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Home My WebLink About191550 11/10/2010 a CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 ONE CIVIC SQUARE SUSAN BEAURAIN CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D CHECK AMOUNT: $896.83 INDPLS IN 46240 CHECK NUMBER: 191550 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 846.83 TRAVEL FEES EXPENSE 1091 4344100 50.00 CELLULAR PHONE FEES Carm lay Pa ks Recr e a t idn Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt trine Budget Description Amount Purpose of Expense Io 10 f l 1011 44t Oo VIIO+ne, 0 5 O Ck tl Y 2i w►bUt�S All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 5a Employee Name (print) T3P.i9U-Yd;y1 Address �Y►1C.K?.✓fOOGI!2� Z Check payable to: City, St, Zip Lndit sWl$lli:PUS, IP 1. 44R 240 Signatur Approved by: Date: 1 k i z- 1► 0 Date: Business Services Division, Revised 7 -7 -08 !FILE: SharedVAdministrative \Forms\Staff Forms%Employee Exp Reimb Request 1� ryiew Full Bill AT &T Page 1 of 22 at&t Print I Print Preview Download PDF Close Statement Date 09/09/10 10/08/10 Account Number: 243001754139 How to Contact Us: Previous Balance 132.39 1- 800- 331 -0500 or 611 from your cell phone Payment Posted 132.39 For Deaf /Hard of Hearing Customers (TTY/TDD) BALANCE 0.00 1- 866- 241 -6567 Monthly Service Charges 119.99 Usage Charges If] 0.00 Credits /Adjustments /Other Charges L ?i 5.10 Government Fees Taxes 1?1 7.14 Wireless Number TOTAL CURRENT CHARGES I?i 132.23 317- 730 -4150 Due Nov 03, 2010 Late fees assessed after Nov 08 Total Amount Due $132.23 Add a dine with Family Talk from AT &T FamilyTafk(R) plans start at just $69.99 /month including 700 Rollover Minutes. Add up to three additional lines for only $9.99 each. Sign up now by calling 800 449 -1672 or visit ATT.COM /ADDALINE Return the portion below with payment Purchase only to AT&T Mobility. Des.cdoo alt ahonk P.O. P cr IF Account Number: 243001754139 G.L Total Amount Due: $132.23 bud -;,rr Line e.T. Amount Paid: �d Purchaser. Date, 0 Z Approv Date Please do not send correspondence with payment. Yes, enroll me in AutoPay SUSAN BEAURAIN Signature required on reverse 3737 KNICKERBOCKER PL INDIANAPOLIS, IN 46240 -7609 Total Amount Due Nov 03, 2010 Please Mail Check Payable To: AT &T Mobility PO Box 6416 Carol Stream, IL 60197 -6416 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, KS, 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 httpsa /www.att.comYpmt/j sp /mypayment /viewbill /viewFul Mill .j sp ?reportActionEvent =A... 1012312010 Carmel Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 10/28/2010 Seven 1091 4343000 Travel fees Expenses $56.38 Dinner Thursday 10/29/2010 Kwik Trip 1091 4343000 Travel fees Expenses 8.83 Lunch Friday 10/29/2010 Mileage 1091 4343000 Travel fees Expenses 654.50 Mileage 1309 miles Sub total from page 1 127.12 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $846.83 Employee Name (print) Susan Beaurain Page 2 of 2 NRPA Conference Address Check payable to: City, St, Zip Signature: 4 Approved by: Date: I Date: c 4 f Z_— Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Carm 