HomeMy WebLinkAbout183198 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1
t. ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $85.95
f CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D
INDPLS IN 46240 CHECK NUMBER: 183198
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 85.95 CELLULAR PHONE FEES
ol
Camel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
2/18/2010 AT &T 1091 4344100 Cell Phone Fees 85.95 Personal Cell Phone Use
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $85.95
Employee Name (print) Susan Beaurain
Address 3737 Knickerbocker Place Apt 2D R Lai
Check
payable to: City, St, Zip Indianapolis, IN 46240
BY...
Signature Approved by:
Date: 2/25/2010 Date: 1 z� l c�
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Forms\Staff Forms\Emptoyee Exp Reimb Request
1„
View Full Bill AT &T Page 4 of 25
Multimedia Messaging
Text Messaging
TOTAL MONTHLY SERVICE CHARGES $89.913
Usage Charges
(See Usage Charges Details)
TOTAL USAGE CHARGES $85.95
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 1,02
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 5.11
Indiana Universal Service 0.48
State Gross Receipts Surcharge 2.54
TOTAL CREDITS, ADJUSTMENTS OTHER CHARGES $9
Government Fees Taxes
9 -1 -1 Service Fee 0.50
IN State Telecom Tax 12 92
TOTAL GOVERNMENT FEES TAXES $13.42
TOTAL �4MOUNT DUE $198.54
F User e Charge Details 317- 730 -4150
ame SU SAN BEAURAIN V) �l (7-1 fE CT Minutes j.} S ary of Included In Minutes Billed vn
Usage Charges Plan Used Billed Minutes Rate Total Charge
NTN450RUMM5KNW
450 Rollover Mins 450 450 3��-' 1 0.00 1/ h
5000 N &W 5,000 583 0.00 S
MOBILE TO MOBILE 291 0.00
Daytime 191 191 0.45 85.9
5,
Subtotal C)
Prv L"-{ e-- -1 $85.95 j
MsglMin/ 6
KB /MB MsglMin/ MsglMin/
Summary Included in KB /MB KB/MB Billed Total
Wireless Data Plan Used Billed Rate Charge
(PHONE MSG UNL
IPHONE MSG UNL 0 1,068 0 $0.00 /Msg 0.00
Data Unlimited
DATA ACCESS 1,099,258 1,099,258 $0.00iKB 0.00
tSubtotal
$0.40
SAGE CHARGES f $85.95
Summary of Rollover Minutes t. 317 730 -4150
User Name: SUSAN BEAURAIN
Previous Rollover Balance Purchase 0
Unused Package Minutes Added to Rollover Descdption Q f ,S UY, ,,J C 9�� ��Q �`j 0
Rollover Minutes Expired P.O. 0
Current Rollover Balance G O O Q 0
ud Unused Package Minutes Expire After 12 Billing Periods uBne eD w. h e
Purc! Date
Ape Date
https: /www.WirelesS,att.com /view /d1spIayFulI.BiI1.do 2/18/2010
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.
363878 Beaurain, Susan Terms
3737 Knickerbocker place Apt 2D
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2118110 Reimb Cell phone reimbursement 85.95
Total 85.95
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.
363878 Beaurain, Susan Allowed 20
3737 Knickerbocker place Apt 2D
Indianapolis, IN 46240
ti.
In Sum of
85.95
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb 4344100 85.95 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
11 -Mar 2010
w OPT rip h 1
Signature
85.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund