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Home My WebLink About231576 04/23/14 °":f. CITY OF CARMEL, INDIANA VENDOR: 365288 d i' ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $ .....100.00- CARMEL,g° CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 231 576 9.y�,_.,o; WESTFIELD IN 46074 CHECK DATE: 04/23/14 -9 l TON G DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 100.00 CELLULAR PHONE FEES Carmel • Clay Parks&Recreati®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 3/15/2014 AT&T 1091 4344100 Cellular Phone Fees $ 50.00 Feb's Cell Phone All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 Employee Name(print) Kurtis Baumgartner Address 16930 Kingsbridge Blvd Check APR - 2 2014 payable to: City, St, Zip Westfield, IN 46074-7800 BY: Signature: Approved by: Date: y t I Date: Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 V KURTIS BAUMGARTNER Page: 1 of 4 t 16930 KINGSBRIDGE BLVD Bill Cycle Date: 01/25/14-02/24/14 at& WESTFIELD,IN 46074-7800 Account: 243007377604 Foundation Account: FAN 03861460 Visit us online at: www.att.com Wireless Statement U rl L'I1 111 1) 1,!01 U'Ll U U 11 Li Yi i�l!,I U 1i d t, BiW-AtA-'Glan'p , . . .Fl t1 '!14-Oil IT fi'tf Ii 1i 11 1 1 , : I L 11-f1-1--1 171 n-q n P In,o !�i r, Previous Balance $365.64 stay Payment-Thank You! $365.64CR Adjustments $0.00 • 0- connected Check out our great selection Balance $0.00 of powerful tablets at AT&T. New Charges $180.44 Ca[1877.981 7155 Total Amount Due $180.44 Clickatt.com/addtoday Visit an AT&T store Amount Due in Full by Mar 19, 2014 tg&Wd�Us t rii b A fsrA i' i, L 9 F.1; J�J '.I—r,1 ;- I--,Ui i, 9-� t,�11 n�� L,�12 Li K� ei 1,n P ii ;i C7 r, Item Service Page Total No. Description 1. Payment posted 01/27 180.20CR Wireless $180.44 2. Payment posted 02118 185.44CR 317 607-0815 5128.47 2 Total Payments 365.64CR 317 607-6164 551.97 2 Total Payments&Adjustments 365.64CR Total New Charges $180.44 (1 2-W i r-e 1;e 11 a-n-B a in 0 0.. 5 0 Group 2-Data Summary-Jan 25 thru Feb 24 Mobile Share 6GB with Unlimited Talk&Text-Includes 6 gigabytes of domestic data,$15 per each additional 1 gigabyte of data.Additional monthly charge applies for each device on the plan.Unlimited talk&text on mobile phones. Unlimited talk on Wireless Horne Phone.Mobile Hotspot, tethering,video calling,and Visual Voicemail available with compatible devices.Unlimited domestic data usage on the AT&T Wi-Fi Basic network. Mobile Share How to Contact Us: Data Used(M For questions about your account:1 800 331-0500 317 607-0815 211 or 611 from your cell phone 317 607-6164 508 For Deaf/Haid of hearing TTY:1 866 241-6567 Total, 719 Visit us online at www.att.com For Important Information about your bill, please see the News You Can Use section (Page 3). Return bottom portion with your check in the enclosed envelope. Payments may take T days to post. wireless services provided by AT&T Mob,hty,LLC DUE BY: Mar 19, 2014 $180.44 KURTIS BAUMGARTNER Account Number 243007377604 16930 KINGSBRIDGE BLVD at&t WESTFIELD, IN 46074-7800 Please include account number on your check. Make checks payable to: E] CHECK FOR AUTO PAY AT&T MOBILITY -ROC (SEE REVERSE) PO Box 6416 Carol Stream, IL 60197-6416 974002430073776040000000001804400000018044000 Carmel 0 Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 3/25/2014 AT&T 1091 4344100 Cellular Phone Fees $ 50.00 March Cell Phone All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 Employee Name(print) Kurtis Baumgartner Check Address 16930 Kingsbridge Blvd APP 16 2014 payable to: City, St, Zip Westfield, IN 46074-7800 Signature: Approved by: Date: y��s�i Date: Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 