0 Clay Parks Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 10/29/2010 Hilton Minneapolis 1091 4343000 Travel Fees Expenses $52.00 Parking 10/28/2010 USI WIRELESS 1091 4343000 Travel Fees Expenses 9.95 Wireless access 10/27/2010 USI WIRELESS 1091 4343000 Travel Fees Expenses 9.95 Wireless access 10125/2010 Ginza of Tokyo 1091 4343000 Travel Fees Expenses 20.84 Dinner Monday 10/26/2010 Minneapolis Convention Center 1091 4343000 Travel Fees Expenses 4.21 Breakfast Tuesday 10/26/2010 Valentino Cafe 1091 4343000 Travel Fees Expenses 6.55 Lunch Tuesday 10/27/2010 Hilton Hamony's Lobby Cart 1091 4343000 Travel Fees Expenses 4.50 Breakfast Wednesday 10/27/2010 Uptown Pizza Hut 1091 4343000 Travel Fees Expenses 11.32 Dinner Wednesda 10/28/2010 Caribou Coffee 1091 4343000 Travel Fees Expenses 7.80 Breakfast Thursda All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. SUB TOTAL: $127.12 Con Itd on page 2 Employee Name (print) Susan Beaurain PAGE 1 of 2 NRPA Conference Address Check payable to: City, St, Zip Signature: Approved by: Date. Date: I� Business Services Division, Revised 7 -7 -08 FILE: SharedlAdministrative \Forms \Staff Forms\Employee Exp Reimb Request PRESCRIBED BY STATE BOARD OFkCCOVV-,S GENERAL FORM F0 101 099 MILEAGE CLAIM (GOVFRNME•TAL UN17) ON ACCOUNT OF APPROPRIATION NO FOR .l C0166L^ LU`4+64 (OFFICE, BOARD, DEFARTKFNVJ INsTITUVON) DATE FROM TO SPEEDOMEfu READING AUTO MILEAGE MILES zo NATURE OF BUSINESS J i ss T �j 11 POI NT' POINT START FINISH 1 L TRAVELED PER MILE AAC� lap I 2, 1 !QL V O—fzq--h X141 Otis I—V AUTO LICENSE NO. TOTALS 00 SPEEDOMETER READING columns aze to be used only when distance between points cannot be determined by fixed mileage or official highway map. Lts Pursuant to the prov and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and Correct, that the amount claimed 's legally due, after allowing all just credits ON and that no part of the same has been paid. Date A2-1 tio 12eOX� TRAVEL AUTHORIZATION REQUEST Carmel Clay Parks &Recreation 1, GENERAL INFORMATION Name: u --i3exqur,!5o Date of Request: l C�v:sion: L- ►(.�J1`1�l[�- dr'1f'� V�r�" -�iC' Secion: Purpose oiTravel: i -,rJtr�� COlY�SS �fCc�OSt d� gre-s+ Function Maine: �p� �`0 1_ aIG (Ot7 e7Q10 Desliination of Travel; Alt t r%Yl 00 1"U 11D To lolob Ito Dalo(s) of Funclion 10 1 10(2�560 To Z Date(s) of Travel: 2. ESTIMATED COST OF TRAVEL Fund: ICq I Regislration Cost 4357004) Travel Expenses (4343000): cJl mode o1 T;ansportalion: O IS I a Air 5 Ground (rental car, e!c) .1.11.1..,.,,..... (a3 yw„ (as �w, 4 M0.1 0 Persona; Car Department Vehicle Cas S e� Lodging. V im C J •4 J Telephone Calls S f FarkingliollslSiorage I S Gratuities'_ �O Deals" (excluding s! w'*! and ,naacco).......... 3 Miscellaneous (specify below) Y_ Total Estimated Costs I i S50max, pertlay inside lndianRfWmax .perdayoursidetndlana, rraximurn )nGudes lips; which may not exceed 20% ui cast rr z; Certification hereby certify that the purpose and nature of the requested travel is related to business of the Carmel Clay'Parks Recreation and that i have read and understand ti•e travel policy as detailed within the Carmel Clay Parks Recreation Full -Time Personnel Policy Handbook. 1 01 23 to J Signature of Traveler Da* 3. APPROVAL SECTION Signature of Division Manacer Da,e Date ment Director orPssistani Director 1 05/05/10 1001 Marquette Avenue Minneapolis, MN 55403 t'hone (612) 376 -1000 Fax ((j12) 397 -4906 Hil ton Reservations Name Address Minneapolis wwwhilton.com or 1 800 HILTONS BEAUREIN, SUSAN Room 2327/D2 214 SYCAMORE ST Arrival Date 10/2512010 11:46:OOPM Departure Date 10/2912010 CLARKSTON. WA 99403 Adult/Child 1/0 US Room Rate RATE PLAN L -TN G 10 H I AL: BONUS AL: CAR: CONFIRMATION NUMBER: 3400320650 10/29/2010 PAGE 1 DATE DESCRIPTION ID REF. NO QHARGES CREDITS BALANCE 10/29/201 PARKING SELF "167358 "BE MARTINAK 4958636 $52.00 10/29/201 )VS *6283 MARTINAK 4958537 $52.00 I'heHiltonPamily BALANCE $0.00 Hilton coN Rnu Dom E;TRTF' Purchase Descrlptlon P.Q. P or F G.L. 00 Budget Una Descr ti Purchaser t� Approval Date....__. liitlun a a Garden IM' lIillon Grand VacationR Clulf ACCOUNT N0. DATE OF CHARGE FOLIO NOdCHkCK NO. VS '6283 0/25/2010 910461 B 1111w HOMEWOOD surlT�s CARD MEMBER NAME AUTIIORIZAT30N INITIAL_ BEAUREIN, SUSAN 074600 ESTABLISHMENT NO. LOCATION FOR.I'AYKIEN f PURCEEASES SERVICES THANK YOU FOR STAYING AT THE HILTON MINNEAPOLIS. IF U S A YOU FEEL THAT YOU COULD NOT RATE YOUR STAY A "10" TAXES OW PLEASE DIAL OUR GUEST HOTLINE TO REACH A TEAM MEMBER READY TO ASSIST YOU. WE LOOK FORWARD TO Official Sponsor To�s Mlsr. SERVING YOU AGAIN! TOTAL AMOUNT MERCHANDISE ANWOR SERVICES PURCHASED ON THIS CARD SHALT. NOl HE RFSOFO OR RETURNM FOR A CASH REFUND. NAYM nUe IJFON RF USI Wireless Billing Notice fnbox Yahoo! Mail Page I of 2 Hi, Susan Sign Dui All -Neva Mail Help Make Yl Your Hornepaqe Yahoo' f"lail YP,F1 0 (D M A FL Web Search "We're deploying Windows' 7, but what about our legacy Web applications?' Internet Explorer-8 oj"T-w Mai) Contacts Calendar Notepad What's New? Mobile Mail Options Check Mail New L Mail Search Try the nevi Yahoo. Someone Searched for you Previous I Njaxl, 1 k to M ess@g g-_ Mark a5 Unreali Delete Reply Forward Spam move_ Folders USI Wireless Billing Notice Tuesday, November 2, 201C 2:02 PM From: "c usto mersery ✓ce'2�u sim i rde s5. cam Drafts (1) T.: sbea.raigyahaacau, Sent Spam (606) [Empty] Trash [Empty] USI Wireless, Inc. I— 12450 Wayzata Blvd Invoice My Photos S uite 1 2 1 in n MN 55305 My Attachments PAID L United States INVOICE 45.0302 10 81 Chat Mobile Text Tel: 952.253,3262 D ATE T 1 an, Available Fax. 952.5 12 10 263114 0 Online Contacts [Add] 7 Mobile Contacts [Add] BILLING ADDRESS Susan Beaurain 3737 Knickerbocker Place MV Folders Add Edit] 2D english 5376 I ndiana poils .,"I.N.4-6-2.410. flight informa United States gFeg keepers 1PO I COMMENT TAX AMOUNT CREDIT AMOUNT CHARGE AMOUNT INVOICE TOTAL .7 0.00 0.00 9.95 9.95 Login Description Starting Ending Amount Qty Total 24 hours of Wireless roaming service 10/28110 10/29/1 0 9 1 9.95 A aE30 SAVIEEAUTO Purchase Description P.O. P or IF 4 ;Q? 0 a �_untwill be c ha r ged to 4'. i n c a the i card ha �d�ard v% o fi in the next 5-7 days. ud t Thank for r business! R Susan Beaurain 3737 Kni cRe rbobke('PI ace Invoice 263114 2D Date: 10128/10 Indianapolis, IN 46240 New Charges: 9.95 United States- Delete Reply Forward Spam Move.. Previous I ygy, I isac, tG me5 Select Message Encoding I pull Hq�tl,rS C h cc k Mai Now Mail Search http: /Us.mc5l 5. mai 1. yahoo C0I`n/MC/WelCornc?.gx= I &Am= 128 8 7211 9& rand=5ff82ev2 11/2/2010 USI Wireless Billing Notice Inbox Yahoo! Mail Page I of 2 Hi. Susan Sign Out All Nev-d Mall Help Proviow Mail w; Toolbar Yahoo! Mai Web Search YA140 0 M A I L Underv25 2? vrs Vd 61 '33 Vrs'ol& '3E. Yrs'61d' '39 old 42 jyr5 ol 45'yr� "ol 1 4R yrs'eftl 75 yrso63 26 rc od 3i'yts old 34'yi s'iofd 37 yrs bfd 40: rs old 29jyr'�Old. 32 `isudi 25 prs old 33" is old '41'yrs old :44 r, I" Mall Contacts Calendar Notepad What's New? Mobile Mail options I Check Mall Mail Search Trtthp RUV— Yahoo! M4L Someone go lQ_Lj_ssj", searched for you -Mar-k as Unrea(i I Print Delete Reply Forward Spam Move- Fa!ders USI Wireless Billing Notice Inbox Monday, Na,e,n ber 1, 20,.c 4 PM I From: "ru-sloi com, Draft$ (1) Sent Spam (606) (Empty] USI Wireless, Inc. Trash JEpty) 12450 Wayzata Blvd S 1111111r1 I My Photos uite 121 Statement My Attachments US I Wire less"�A innetonka, MN 55305 Due Statement Date United States Date Tel 952.253.3262 Chat MolAle Text 0H�d-: 110/28/10None 359630 I nns Available Fax: 952,545.0302 0 Online Contacts fAdd] BILLING ADDRESS 7 Mobile Contacts (Add] Susan Beaurain 3737 Knickerbocker Place My Folders (Add Edit 1 2 english 5376 Indianapolis, IN 46240 flight mforma., United States greg keepers Beginning Balance New Charges New Credits Ending Balance 0.00 9 T 95 9.95 0.00 ADVERTISEMEN Date Login Description Credit Debit 10127/10 sbeaurain 24 hours of wireless roaming service (10127110 10/28/10) 9.95 10/27/10 Payment Received Thank You -(9.95) Account Aging Summary r<306 Days 30 Days 60 Days 90 Days 129+ pays 000 000 C.00 0.00 0.00 0.00 CD rL =r l xr ak COD 5 W (a Your account has a zero or credit balance, NO PAYMENT IS DUE on this statement. CD WWW .V Susan Beaurain Previous Balance: o.00 Account 38915 3737 Knickerbocker Place New Charges: 9,95 Statement 359630 pp 2D New Credits: (-)9.95 Date: 10128110 Indianapolis, IN 46240 United States Ending Balance: 0.00 Due Date: None Delete Reply Forward Spam Mo ve.. PF:QYl0U5 I Next i Back to,hJe4:.qgp.s Select Message Encoding I Full He e,S -ck P lail i 'fie 10,90 Search jF R http://us-mc5l5.mall.yahoo.com/mc/welcomc?,gx=l&.tl-ll=1288720568&.rand=2tihkpi4el... 11/2/2010 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 10123/10 Reimb Cell phone reimbursement Oct'10 50.00 1113!10 Reimb Mileage /meals, parking NRPA 846.83 Total 896.83 I 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 896.83 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1091 Reimb 4344100 50.00 1 hereby certify that the attached invoice(s), or 1091 Reimb 4343000 846.83 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 4 -Nov 2010 Signature 896.83 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund