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Home My WebLink About243753 03/31/15 4;q ?�' ''G CITY OF CARMEL, INDIANA VENDOR: 367745 t;, CHECK AMOUNT: $********25.00• .j; ��• ONE CIVIC SQUARE MICHAEL KILPATRICK CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 243753 s' CHECK DATE: 03/31/15 9M�ii6ii c�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES •,J 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 2/15/2015 Verizon �U� 3� 7 BUD cell phone reimbersment $ 25.00 phone reimbersment for J n. All receipts should be attached in the same order as listed above. -F No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Mike Kilpatrick " Address 2335 west 236th St. R 12 2015 i Check payable to: City, St,Zip Sheridan in. 46069 [7M ---_!� Signature: � ��jr�,� s��/y'' Approved by: Date: 3/10/2015 Date:/1Z'so�5 Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request i Manage Your Account Account Number Date P.O.BOX 4002 a �: eo��: stet 02/15/15 ACWORTH,G 0101 Change your address at Invoice Number 319409241 f trzw.cam/changeaddress 0065259 01 AV 0.378 "AUTO T41 372046069-872535 -C07-P65324-1 QuICI( Dill Summary ImaY y Dec 21 —Jan 20 I�I�Iln�llu��lll'�IIII��'I'II�'I'III��rII�I��IINnfI'��'ff��'I RENEE KILPATRICK Previous Balance(see back for details) $179.96 2335 W 236TH ST Payment—Thank You —$179.96 SHERIDAN,IN 46069-8725 Balance Forward $.00 Monthly Charges $127.97 Usage and Purchase Charges $1.80 Verizon Wireless'Surcharges and Other Charges&Credits $9.31 Taxes,Governmental Surcharges&Fees $10.30 Total Current Charges $149.38 I Verizon Wireless,NeWs -- Go Paperless In 2015 Total Charges Due by February 15, 2015 $149.38 Sign up for paperless billing and save postage,reduce clutter and help the environment.Visit go.vzw.com/gogreen to learn more. Start the new year right. . SAVE WITH : . SMART REWARDS, See back page, Pay from Wireless Pay on the Web Questions: .: o 1,800.922.0204 or*611 from your wireless VN �- wireless Bill Date January 20,2015 Account Number 481004485-00001 Invoice Number 3194092414 ;�zt� RENEE KILPATRICK 2335W236THST Total Amount Due by February 15, 2015 SHERIDAN,IN 46069-8725 Make check payable to Verizon Wireless. $149.38 Please return this remit slip with payment. o . . . saoo . o❑ Scan To Pay Or Go Paperless Pay your bill online,or enroll in Paperless Billing P.O.BOX 25505 or Auto Pay.Simply scan the QR code with yourY LEHIGH VALLEY, PA 18002-5505 mobile device or visit vzw.com/myverizon, o_ , ❑ Check here and fill out the back of this slip if your billing address IIIII�"Il�llll�l�ll'llll��ll�l��ll��'llllil�llllll'll'��'I�Illll has changed or you are adding or changing your email address. 31940924140104810044850000],00000014938000000149383 Mf)TV`C•sank nnrniint nnA midino numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. verkEpnwiretess Invoice Number Account Number Date Due Page 31940924.14 481004485` 00001 02/15/15 2 of 7 Get Minutes Used Get Data Used Get Balance ' Explanation of Charges Payments Verizon Wireless'Surcharges Previous Balance $179.96 Verizon Wireless' Surcharges include (i) a Regulatory Charge (which helps defray various government charges we pay including Payment—Thank You government number administration and license fees); (ii) a Payment Received 01/06/15 —179.96 Federal Universal Service Charge (and, if applicable, a State Universal Service Charge)to recover charges imposed on us by Total Payments —$179.96 the government to support universal service; and (iii) an d F Balance Forward Administrative Charge, which helps defray certain expenses we $•00 incur, including:charges we, or our agents, pay local telephone Account Charges and Credits �. companies for delivering calls from our customers to their g customers;fees and assessments on our network facilities and C services; property taxes; and the costs we incur responding to Account Monthly Charges regulatory obligations. Please note that these are Verizon Wireless charges,,not taxes.These charges;and what's included, -Nationwide Talk Share 1400 01/21 —02/20 70.00 are subject to change from time to time. 15%Access Discount($70.00+$9.99) 01/21 —02/20 -12.00 Subtotal $58.00 Taxes,Governmental Surcharges and Fees Includes sales, excise and other taxes and governmental Total Account Charges and Credits $58.00 surcharges and fees that we are required by law to bill customers.These taxes, surcharges and fees may change from time to time without notice. Late Fee Information A late payment applies for unpaid balances.The charge is the greater of$5 or 1.5%per month,or as permitted by law. Verizon Wireless'Other Charges and Credits Includes charges for products and services,and credits owing. Correspondence Address Version Wrreless Atn Correspondence Team PO Box 5029 Wallmgord, CT 06492 Automatic Payment Enrollment for Account:48100448500001 RENEE KILPATRICK By signing below,you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account.The check you send will be used to setup Automatic Payment. You will be notified each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these terms.This agreement does not alter the terms of your existing Customer Agreement.I agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account.To withdraw your authorization you must call Verizon Wreless.Check with your bank for any charges. 1.Check this box. 2.Sign name in box below,as shown on the bill and date. 3.Return this slip with your payment.Do not send a voided check. Changing your billing address for Account:48100448500001 RENEE KILPATRICK Use this space or sign in to My Verizon at vzw.com/changeaddress to change the mailing address where we send your bill.If we do not have your most recent email address,provide it below and we'll use it to tell you important information about your Verizon Wireless service.Allow 2 billing cycles for the address change to take effect. New Address Confirming or changing your service address For each of your mobile numbers,in order to bill taxes and City surcharges correctly we need a service address-which is a street address(not a PO Boz)that is the home or primary State/Zip business address of the person who uses that number.To Work Phone Home Phone confirm or change the service address for any of yourmobile numbers,sign in to My Verizon at vzw.comfserviceaddress. Email 0065259-0248822-0000002 of0000010-C07-LT-3720-65324 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. 367745 Kilpatrick, Michael Terms 2335 West 236 St Sheridan, IN 46069 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 2/15/15 Reimb Cell phone charges Jan'15 $ 25.00 Total $ 25.00 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. 367745 Kilpatrick, Michael Allowed 20 2335 West 236 St Sheridan, IN 46069 In Sum of$ $ 25.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 25.00 it 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 March 25,2015 Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I