KURTIS BAUMGARTNER Page: I of 4 16930 KINGSBRIDGE BLVD Bill Cycle Date: 02/25/14-03/24/14 WESTFIELD,IN 46074-7800 Account: 243007377604 at&t Foundation Account: FAN 03861460 Visit us online at: www.att.com Wireless Statement U Ll 1`1 I't Lf r Ii L I l,i ri U 1.4 U Li i1.0 L] LI,d U N U5: U ii LT.t I,,,J 4 BiLl-AtA-1.7tance- n TI it I, it W 11-1,).1 ri w if if v-?, risti 0'�n ri n ri j/ Previous Balance $180.44 AT&T Next" ri. Payment $0.00 Get a new smartphone -Vg every 12 months! Adjustments $0.00 Add a line today Past Due-Please Pay Immediately $180.44 Call 800909.0135 Clickatt corn/aalioday Visit an AT&T store New Charges $185.44 Oual.credit&wireless svc plan 8 20-mo.0%APR installment agent req'(1.Tax due at sale. Qual,smarlphones only.If you cancel wireless service remaining device balance is Total Amount Due $365.88 due.New device after I yr req's min.12 are,installment pints&trade-in of qual.current I device&qual.wireless svc plan.Addl restr apply.Visit a store or aff.com/next to New Charges DOe iri Full by Apr 19, 2014 Q,U"A UJI U d.lJ U_U-tj'Ud 1.11 U; p R.u,Lj 11 '-Service Summary U P r,n M P r, N I I I Il n Li 19 Other Charges and Credits Service Page Total One-Time Charges Account Charges 1 $5.00 Date Description 1. 03/24 Late Payment Charge 5.00 rrA TJ Wireless $180.44 Total Account Charges 5.00 317 607-0815 $128.47 2 317 607-6164 $51.97 2 Total New Charges $185.44 1!r)It"U_4 0 LI Li N_'IJ''d Q 11 14 U it Ll 41 U 1;11 Ll,w 0 n ii n n i�i �?i rT:1 F,, ��X!T,!�RS,��n i, IT I Group 2-Data Summary-Feb 25 thru Mar 24 Mobile Share 6GB with Unlimited Talk&Text-Includes 6 gigabytes of domestic data,S15 per each additional 1 gigabyte of data.Additional monthly charge applies for each device on the plan.Unlimited talk&text on mobile phones. Unlimited talk an Wireless Home Phone.Mobile Hotspot, tethering,video calling,and Visual Voicemail available with compatible devices.Unlimited domestic data usage on the AT&T Wi-Fi Basic network. How to Contact Us: Mobile Share For questions about Your account:1 800 331-0500 Data Used(M317 607-0815 384 or 611 from your cell phone For Deaf/Hard of hearing TTY:1 866 241 317 607-6164 461 -6567 Visit us online at www.att.com Total 845 For Important Information about your bill,please see the News You Can Use section (Page 3). Return bottom portion with your check in the enclosed envelope. Payments may take 7 days to post. W-ress serves provided by AT&T Moblilty,LLC DUE BY: Apr 19, 2014 $365.88 Past Due Charges-S180.44-Please Pay Immediately KURTIS BAUMGARTNER Account Number 243007377604 16930 KINGSBRIDGE BLVD at&t WESTFIELD, IN 46074-7800 Please include account number on your check. Make checks payable to: EJ CHECK FOR AUTO PAY AT&T MOBILITY -ROC (SEE REVERSE) PO Box 6416 Carol Stream, IL 60197-6416 974002430073776040000000001854400000036588003 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. 365288 Baumgartner, Kurtis Terms 16930 Kingsbridge Blvd Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 3/15/14 Reimb Cell phone reimbursement Feb'14 $ 50.00 3/25/14 Reimb Cell phone reimbursement Mar'14 $ 50.00 Total $ 100.00 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 6 120 Clerk-Treasurer Voucher No. Warrant No. 365288 Baumgartner, Kurtis Allowed 20 16930 Kingsbridge Blvd Westfield, IN 46074 In Sum of$ $ 100.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center Board Members PO#orEINVOICE CCT#/TITL AMOUNTDept#10914344100 $ 50.00 I hereby certify that the attached invoice(s), or 10914344100 $--55 0.0 0 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 17-Apr 2014 Signature $ 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund