HomeMy WebLinkAbout190189 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1
ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D
INDPLS IN 46240 CHECK NUMBER: 190189
CHECK DATE: 9/2912010
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
Carmel clay
'arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
8/8/2010 AT &T 1091 4344100 Cellular Phone Fees 50.00 Personal Cell Phone Use
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00��
Employee Name (print) Susan Beaurain S t P �O O
Address 3737 Knickerbocker Place
Check BY.
payable to: City, St, Zip Indianapolis, IN 46240
Signatur Approved by:
Date: 9/8/2010 Date: <77 A
Business Services Division, Revised 7 -7 -08
FILE: Shared %Administrative%FormslStaff Forms\Empioyee Exp Reimb Request
View Full Bill AT &T Page 1 of 33
a'l&l Print Print Preview Download PD1= Close
Statement Date 07/09/10 08/08110
Account Number: 243001754139
How to Contact Us: Previous Balance 134.94
1 -800- 331 -0500 or 611 from your cell phone Payment Posted 134.94
For Deaf /Hard of Hearing Customers (TTY/TDD)
BALANCE 0.00
1 -866- 241 -6567 Monthly Service Charges 119.99
Usage Charges 0.00
Credits /AdjustmentslOther Charges 5.67
Government Fees Taxes 9.28
Wireless Number TOTAL CURRENT CHARGES 134.94
317 730 -4150 Due Sep 03, 2010
Late fees assessed after Sep 08
Total Amount Due $134.94
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Return the portion below with payment
only to AT &T Mobility.
Account Number: 243001754139
Total Amount Due $134.94
Amount Paid:
Please do not send correspondence with payment.
Yes, enroll me in Auto Pay
SUSAN BEAURAIN Signature required on reverse
3737 KNICKERBOCKER PL
INDIANAPOLIS, IN 46240 -7609 Total Amount Due
Purchase ep 03, 2010
Description �g� co QS2
P.O. 2 P o�F
G.L. J O Q Please Mail Check payable To:
Budget I AT &T Mobility
Line Descr PO Box 6416
Purchaser Date C Carol Stream, IL 60197 -6416
Approval Date
General Information
Late fee: Accounts with former AT &T Wireless plans are charged 1.5% or less of the balance
unpaid as of the next bill period. Accounts with Cingular /new AT &T plans are charged $5 in CT,
DC, DE, IL, K S MA MD ME MI, MO, NH ,NJ,NY,PA,OK,OH,RI,VA,VT,WI,WV; or 1.5% of the
balance unpaid as of the next bill period in all other states. Accounts with former AT &T
htt /www.att.com/ p jsp /my.payinent/ viewbill/ viewFullBill .jsp ?reportActionE =A 8/31/2010
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.
Terms
363878 Beaurain, Susan
3737 Knickerbocker place Apt 2D
Indianapolis, IN 46240
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
818110 Reimb Cell phone reimbursement Aug'10
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
20
Clerk- Treasurer
Voucher No. Warrant No.
363878 Beaurain, Susan Allowed 20
3737 Knickerbocker place Apt 2D
Indianapolis, IN 46240
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb 4344100 50.00 1 hereby certify that the attached invoices), 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
23 -Sep 2010
E&I&MMUA
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Sr