234567 07/08/14 `y CITY OF CARMEL, INDIANA VENDOR: 360464
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® t. ONE CIVIC SQUARE LINDSAY LABAS CHECK AMOUNT: $*******100.00*
CARMEL, INDIANA 46032 8809 147TH PLACE CHECK NUMBER: 234567
NOBLESVILLE IN 46060 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 REIMB 100.00 CELLULAR PHONE FEES
Carmel • Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above. ®�
No sales tax will be reimbursed. TOTAL:
Employee Name(print) � JUN 2 0'2'014
Address 8�®� ���' Qe �`or,_
Check r --_
payable to: City, St,Zip 1 keut ll t t L, q�60
Signature:�nof Approved by:
Date: Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
V
P.O.BOX 4002 Manage Your Account&View Your Usage DetailsAccount Number Date Due
ACWORTH,GA 30101 My Verizonwww.verizonwireless.com 986813753-00001 05/15/14
Address Changed?—go to vzw.com/changeaddress Invoice Number 3069290683
Quick Bill Summary Mar 21 -Apr 20
KEYLINE
/4606043313/
BENJAMIN LABAS Previous Balance(see back for details) $148.11
8809147TH PL Payment—Thank You —$148.11
NOBLESVILLE,IN 46060-4331 Balance Forward $.00
Monthly Charges $133.38
Usage and Purchase Charges $3.10
Verizon Wireless' Surcharges
and Other Charges&Credits $6.11
Taxes,Governmental Surcharges&Fees $7.20
Total Current Charges $149.79
Simplify Life Total Charges Due by May 15,2014 . $149.79
Easily manage your account with My
Verizon.Pay your bill,check usage,
change your calling plan,add features,
and much more!Go to
www.vzw.com/myverizon for details and
get started today.
Pay from Wireless Pay on the Web Questions:
#PMT(#768) My Verizon at www.verizonwireless.com 1.800.922.0204 or*611 from your wireless
---- ------------------------------------------------------------ ------------------------------------ ----
VN
Bill Date April 20 2014
Account Number 86813753-00001
Invoice Number 3069290683
BENJAMIN LABAS Total Amount Due
8809147TH PL
NOBLESVILLE,IN 46060-4331 will be submitted to credit card on 05/13/14
DO NOT MAIL PAYMENT $149.79
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
❑
Check here and fill out the back of this slip if your billing address /1800255054/
has changed or you are adding or changing your email address.
30692906830109868137530000100000014979000000149792
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due
ACWORTH,GA 30101 My Verizonwww.verizonwireless.com ;
Address Changed?—go to vzw.com/changeaddress Invoice Number 3083190588
Quick Bill Summary Apr 21 -May 20
KEYLINE
/4606043313/
BENJAMIN LABAS Previous Balance(see back for details) $149.79
8809147TH PL Payment—Thank You —$149.79
NOBLESVILLE,IN 46060-4331 Balance Forward $.00
Monthly Charges $133.38
Verizon Wireless' Surcharges
and Other Charges&Credits $6.06
Taxes,Governmental Surcharges&Fees $6.98
Total Current Charges _ $146.42.
Total Charges Due by June 15, 2014 $146.42
Simplify Life
Easily manage your account with My
Verizon.Pay your bill,check usage,
change your calling plan,add features,
and much more!Go to
www.vzw.com/myverizon for details and
get started today.
Pay from Wireless Pay on the Web . Questions:
#PMT(#768) My Verizon at www.verizonwireless.com 1.800.922.0204 or*611 from your wireless
------------------------------------------------------------------------------------------------------------------------------------------
VN
Bill Date F86
20 2014
Account Number 13753-00001
Invoice Number 3083190588
BENJAMIN LABAS Total Amount Due
8809147TH PL
NOBLESVILLE,IN 46060-4331 will be submitted to credit card on 06/13/14
DO NOT MAIL PAYMENT $146.42
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
❑ /1800255054/
Check here and fill out the back of this slip if your billing address
has changed or you are adding or changing your email address.
30831905880109868137530000100000014642000000146422
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.
360464 Labas, Lindsay Terms
8809147th Place Date Due
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/18/14 Reimb Cell phone charges Apr, May'14 $ 100.00
Total Is 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
20_
Clerk-Treasurer
i
Voucher No. Warrant No. {
360464 Labas, Lindsay Allowed 20
8809 147th Place
Noblesville, IN 46060
1 In Sum of$
. I
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
I
101 General Fund
PO#orBoard Members
INVOICE NO. ACCT#/TITL AMOUNT 1
Dept# J
1125 Reimb 4344100 $ 100.00 1 hereby certify that the attached invoice(s), or
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
I
I
3-Jul 2014
I
�Ah MVWQ A
Signature
Is 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if l Title
claim paid motor vehicle highway fund
I