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Home My WebLink About251621 11/18/15 0!" CITY OF CARMEL, INDIANA VENDOR: 355319 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: S""""""'"50.00' CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 251621 BROWNSBURG IN 46112 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4344100 50.00 CELLULAR PHONE FEES Carmel 0 Clay Parks&Recreation E=mployee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense Reimbursement for use of 10/12/2015 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department business 0 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: 11/2/2015 Date: Business Services Division, Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request n v' Manage Your-Account Account Number Data Due P.O.BOX 4002 ACWORTH,GA 30101 -480873963-00001-- 111 _ Change your address at Invoice Number 3312920052 vzw.com/changeaddress 0295412 01 AT 0.413 "AUTO T3 0 4612 46112-773450 -C07-P95727-11 Quick Bill Summary Sep 13—Oct 12 Il�llllllllnlll�l�l�l��nl�l�lll�ll��llllll�l�ll�l�llllll�n�ll, MICHAEL W KLITZING Previous Balance(see back for details) $222.77 1550 REDSUNSET DR 91 Payments—Thank You —$222.77 BROWNSBURG,IN 46112-7734 Balance Forward $.00 Monthly Charges $73.99 Usage and Purchase Charges Voice $.00 Messaging $.00 Data $.00 Equipment Charges $27.08 Verizon Wireless'Surcharges Verizon Wireless News and Other Charges&Credits $3.53 _ Taxes,Governmental Surcharges&Fees $4.26 One Plan. Pick A Size.Simple Whether your data needs are Small or Total Current Charges $108.86 X-Large,our new plan has the size that's right for you.Plus,you can switch it up at anytime.Learn more at go.vzw.com/plan. Total Charges Due by,November 07, 2015 $108.86 Get the latest deals on THE LATEST ACCESSORIES. Visit go.vzw.com/deals Pay from Wireless Pay on the Web I Questions: �PMT .: e e :11 • 1 I e e e VN ril Bill Date October 12, 2015 OB Account Number 480873963-00001 90C Invoice Number 3312920052 Please Recycle MICHAEL W KLITZING - 1550 REDSUNSET DR Total Amount Due by November 07, 2015 BROWNSBURG,IN 46112-7734 Make check payable to Verizon Wireless. ®Qv.pC vV Please return this remit slip with payment. Ell- O $ ❑❑Fl . F]El Scan To Pay Or Go Paperless P r . Pay your bill online,or enroll in Paperless Billing P.O.BOX 25505 or Auto Pay.Simply scan the QR code with your 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 II��IIIIII�II��IIII�IIIIII�II��II��II��I�II�II�I�IIIIIIII�I��II has changed or you are adding or changing your email address. 33129200520104808739630000100000010886000000108868 NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. v nz / Invoice Number Account Number Date Due Page ,:..'480873963=00001.: 1V07/15�iiM..s'2:of �.=-�_.... '4wN_�.....:......._.,.._.......:SaS._..._.��z.::.�..3;.;_s'.....a...-.�..........<_--.sem......:.: _��. ^,••,::�. -c?..,:._::______..._.�...,�....�.;: arm._.�.:...... o€�.:.F-'_�::�:'_�....�-:.:.a.asa�`:. Get Minutes Used Get Data Used Get Balance 1 P+ + 1 C+ 1 Explanation of Charges Payments Verizon Wireless'Surcharges Previous Balance $222.77 Verizon Wireless' Surcharges include (i) a Regulatory Charge ® (which helps defray various government charges we pay including Payments—Thank You government number administration and license fees); (ii) a Payment Received 09/28/15 —108.87 ® Federal Universal Service Charge (and, if applicable, a State Universal Service Charge)to recover charges imposed on us by Payment Received 10/07/15 —113.90 ® the government to support universal service; and (iii) an Total Payments —$222.77 ® Administrative Charge, which helps defray certain expenses we ® incur, including:charges we, or our agents, pay local telephone Balance Forward $.00 companies for delivering calls from our customers to their customers; fees and assessments on our network facilities and services; property taxes; and the costs we incur responding to ® regulatory--obligations.--Please_note that these are Verizon _ Wireless charges,not taxes.These charges,and what's included, are subject to change from lime to time. ® Taxes,Governmental Surcharges and Fees Includes sales, excise and other taxes and governmental ® 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. er,.5' •x �,;t --• - '•« _'_-- ,- •�ic --_---..w-,._ : �'wx: "«ffi4._ 6-.-- .. _ YH'.-�;.:'�:..=•',��e��.b�;� Correspo_ndence;Address Veriziin INirele`ss"Attn:,Correspondence-Team Pb Boz 5029 Walltngford;'.CT."06492' Wr ; `sT*.' ---- - u---- �..a.,: ,:. u.:„.asr„:'z'.x:., -- -- .. ^.`.4a'::r Automatic Payment Enrollment for Account:480873963-00001 MICHAEL W KLITZING 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 Wireless.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:480873963-00001 MICHAEL W KLITZING 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 Box)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 your mobile numbers,sign in to My Verizon at vzw.com/serviceaddress. Email 0295412-1115692-0000002 of 0000006-007-LT-4612-95727 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. 355319 Klitzing, Michael Terms 1550 Redsunset Dr Date Due Brownsburg, IN 46112 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 1112115 Reimb Cell phone Nov'15 $ 50.00 Total $ 50.00 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 5-11-10-1.6 120 Clerk-Treasurer i Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ $ 50.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund Board Members Po#or INVOICE NO. ACCT#/TITL AMOUNT Dept# 1125 Reimb 4344100 $ 50.00 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 November 3, 2015 Signature $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund