HomeMy WebLinkAbout257565 04/13/16 aY��s,�f� CITY OF CARMEL, INDIANA VENDOR: 367745
® "1
ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: S"`"*****25.00"
,_� CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 257565
M;roN�• CHECK DATE: 04/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 041316 25.00 CELLULAR. PHONE FEES
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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. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 25.00 i 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
April 6, 2016
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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Carmel 0 Clad Al
Parks&Recreation
Em Ioyee Expense Reimbursement Request
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R e of Fund Account Account
eipt Vendor listed on.receipt # Line# Budget Description Amount Purpose of Expense
11
15/2016 Verison / 14&ql4�0a cell phone reimbursements $ 25.00 cell hone reimbursement
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All receipts should be attached in the sa;n6 order as listed above. 25.��
No sales tax will be reimbursed. 1 TOTAL:
Employee Name(print) I Michael Kilpatrick
k Address 2335 west 236th st.
MAR 3 1 2016
e to: BY:
City, St,Zip 5heridian In 46069
Signature: �° + Approved by
7
Date: 3!20/2016 Date. 3/3i�t b
}, 4
reS Division,Revised 7-7-08
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siBuglness Services\Employee Exp Reimb Reque't
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Manage Your Account Account Number Date Due 1,
.0,BOX 4002
ACWORTH,GA 30101
a 481004485-00001 03/15/16
Change your address at Invoice Number 3371067953
vzw.com/changeaddress
0007172 02 AT 0.413 -AUTO T80 382046069-872535 -C12-PO7179-1 Quick Bill Summary Jan 21 —Feb 20
RENEE KILPATRICK `F Previous Balance(see back for details) $144.51
2335 W 236TH ST Payment—Thank You —$144.51
SHERIDAN,IN 46069-8725 Balance Forward $.00
Monthly Charges $216.87
Equipment Charges $31.47
Verizon Wireless'Surcharges
yyy and Other Charges&Credits $44.95
Taxes,Governmental Surcharges&Fees $6.18
Total Current Charges $299.47-- _
Ve�ion;IN'ue(ess;�News '_, �.
Change To Your Service Total Charges Due by March 15,2016 $299.47
Thank you for your wireless business.
You recently made a change to your
service. Your new bill will reflect usage
from your last bill and service
adjustments resulting from the
plantfeature change.
Pay from phone Pay on the Web I Questions:
Bill Date February 20,2016
V�r'Z®n�
Account Number 481004485-00001
Invoice Number 3371067953
RENEE KILPATRICK
2335 W 236TH ST Total Amount Due by March 15, 2016
^
SHERIDAN,IN 46069-8725 (J
Make check payable to Verizon Wireless. 299.47
Please return this remit slip with payment. $ El El 1:1 - R 1:1
4P
\\\ P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
33710679530104810044850000100000029947000000299473
verizonv Invoice Number Account Number Date Due Page
Get Minutes Used I Get Data Used :=Get Balance
'DATA+SEND 413AL+'SEND
4MIN+SEND At
Payments
Previous Balance $144.51
Payment–Thank You
Payment Received 02/05/16 –144.51
Total Payments –$144.51
Balance Forward $.00
Account Charges and Credits
Account Monthly Charges
---Previous Plan— --- -
Nationwide Talk Share 1400 Refund 01/21 –02/20 –70.00
$70.00 per month/full month refunded
15%Access Discount($70.00+$9.99)–Reversal 01/21 –02/20 12.00
New Plan
The Verizon Plan XX Large 18GB 01/21 –02/20 100,00
$100.00 per month/full month on new plan
15%Access Discount 01/21 –02/20 -.---15.00
Month in Advance
The Verizon Plan XX Large 18GB 02/21 –03/20 100.00
15%Access Discount 02/21 –03/20 –15.00
These are the normal monthly charges billed in advance.
Subtotal $112.00
Total Account Charges and Credits $112.00
'I&wt
i&ofh6iri-qr#dPMt' send:correspondeftce to
-
V016i'Wireless i`vwi
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Automatic Payment Enrollment for Account:481004485-0000I 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 after 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.
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0007172-0046420-0000002 of 0000012-C12-RG-3820-07179