08-13 Sports Tax-2% 3.98 10-09-13 Group Room 199 10-09-13 State Occupancy Tax-6% T 2 o�O :94 10-09-13 City Occupancy Tax- 7% 13.93 10-09-13 County Occupancy Tax-2% 3.98 10-09-13 Sports Tax-2% 3.98 10-10-13 Group Room 199.00 10-10-13 State Occupancy Tax-6% 11.94 10-10-13 City Occupancy Tax-7% 13.93 10-10-13 County Occupancy Tax- 2% 3.98 10-10-13 Sports Tax -2% 3.98 10-11-13 XXXXXXXXXXX X/XX 730.80 Total 963.63 963.63 Guest Signature Balance 0.00 I agree that my liability for this bill is not waived and I agree to be held personally liable in the event that the indicated HOW WAS YOUR STAY AT THE HYATT REGENCY HOUSTON person,company or association fails to pay for any part or the full amount of these charges. Contact us:cons umeraffairshourhna hyatt.com or 713.375.4600 Hyatt Gold Passport Summary For inquiries concerning your bill please call 855-869-0846 or email NA CustomerServiceQ.Hyatt.com No Membership to be credited Please remit payment to: Join Hyatt Gold Passport today and start Hyatt Regency Houston earning points for stays, dining and more. P.O. Box 202658 Visit gold passport.com Dallas,TX 75320 Hyatt Regency Houston 1200 Louisiana Street g� Ifs T A T T Houston, TX 77002 'µ REGENCY' Tel: 713.654.1234 Fax: 713.951.0934 houstonregency.hyatt.com INVOICE I �, Payee Michael Klitzing ! OCT 16: 013 Room No. 2021 1 Main ! Arrival 10-07-13 Houston TX 77002 Departure 10-11-13 Page No. 1 of 2 Confirmation No. 2911935901 Folio Window 1 Group Name Nat'l Recreation &Park Assocation Folio No. 382775 Booking No. 327BD7C5 Date Description ` Charges Credits 10-07-13 Deposit Transferred at C/I 232.83 10-07-13 Internet(Guest) Room#2021 : Internet(Guest) 2935 10-07-13 Internet Sales Tax-8.25% 2.46 10-07-13 Group Room 199.00 10-07-13 State Occupancy Tax-6% 11.94 10-07-13 City Occupancy Tax-7% 13.93 10-07-13 County Occupancy Tax-2% 3.98 10-07-13 Sports Tax- 2% 3.98 10-08-13 Group Room 199.00 10-08-13 State Occupancy Tax-6% 11.94 10-08-13 City Occupancy Tax-7% p 13.93 10-08-13 County Occupancy Tax- 2% I V Rpq �� 3.98 10-08-13 Sports Tax-2% 3.98 10-09-13 Group Room t->tJM� N , 191.00 10-09-13 State Occupancy Tax-6% 11.94 10-09-13 City Occupancy Tax-7% O + 13.93 10-09-13 County Occupancy Tax- 2% ` I OQ� 3.98 10-09-13 Sports Tax-2% 3.98 10-10-13 Group Room 199.00 10-10-13 State Occupancy Tax-6% 11.94 10-10-13 City Occupancy Tax- 7% 13.93 10-10-13 County Occupancy Tax- 2% 3.98 10-10-13 Sports Tax-2% 3.98 10-11-13 -' XXXXXXXXXX; lXX 730: 0 Total 963.63 96 3 Guest Signature Balance 0.00 I agree that my liability for this bill is not waived and I agree to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full amount of these charges. HOW WAS YOUR STAY AT THE HYATT REGENCY HOUSTON Hyatt Gold Passport Summary Contact us: consumeraffairshourh a�7hyatt.com or 713.375.4600 Membership: 52323085ON For inquiries concerning your bill please call 855-869-0846 or email Bonus Codes: NA.CustomerService(a)Hyatt.com Qualifying Nights: 4 Please remit payment to: Eligible Spend: 825.85 Hyatt Regency Houston Redemption Eligible: 167.63 P.O. Box 202658 Dallas,TX 75320 Summary Invoice, please see front desk for eligibility details. Hyatt Regency Houston 1200 Louisiana Street `ry Y A Houston, TX 77002 REGENCY` Tel: 713.654.1234 REGENCY` Fax: 713.951.0934 houstonregency.hyatt.com INVOICE Payee Michael Klitzing Room No. 2021 1 Main Arrival 10-07-13 Houston TX 77002 Departure 10-11-13 Page No. 2 of 2 Confirmation No. 2911935901 Folio Window 1 Group Name Nat'l Recreation & Park Assocation Folio No. 382775 Booking No. 327BD7C5 Michael Klitzing From: Square [noreply @messaging.squareup.com] Sent: Friday, October 11, 2013 6:15 AM =BY.To: Michael Klitzing Subject: Receipt from Kouakou Assie for$38.00 Trouble viewing this email?mss` 8'',t' 4na � a � oaf s Oct 11,2013 at 5:13am Receipt #LQAz 1 Custom Amount $38.00 Total $38.00 2421 $38.00 Fare Rece 0 Date 0 � ' LBNE*STAR SQUARE DEAL CAB LIBERTYCAB CAB Roceived of The Sum of From -� _ r Start ; I Accept," To 1 C� I your Ph ❑LONE ST�A `C'AB�❑LIBERTY CAB ❑Zlqtl D AL CAB you a fr( No. Driver 1 -2— 00 Delivery Pick N Phone# A M E PONZOS I TALI AN FOOD Address 2515 BAGBY ST Apartment House.�a�,a.rlrneiit Town House HOUSTON R 77006 Promised Date Time )o 713-526-2426 H , r) very Ordered 0 - +a minnl 10: 07022519 3694 6:33 P - �� (-�f � � - . :t.t.l N; >iE 3Ek2if!#fix I I SALE U I D: 328310106021 REF 0 045 AUTH #: u - $30.20 TIP 6,2 TOTAL APPROVED THANK YOU Tax ^4-IL, 1 HMO>I to/Ito Delivery ED/ CUSTOMER C101K 424041 Total > j t�' , no JVED C E 7D 'I �jj OCT 17 2013 IBY:- i III FORKS III FORKS ' 1201 Fannin Suite 129 1201 Fannin Suite 129 Houston, TX 77002 Houston, TX 77002 i 713 658-9457 713 658-9457 ;Z Server: Liz 10/09/2013 24/1 9:30 PM j 24/1 6/60019 Guests: 3 60019 Reprint #: 2 I SALE 8 OZ FILET 34.95 6291492 Medium Plus Card #XXXXXXXXXXX 8 OZ FILET 34.95 Magnetic card present: KLITZING MICHAEL W Med Rare Card Entry Method: S CREME BRULEE 8.95 8 OZ FILET 34.95 Approval : 005576 Medium Well SIX CHEESE POTATOES 9.95 i Amount: $ 144.73 SWEET POTATO HASH 9.95 I + Tip: Subtotal 133.70 Tax 11 .03 = Total : 73_� Total 144.73 I agree to pay the above B a l a n c e Due 7 44 total amount according to the i Ask about our card issuer agreement. � private party rooms! X Become our fan on Facebook Ask about our Follow us on Twitter private party rooms! Become our fan on Facebook Follow us on Twitter I Guest Copy OCT 17 2013 BY. ' P 04 (w\ - / \ 15 7)_-������� y C-=�n�� /w pc_ o?. '-13�i3"' t7�'c_ .'.'S Deli #050 HyATT REGENCY HOUSTON -]l NCKiOO8y EIN3TElH ` S DAGEL3 & HORE 7l3'�5U-1�OO /��"^ . ^^ . - - � \ . .~ ~.. .~.~ 4(113 ANGELICA _ _________----_--------------- ' ! CH 7' 73E3 0 CT09 ' 13 7 :30GS1 _1 12-7 -- _--___------_---------_- l OCEAN SPRAY Uj 2 .00 � l CHDR / DAC SO 5 '7S ' Host: Andrea 10/10/2013 ' y /S FOOd 3al85 127 11 .39AM Tax REPRINT# 1 20031 - ' Order Type: Dine In . yyvx � 8 43 - $ . __-40l3 CLOSEO OCT08 T ��UAM---- California Club 5.99 (N)Fruit Cup with Dip \ ` ' FOU�tO1O Drink (3 �l 99) 5 97 � . . Club Sandwich 6.99 ^ NO Tomato [� �� F0CdCCid /�^�=[��� ' '^/ (N)Chips � Ng[3pC TK Wrap 6`99 NO Roma TOm81O (N)Baked Lays (Mgr)Cup Chic Chili \ Subtotal ' 25.94 / Tax 2.22 i Dine In Total 29 ' 16 ` - -'^^^^^^^^^'- _ 29.16 AUt��U�§855 OCI 17 SIGNATURE � | TAKE OUR SURVEY, PICK A PRIZE! l COOKIE Or $2 OFF delivery WwN.JdSODodel1F8odhDCk.oO0 Enter Deli Number: 060 Write redemption code: For ohOO8 survey 800-537'5441 OCT 17 2013 ' --- Check Closed -- ^----='= � Guadalajara Del Centro zS_I_ 0,L_`-l�ti3o� 1201 San Jacinto Space 141 713-650-0101 Guadalajara Del Centro follow us on twitter 1201 San Jacinto Space 141 @delcentrococina 713-650-0101 follow us on twitter 86005 Matthew @delcentrococina -- j Date: OctO8'13 09:51PM Tbl 22/1 Chk 6401 Gst 3 ! Card Type: OctO8'13 09:06PM Acct #: XXXXXXXXxxx; * Reprint Memo Check ** i Card Entry: SWIPED Trans Type: PURCHASE Seat:1 Trans Key: AIA010239891491 1 GUACAMOLE "MTO" 11 .00 Auth Code: 047690 1 CHK-MOLE ENCH 13.00 Check: 6401 1 VERDE ENCH 12.00 Table,: 22/1 1 VERDE ENCH CHICKEN 13.00 Server: 86005 Matthew Food Total 49,00 Tax Total. 4:04 Subtotal : 53 . 04 09:47PM Total Due 53 . 04 TIP I TOTAL GRACIAS! SIGNAT Questions/Comments www.guad.com T H I TOMERS COPY �f T 17 2013 N RPM I�2S L - D2r y3y3a�� o2_ �30�� . i I, i alma one �p j ' i PI pill , " • III) l0- � � � '. ? Y ` WATERSIDE CAFE / QISC0 2111.1 Q OlflmE'flti�36ul:lg at 111C1E'Ik)!;rCO0 ,7r."l The Lake house 3s ;IIgE �I 1600 McKinney TV 77 n n EX 713.337.7320 T'1:110!%'-5 31;1 Host: Santos 10/08/2013 T IA HK Kil-I , ! J 19 11:32 AM TE:Li 113 651 '91419 Si:artlll 57E4 10009 White Cheddar Burger 6.25 :Sl �l Iact.1;, � Li O: COMBO! 2.50 Queso 0.75 IP `::DI:: 1 JS I-rr=r G;7 Chicken Sandwich 4.50 COMBO! 2.50 T" I =11 T=T'l_. FISH COMBO `:.ia,:;E.ge 3a-1,iti 10:1 8.00 1 vIild Pi,,ad e Subtotal 24.50 Frait N (3 : R°rf 1-it 1 .1:1:; Tax 2.02 E:.)-Enge Ju i.e Cc - ORDER Total Auth:066917 :a�:• In Total 4.':. ;a l 1:;s: 4.':; We Have A New Menu!! Combo Meals Starting at $5.25 Our New Soft Serve is GREAT!! ,-Al E:EZ al:;i 0),IMT I:. --- Check Closed --- I3sIEr :AI.E ..( dJ l AtI.Od MICE; ):;17'E 5E_Q# c242 i_: . �-��- `2 C1+� i ; I 1',I]WAI.O'3 F.7k' Sri LB1Y 6 OCT 1 72013 -_J IR i---- _- t.. ' I OCT 17 2013 I Nexus Limousine_and_Sh�pttle Services LLC Post-Office Bo 5442 Indianapolis, IN 46205-5442 us Confirmation Tel: (317) 777-1868 Email: info @nexuslimos.com Reservation Confirmation _#' 1087-7 Last Modified On.j10]04%2'0'r3j 1:05 PM I Pick-up Date: 10/07/2013 - Monday Pick-up Time: 03:30 PM r Estimated Drop-off Time: 04:00 PM � ServiceType: To Airport 7BY: T�j CD Passenger: Michael Klitzing 2013 Phone Number: (317) 450-1250 No. of Pass: 1 Vehicle Type: Sedan Towncar Primary/Billing Contact: Michael Klitzing Booking Contact: Michael Klitzing Payment Method: MasterCard •s' Trip Routing Information: PU: -- : 1550 Redsunset Dr Brownsburg, IN 46112 (United States of America) DO: -- : IND - Indianapolis International Airport, From/To: 1600 Charges & Fees Flat Rate $45.00 Reservation Total: $45.00 Payments/Deposits: $0.00 Authorizations: $0.00 Total Due: $45^0'0 ') Terms&Conditions/ All deposits are NON refundable. Company is not liable in the event of mechanical Reservation Agreement: breakdown while on charter and will only be responsible for making up lost time at a mutually agreed date. The client assumes full financial liability for any damage to the limousine caused during the duration of the rental by them or any members of their party. A fee of 100.00 for each carpet or seat burn. Sanitation fee is 250.00. Alcohol Consumption and drug use is prohibited by law. Any fines will be paid for by the customer. The driver has the right to terminate run without refund (if there is blatant indiscretion on the part of the client(s)). It is Illegal to stand through the sunroof. Smoking is not permitted in some of our limousines and this is left to the discretion of the driver. Overtime pay will apply after the first 15 minutes of prearranged time described on the run sheet. Not responsible for delays or the termination in winter caused by unsafe road conditions (ie. not salted, accidents, etc.). Not responsible for articles left in the limousine. Balances to be paid to the driver on the run date before the beginning of the run. Vehicles cannot be loaded beyond seating capacity. -t1,2aY)SPR_FAV1 0KJ M . V,l__._I T ZI rnc—, I: �—� —CY-1-4--•?4300 Paula Schlemmer From: Michael Klitzing Sent: Sunday, October 06, 2013 9:28 PM To: Paula Schlemmer Subject: Fwd: Payment Receipt [For Conf# 10877 ] Paula, Following is a corrected receipt for my transportation to the airport tomorrow charged on my p-card. The first time they ran the change, they accidentally entered an incorrect number. This one actually used the proper number. Michael W. Klitzing, CPRE Assistant Director Carmel Clay Parks & Recreation 317.573.4018 Sent from my Wad Begin forwarded message: From: Nexus Limousine and Shuttle Services LLC <info g nexuslimos.com> Date: October 6, 2013 7:09:26 PM EDT To: <mklitzinggcarmelclayparks.com> Subject: Payment Receipt [For Conf# 10877 Nexus Limousine and Shuttle Services LLC Post Office Box 55442 Indianapolis, IN 46205-5442 United States of America Payment Rec( Tel: (317) 777-1868 Email: info car nexuslimos.com For Confirmation#10877 Timestamp:10/06/2013 07:08 Method: MC ** 2421 Type: AUTH_CAPTURE Transaction Amount: $45.00 Reference/Trans. ID: Passenger: Michael Ktitzing Trip Confirmation# 10877 Trip Date & Time: 10/07/2013 @ 03:30 PM Routing Information: Pick-up Location: 1550 Redsunset Dr Brownsburg, IN (US) 46112 Drop-off Location: IND, From/To: 1600 Charges & Fees Flat Rate $45.00 Reservation Total: $45.00 1 Payments/Deposits: $45.00 Authorizations: $0.00 Total Due: $0.00 z Lynn Russell From: charlie dixon [charlie @recreationtherapy.com] Sent: Thursday, October 03, 2013 10:17 PM To: Lynn Russell :�— Subject: Receipt for TR Directory Job Listing Order i .' ! OCT Q4 2013 E Hello Michael: Payment has been received for your job posting order at the Therapeutic Recreation Directory on 10-3-13. Please note that Computer Internet Services is the name of the company that will show up on your monthly credit card statement for this order. Thank you, Charles Dixon Therapeutic Recreation Directory Computer Internet Services, Inc -------------------------------------------------------- FiF T 4T1t' PJD RECEIPT () O (DO 30� Computer Internet Services, Inc 461 Lawnview Circle, Morgantown,WV 26505 Phone/Fax: 304 599-6465 ( � r� Date: September 27, 2013- 1:40 p.m. q 3 '(�0()`S Invoice No: 101143 -------------------------------------------------------- Qty: 90 Days DESCRIPTION:Therapeutic Recreation Directory Job Listing TOTAL: $ 149.00 Discount Code: -------------------------------------------------------- -------------------------------------------------------- Thank You Payment Method: Credit Card Customer Card Name: Credit Card Number: xxxx-xxxx-xxxx _ Expires: xxx CVV: xxx Authorization: <!--status--> Auth Code: <!--authno--> BILLING ADDRESS: Michael Klitzing Carmel Clay Parks& Recreation 1 American Therapeutic Recreation Association Tck Page I of I 012-(5` &DJD American Therapeutic Recreation Association 629 North Main Street Hattiesburg, MS 39401 (601)450-ATRA national@atra-online.com OCT 0 12013 Receipt for Payment Received Printed Date/Time: 9/30/2013 BY j Lynn Russell at 11:01 AM Transaction Date/Time: 9/30/2013 at 10:59 AM Transaction 1038901802 Authorization Number: 2013093015535401150 Description: EMAILFORM - Payment Form Payment Type: Status: success Notes: Total Paid: $136.00 A- 00c)D I C)q a- q 3 X0000 https://,,vww.paymyassociation.com/payreceipt.efi-i-i?Scssionld=6F95DC64-C299-4734-4C... 9/30/2013 Smartwaiver Invoice #41562454 - Page 1 of 1 v - 51130D oUU-4 RE C 117 Q�T ��� 233 SW Wilson Ave., Suite 1 Bend, OR 97702 ° Phone: 800-277-0265 Email: cs @smartwaiver.com Invoice #: 41562454 Invoice Date: 10/17/2013 Username: monon Service Plan: Smartwaiver Service Plan Description Price USD Smartwaiver Service Plan $4.06 Payment Received 10/17/2013 (Card: XXXX-XXXX-XXXX-2814) - Thank you! $4.06 Ending Balance USD: $0.00 https://www.smartwaiver.com/m/chargify_parent/sw_chargify_main.php?sw_chargemain... 10/17/201') � �,��yIy b`■�I Il.11lfl a�� , .:� rL �, A'IRia�lla l lonaliB or_CoQa._ }�' D mr �at rvc # ` _ t wht "ed 15 Oct 13 1300781 REPAIR CCARD UPS GROUND BilITO: Carmel Clay Parks & Rec. Ship To: Carmel Clay Parks & Rec. 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 Attn: Kurtis Baumgartner Qty Product Description Each Extended 1 Repair - Non Warrant Non Warranty Repair 100.00 100.00 1 Repair - Unrepairabl Non Repairable Reader 0.00 0.00 1 1 Shipping Shipping 13.01 13.01 INTRNTNAL BARCODE Sv 160 OAK STREET GLASTONBURY, CT 0603 860-659-9660 BATCH: 030 T S-A-L-E-S O-R-A-F-T Q CT t7i68418T UU11 680767185670 REF: 0007 _l� CD TYPE: MSTERCARD E- AP.TR TYPE: PURCHASE DATE: OC1 15, 13 14:58:57 T 15 2013 TOTAL $113.01*ttt3tt#juW814 ESP: ttltt 051151 tilt IHPRIHi FARO tttt TRA11. IOISKCFFT6T5I CUSS. 836 s8.00 I `�/�I co04 457 TAX CAAHD,'ORESERUICESID6IHERECEIPT OF THE 1�J 00�„/ TOTAL SHOUI HERE011 AIID AGREES 10 PERFORH THE OBLIGATIOIIS SET FORTH BY THE CARDITHBER'S AGREEMI OITH THE ISSUER CUSIOHER COPY Currency: USD Total: 113.01 Comments: 1%/mo may be charged on all invoices over 30 days old trz llwant�my1 , f _ 16.0 OakF Street x �� :I � Glastonbu r ' ry, CT 06033 17SA ,. f ;IBC Sd 86.0' 659 9660 ' Inloina :onat`Ba(Cado ' •t31 ..-, .t, � 1 3860 fax 8601 657 s Dawn Koepper ' a ,ff D:uctye From: VectorStock Media <admin @vectorstock.com> Sent: Tuesday, October 15, 2013 2:54 PM To: Dawn Koepper Subject: Vectorstock: Credit Purchase VectorStock e.....dt — Invoice Number : #3348370 Tue 15th Oct, 2013 - 01:53pm TO Carmel Clay Parks & Recreation OCT IS 2013 1411 E 116th Street Carmel, IN 46032 LY_ NAME : Dawn Koepper ACCOUNT EMAIL : dkoepper @carmelclayparks.com METHOD : DPS: MasterCard CARD NO#: 556926........14 ® 00 t D W_ 3�(.���;d'; rL.r„�:�.., Et 7r> .f;..,, :'• .:_,. 1 31E� �.�:>:� �E (�31 s .'�; � Y ii f:.. ..._. tittp://wv.,vv.vectorstock,ccrr?/transactions/credits foy' S VectorStock'-' C 00q -7�- I magcs b WATCH ' TWEET PIN SHARE VWVWNECTORSTOCK.COM HE FIROAIER 01,i_.N.”, V TG;',.;E,. GENCY V_._.__ __ ______ _ X ____.__.___.__.-.. _ ...._.. VECTORSTOCK MEDIA LIMITED\PO BOX 68647\NEWTON\AUCKLAND\NEW ZEALAND 1145\ .... ...-. ..,...., ., .. ._. ., _._ ,. . www.vectorsock.com ,. 1 Page 1 of 2 µcote q✓�- r�EsT guw R. C.'T rE OCT 1 1 2013 THANK Y BY: for our records.You will also receive a confirmation e-mail with Your order details. Please print this pag e Y Order Date:10!11!2013 Order Number'.Bf3Y01-6 1 05040`18884 umrmo GOOLBS Best Buy Marketplace Seller -e_ $7.14 Black Dawn Koepper 2 Steren 3.5mm to RCA Audio Y-cable- 1411E 116TH 5T 255-037 CARMEL,IN 46032 SKU'.1307203477 y� Standard Shipping:FREE Estimated Arrival:1 oil 7-1012212013 FREE Shipping:, g0 00 Sales Tax 8 Fees: $7.14 Items sold&shipped bYLlmaied Goodscannot he returned to - Order Totat: SestBuy.com or Bast buy stores.Confrscl iaenitcau,xc?ovs cus!oss5t's se:rvlce or<uesiios abo�st shippmra and rel0., order Number:66YQ4-610504018885 EFQRfi.4TY I1reSeller 1 O( { t ✓�� Best Soy MlrketP. .;,= 1 !`�■�'W/1 $14.82 3 eForCity 3 5mm' 1 16TH JACK Car Audio AUX Gable Dawn 16TH 1411E 60 J for iPod Touch-Black266902 CARMEL,IN 46032 SKU:1307000908 Standard Shipping:FREE Estimated Arrival:10117-10/2212013 FREE _. ShipPi^9" $0.00 Of Saes Tax 8 Fees: 14.82 Items sold&shipped byeForCitycannot be returned to BestCiuy.cont Sales Total: $ Best Buy stores.Contact ea a ty customer sery CO IN ct;estaons about shipping and returns. Order updates wilt be sent to: Email:dkoeppeC @carmeiclayparks.corn . pavane;�:.t=;a?rr,tatlon MasterCard""2814 Gift Cards N/A Dawn Koepper 1411 E 116TH ST Reward Certificates CARMEL,IN 46032 N!A Promotional Codes Product Total: 321 96 NIA F ,,-.c Shipping: Sales Tax: $0"00 Order Total(charged to credit card): $21.96 Important Information About Your Order Marketp Marketplace Sellers cannot be returned to BestBuy.Corn or Best Buy stores,contact the t;^Ile"� "'''`�tei s£'�•i lace Orders Items sold and shipped by latenlapper.jsp?id=pcatl7014&type=Page&_re... 10/11/2013 w https..//ww-ssl.bestbuy.cO'n/site/olste m p page 1 of 2 Ft �;�,� h i F& lqc DD if C1 rl CT,-TI 7T4-,D 3EST OCT 1 1 2013 BUY, ...:.....:__._...:....._..: BY THANK YOU FOR yOUR ORDER Please pant this page for your records.You will also receive a confirmation e-mall with your order details. Order Date:loll V2013 Order Number:B[3YOi-61650401 S S88 EFOpCSTY Best Buy Marketplace Seller AU 2 erorCity-3.5mm JACK Car Audio X Cable Dawn Koepper 1411E 116TH ST for ipod Touch•B13ck266902 CARMEL,IN 46032 SKU'.1307000908 Standard Shipping:FREE Estimated Arrival:1 011 7-1 012 21201 3 Items sold 8 shipped byeForClty cannot be returned fa BestBtty.com or Best Buy stores. A da�" Contact sold shipped blef serCit)roP questions 3boui shipi>ir-y and returns. I/�1 Order updates will be sent to: Email:dkoepper @carmelclayparks.Corn nAYsne.i4f':r1#nrtn4Hii?it V"� �23�0�1 MasterCard""'2614 Gift Cards NIA Dawn Koepper 1411 E 116TH ST Reward Certificates CARMEL,IN 46032 NIA Promotional Codes Product Total. 59.88 N/A - Shipping. Sales Tax: 50 00 Order Total(charged to Credit card): $9.88 Important Information About Your order Marketplace Sellers Cannot be returned to BestBuy.com or Best Buy stores.contact the >:-!Ver- r.,o.'o i°'s`'�'"`'`'' Marketplace Orders Items sold and shipped by .......stions about shipp�n9 and returns. order Questions: lease contact If you have questions about your order,p Order Status: Order status,tracking and receipt printing`^rill be available to you shortly after your order submission.SimpY please ied e sure erry It you used a Pitch In Please make sure an adult(age 18 or older)is home to sign for scheduletl deliveries. i.earn.pore Gilt Cards&Pitch Id'ca corder,keep your card until you've received your purchase and are sure you want to keep d Y If you used a gift Card,keep a to use on future purchases.your and PM1'v In Cards will be credited if you return or can an item. Protection Plan: ou.please print this e-mail and save it for your records. Your protection plan will be e-mailed to y ,Cc Jest 3 rp instKlrn ion Services r ...,r deI<vd- Customer Care may be able to assist with the following: • Change shipping address or delivery methods • Extend backorder https:/i ww"-ssl•bestbuy.com/sitelolstemp 1atemapper-jsp?id=Pcat17014&type=Page&_re... 10/11/2013 F; Dawn Koepper D J 16 �2_ From: auto-confirm @amazon.com Suppl i es Sent: Tuesday, October 08, 2013 9:37 AM (u%`-'Z-L,}'Z�90� To: Dawn Koepper Subject: Amazon.com order of Chicken and Noodle... and 2 more item(s). amazon Kindle Store Your Account Amazon.com Order Confirmation Order#108-6373828-1830661 Reno Dawn, Thank you for shopping with us.We'd like to let you know that Amazon has received your order, and is preparing it for shipment. Your estimated delivery date is below. If you would like to view the status of your order or make any changes to it, please visit Your Orders on Amazon.com. Your estimated delivery date is: Your order will be sent to. Tuesday, October 15, 2013 - Carmel Clay Parks & Recreation Monday, October 21, 2013 ATTN TIFFANY BUCKINGHAM 13989 HAZEL DELL PKWY �r'r+U? Siti�3�.)ir1CJ speed, FREE Super Saver Shipping CARMEL, IN 46033-8748 United States 11,`..Qrtt2r pet��tlS ' _. _. Ord el Details Order#108-6373828-1830661 Placed on Tuesday, ()ctober 8, 2013 The 175 Best Camp Games: A Handbook for leaders $13.96 ! - Fr&ser, Sold by Amazon.com LLC 1 Chicken and Noodle Games:141 Fun Activities $18.53 a w/Innovative Equipmnt �p tiij'i vC"fir 'Bal`a:if ller,N'.7.Onyle, Pa t)ai?h ;,, paC,e(l acK Sol; bw Amazon.com LLC Great Big Book of Children's Games: Over 450 $12.19 B1- Hook Indoor& Outdoor Games for Kids, Ages 3-14 iebr v Fcrre l . , PapFr'.:;;:'C;K Sold by Amazon.com LLC Games - r."". Item Subtotal: $44.68 Shipping & Handling: $5.97 Promotion Applied: -$5.97 Total Before Tax: $44.68 Order Total: $44.68 To learn more about ordering, go to Ordering from Amazon.coln. If you want more information or need more assistance, go to Help. Thank you for shopping with us. Amazon.com Next tln,c gc.t Ji ,910P StOM)", A I' ' .: Unle-s,';oihe wise noted items soli by An-�a7,ow ,om i; „a+d: �,!les of thal state t`voG,r o!of r costa if is 0,,e ;;:rlorr- ter;s omi;a scAel olnKr t thar l r-ay t`!;s:,t i. at 3t: a0d ,<;! sides',r+:C i78r$' ii g!:p^t`:.`;,R2 SBlti,r hiJStRE: F(h.>hi;lf S i3f?d the ioC 7;lUi'of lf'.i't, r?;�t O:^si '_EA(f?`.,,3,^3t;Jt!t tax 1!i seller IfifO(I-nation. s? l;ror'a !1fa*i cannon<lU<;r;:it:(ii,v1Y•i'hj t-n. ad real e uo 'eoly to!his 2 Payment Receipt - PayPal Page 1 of 2 Rainbow Loom LLC `bl I I'3 Secure payments by Payment Receipt c. ` ��q•lpo Receipt ID 1 I?laYVl JU IQS - "L 11611-7s 5549-6080-7061--5305 3(p�a F 2,34, 65 Total XXSck—4-,�3go3q :q 3S4 5 $1.922.60 USD 51 q 7.5 ,(( [-7 9:;65 We'll send a confirmation email to dkoepper @carmelclayparks.com.This transaction will appear on yourstatement as PayPal*RAINBOWLOOM. Paid to Shipped to Rainbow Loom LLC Ben Johnson shopping @rainbowloom.com 1235 Central Park Drive East Carmel, IN 46032 United States Your shopping cart Description Price Quantity Amount Rainbow Loom Complete Package $14.99 95 $1,424.05 J RBL Rubber Band Bag + C-clips Purple $2.99 6 $17.94 010 RBL Rubber Band Bag + C-clips- Pink $2.99 6 $17.94 RBL Rubber Band Bag + C clips Red $2.99 1 $2.99 I RBL Rubber Band Bag +C-clips-Yellow $2.99 6 $17.94 006 1.11.1..... .. ......... ...... ......... RBL Rubber Band Bag + C clips-Ocean Blue $2.99 1 $2.99 016 RBL Rubber Band Bag+ C-clips- Lime Green $2.99 6 $17.94 065 RBL Rubber Band Bag + C-clips-White t)11 $2.99 1 $2.99 RBL Rubber Band Bag+ C-clips- Black 004 $2.99 6 $17.94 Item total $1,922.60 Tax $0.00 Total $1,922.60 USD https://www.paypal.com/us/cgi-bin/webscr?cmd=_flow&SESSION=_jNHgsF 1 InrTopBp5... 10/1/201 3) Payment Receipt - PayPal Page 2 of 2 l Description Price Quantity Amount RBL Rubber Band Bag +C-clips- Neon $2.99 6 $17.94 Orange 021 RBL Rubber Band Bag + C-clips- Navy Blue (J.13 $2.99 6 $17.94 RBL Rubber Band Bag +C-clips-Turquoise 01 $2.99 5 $14.95 ......... .. RBL Rubber Band Bag + C clips Fuchsia $2.99 5 $14.95 I 022 RBL Rubber Band Bag+C-clips Teal $2.99 5 $14.95 I 023 RBL Rubber Band Bag + C clips Dark Green $2.99 3 $8.97 I 012 RBL Rubber Band Bag + C-clips- Mixed Colors $2.99 17 $50.83 002 Mini Rainbow Loom(D Template (hook and Mini Loom) $3.99 65 $259.35 hook inini loon'€ Item total $1,922.60 Tax $0.00 Total $1,922.60 USD https://www.paypal.com/us/cgi-bin/webscr?cmd=_flow&SESSION=_jNHgsF 1 InrTopBp5... 10/1/2013 Amazon,com - Order 105-3275275-4579401 -F Page 1 of 1 amazon_com M, Details for Order #105-3275275-4579401 Print this page for your records. Order Placed: October 1, 2013 Amazon.com order number: 105-3275275-4579401 Order Total: $412.80 Shipping Now Items Ordered Price 30 of: Schwinn 20-Function Bike Computer $13.76 Condition: New Sold by: Amazon.com LLC Shipping Address: Item(s) Subtotal: $412.80 Carmel Clay Parks & Recreation Shipping & Handling: $9.04 1235 CENTRAL PARK DR E Super Saver Discount: -$9.04 A17N MARY EVANS ----- CARMEL, IN 46032-4421 Total before tax: $412.80 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$412.80 FREE Super Saver Shipping ----- Payment information Payment Method: Item(s) Subtotal: $412.80 MasterCard I Last digits: 2814 Shipping & Handling: $9.04 Billing address Super Saver Discount: -$9.04 Carmel Clay Parks & Recreation Total before tax: $412.80 1411 E. 116th Street Carmel, IN 46032 Estimated tax to be collected: $0.00 United States Grand Total:$412.80 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice © 1996-2013, Amazon.com, Inc. or its affiliates I Oa G-aa-. 4 a3gD https://www.amazon.com/gp/ess/summary/print.html?ie=UTF8&orderID=105-3275275-4... 10/1/2013) 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 10/31/13 2798 General program supplies $ 444.64 10/31/13 2798 General program supplies $ 179.94 10/31/13 2798 Equipment Repairs & Maint $ 113,01 10/31/13 2798 General program supplies Total $ 737.59 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 45274-0523 In Sum of$ Page 2 of 2 ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE/ 109 MCC PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1096-22 2798 4239039 $ 444.64 1 hereby certify that the attached invoice(s), or 1096-21 2798 4239039 $ 179.94 bill(s) is (are)true and correct and that the 1096-99 2798 4350000 $ 113.01 materials or services itemized thereon for which charge is made were ordered and received except 4-Nov 2013 Signature $ 737.59 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 10/31/13 2798 Travel expenses $ 1,202.90 10/31/13 2798 General program supplies _- $ 414.28 10/31/13 2798 General program supplies $ 199.75 10/31/13 2798 General program supplies $ 234.65 10/31/13 2798 General program supplies $ 234.65 10/31/13 2798 General program supplies $ 389.55 10/31/13 2798 General program supplies $ 314.75 10/31/13 2798 General program supplies $ 179.65 10/31/13 2798 Marketing & Promos $ 100.00 10/31/13 2798 Travel expenses $ 1,879.64 10/31/13 2798 Classified ads $ 285.00 10/31/13 2798 Other fees & license $ 4.06 Total $ 5,438.88 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 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$ $ 6,176.47 TOTAL OF TWO PAGES ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE/ 109 MCC PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members Dept# 1125 2798 4343000 $ 1,202.90 1 hereby certify that the attached invoice(s), or 1081-2 2798 4239039 $ 414.28 bill(s) is (are)true and correct and that the 1081-4 2798 4239039 $ 199.75 materials or services eternized thereon for 1081-5 2798 4239039 $ 234.65 which charge is made were ordered and 1081-6 2798 4239039 $ 234.65 received except 1081-9 2798 4239039 $ 389.55 1081-10 2798 4239039 $ 314.75 1081-11 2798 4239039 $ 179.65 1091 2798 4341991 $ 100.00 1091 2798 4343000 $ 1,879.64 1091 2798 4346000 $ 285.00 4-Nov 2013 1094 2798 4358300 $ 4.06 Total of Page #2 $ 737.59 Signature $ 6,176.47 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund