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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