Loading...
HomeMy WebLinkAbout255383 02/12/16 y u._Cgq� ;s CITY OF CARMEL, INDIANA VENDOR: 367745 `' ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: $********25.00* CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 255383 Mt�s„ CHECK DATE: 02/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 021116 25.00 CELLULAR PHONE FEES Carmel ® Clay COOV Parks&Recreati®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 1 2/2/2016 Verison $ 25.00 cellphone rembersment c r � I I I I All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. ; TOTAL: $25.00 Employee Name(print)_ Michael Kilpatrick Address 2335 west 236th St. Check payable to: City, St, Zip Sheridan In. 46069 I Signature: ,, Approved by: Date: 2/2/2016 j Date: Z 3 Zo I i Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request verizon'41 - Manage Your Account Account Number Date Due P.O.BOX 4002 02/15,116 ACWORTH,GA 30101 C0Mt o r Change your address at Invoice Number 3357539761 vzw.com/changeaddress 0076702 01 AV 0.388 —AUTO T8 1 3720 46069.872535 -C07-P76778-1 Quick Bill Summary Dec 21 -Jan 20 1111111 1llll11111llil1llllli111lllJill III III RENEE KILPATRICK Previous Balance(see back for details) $151.97 2335 W 236TH ST Payments-Thank You -$156.97 SHERIDAN,IN 46069-8725 Credit Balance -$5.00 Monthly Charges $127.97 Usage and Purchase Charges $.45 - - --- -- -- ---Verizon-Wireless'-Surcharges=- -— - --- - - —-- and Other Charges&Credits $10.61 Taxes,Governmental Surcharges&Fees $10.48 Total Current Charges $149.51 Verizon;Wireless.News Choose Clicks Over Clutter Total Charges Due by February 15,2016 $144.51 Reduce clutter this year with paper-free billing.Get an email or text alert when --_---Your bill is.ready,and pay and view up to--- -- 18 months of bills in My Verizon anytime, 24/7.Visit go.vzw.com/paperfree. You'reeligible for ars upgrade. See back page. Pay from phone Pay on the web Questions: verizonv Bill Date January 20,2016 Account Number 481004485-00001 Invoice Number 3357539761 RENEE KILPATRICK 2335 W 236TH ST Total Amount Due by February 15, 2016 SHERIDAN,IN 46069-8725 Make check payable to Verizon Wireless. � .JJ� Please return this remit slip with payment. F-1 F�EL E P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 ��nlllhill�llllll��llulmllli�ill�l�lllhrl�llllil�llll,loll 33575397610104810044850000100000014951000000144513 ■ verizoa Invoice Number Account Number Date Due Page ;,` 335753+.761 481004485-001 02/.15/16 '2 of 7 Get Minutes Used Get Data Used Get Balance MIN 1 1` ' 1 .+ 1 Payments Previous Balance $151.97 C Payments—Thank You Payment Received 12/22/15 —5.00 Payment Received 01/05/16 —151.97 Total Payments —$156.97 Credit Balance —$5.00 _----- - - - — - - -account Charges-and Credits-__ -- - -- Account Monthly Charges Nationwide Talk Share 1400 01/21 —02/20 70.00 15%Access Discount($70.00+$9.99) 01/21—02/20 —12.00 Subtotal $58.00 Total Account Charges and Credits $58.00 Written notations; ncluded�otth or:on yol�lrpayrnent velli not be reyj ed of hottt3red Please send orrespontience to A Verton,;Wrreless;Attn,�trrr©sondence ieatn PO Box 5b29,Waltiogtortl;GT 0692 __ri•=.; Automatic Payment Enrollment for Account:48100448540001 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 noted 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 stip with your payment Do not send a voided check. ■ ❑ ■ Carmel Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expens@ 2/2/2016 Verison %/ $ 25.00 cellphone rembersmeryt All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Michael Kilpatrick --- Address 2335 west 236th St. Check payable to: City, St, Zip Sheridan In. 46069 Signature: Approved by: Date: 2/2/2016 Date: 2/3/20 b Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request i i verizoW - Manage Your Account Account Number Date Due P.O.BOX 4002 ACWORTH,GA 30101 WMVNZWcom 4811,004485-4000`11 Change your address at Invoice Number 3357539761 vzw.com/changeaddress 0076702 01 AV 0.388 —AUTO T8 1 3720 46069-872535 -C07-P76778-1 Quick Bill Summary Dec 21 -Jan 20 II„I,1,1,111111111'IIII�I,�IIII"I"1111'llllll'I'IIIIIIIII!III RENEE KILPATRICK Previous Balance(see back for details) $151.97 2335 W 236TH ST Payments—Thank You —$156.97 SHERIDAN,IN 46069-8725 Credit Balance —$5.00 Monthly Charges $127.97 Usage and Purchase Charges $.45 Verizon Wireless'Surcharges and Other Charges&Credits $10.61 Taxes,Governmental Surcharges&Fees $10.48 Total Current Charges $149.51 5 Verizon Wireless News. Choose Clicks~Over Clutter Total Charges Due by February 15, 2016 $144.51 Reduce clutter this year with paper-free billing.Get an email or text alert when your bill is ready,and pay and view up to 18 months of bills in My Verizon anytime, 24/7.Visit go.vzw.com/paperfree. You're eligible. for an upgradd. See back page. Pay from phone Pay on the Web Questions: .: om 1.800.922.0204your phone verizowl Bill Date January 20,2016 Account Number 481004485-00001 Invoice Number 3357539761 RENEE KILPATRICK 2335 W 236TH ST Total Amount Due by February 15, 2016 SHERIDAN,IN 46069-8725 Make check payable to Verizon Wireless. y 14 •� GJ� Please return this remit slip with payment. s E]EIEI ■ [—]El P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 �mllllnll�llllll��llnln�lllrlll�l�lllln�l�llllll�llll�l�ll 335753976101'04810044850000100000014951000000144513 verizoal Invoice Number Account Number Date Due Page 3357539761 48100448540001 :02/15/16 2 of 7 ; Get Minutes Used Get Data Used Get Balance 1 m 1 48AL SEND' Payments Previous Balance $151.97 I� Payments—Thank You Payment Received 12/22/15 —5.00 Payment Received 01/05/16 —151.97 ; Total Payments —$156.97 Credit Balance —$5.00 Account Charges and Credits Account Monthly Charges Nationwide Talk Share 1400 01/21 —02/20 70.00 15%Access Discount($70.00+$9.99) 01/21 —02/20 —12.00 Subtotal $58.00 Total Account Charges and Credits $58,00 Written riotatlons:ihcfuded with o7 on your"payfnent wtfl-not be reviewed-or honor"ed Please send':correspondence"to Veriibn"Wuele'ss_Attn:._Carresbondence-Team_PO Box_5029 Wailingf©rd,`_`CT X6492 Automatic Payment Enrollment for Account:481004486-00001 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 noted 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. 0076702-0290891-0000002 of0000010-C07-LT-3720-76778 i ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL I 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 2/2/16 Reimb Cell phone charges Jan'16 $ 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 i Voucher No. Warrant No. 367745 Kilpatrick, Michael Allowed 20 2335 West 236 St Sheridan, IN 46069 In Sum of$ i $ 25.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 25.00 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 February 5, 2016 i Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund