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HomeMy WebLinkAbout196255 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $50.00 O CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D INDPLS IN 46240 CHECK NUMBER: 196255 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 50.00 CELLULAR PHONE FEES 0 Carmelo Clay Pad <S&ReCl cation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 3/30/2011 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 1 Address 3737 Knickerbocker Place MAR 3 0 2011 Check payable to: City St Zip Indianapolis IN 46240 BY: Signature: Approved by: Date: 3/30/2011 Date: 3b f Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\FormslStaff Forms \Employee Exp Reimb Request 3/30/2011 Payment History at&t Payment History A ccount Owner: SUSAN BEAURAIN Account Number: 243001754139 V iew Account Profile Review all payments made to this account CURRENT PAYMENT CHARGES by date or amount. Last Payment Received (03- 30 -11) $143.71 Total Amount Due $0.00 Print this page Previous Payments___ DATE POSTED PAYMENT METHOD AMOUNT 03/30/2011 CREDIT CARD *6283 ($143.71) 02/26/2011 CREDIT CARD *6283 ($143.71) 02/07/2011 CREDIT CARD *6283 ($150.58) 01/06/2011 CREDIT CARD *6283 ($132.23) 12/03/2010 CREDIT CARD *6283 ($132.23) 10/23/2010 CREDIT CARD *6283 ($132.23) 09/24/2010 CREDIT CARD *6283 T ($132.39) 08/31/2010 CREDIT CARD *6283 ($134.94) 07/30/2010 CREDIT CARD *6283 ($134.94) 07/02/2010 CREDIT CARD *6283 k $13 5.3 3. 05/24/2010 CREDIT CARD *6283 ($135.33) 04/23/2010 CREDIT CARD *6283 ($135.33) Purchase Description P.O. Po w- G.L. t �Lt 3 l d 0 Budget 1 n Line Descr� `1�1L k0. Purchaser Date Approval Date www.att.com /pmt /displayHistoryPage.do 1/1, ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 363878 Beaurain, Susan Terms 3737 Knickerbocker place Apt 2D Indianapolis, IN 46240 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3130111 Reimb Cell phone reimbursement 50.00 Total 50.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. 363878 Beaurain, Susan Allowed 20 3737 Knickerbocker place Apt 2D Indianapolis, IN 46240 In Sum of$ 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 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 7 -Apr 2011 &dIMALA2 Signature 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund