HomeMy WebLinkAbout200347 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1
ONE CIVIC SQUARE SUSAN BEAURAIN
0 CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D
INDPLS IN 46240 CHECK NUMBER: 200347
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 100.00 CELLULAR PHONE FEES
Carmel 4 lay
Pa rksm'Recreatlo fl
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Ve ndor listed on receipt Line Budget Description Amount Purpose of Expense
7/26/2011 Sprint 1091 4344 100 Cellular Phone Fees 100.00 Personal Cell Phone Use
June Jul
All receipts should be attached in the same order as Ilsted above.
No sales tax will be reimbursed. TOTAL: $100.00
7-T -1
Employee Name (print) Susan Seaurain
JUL 27 70 11 D
Address 3737 Knickerbocker Place
Check
payable to: City, St, Zip Indianapolis IN 46240
Signatur Approved by:
V jl
Date 7/26/2011 Date:
Business Services Division, Revised 7 -7 -08
FILE_ Sfiared�ACminlsirative `FOrms \staff Forms \Employee Exp Reimb ReQuest
3
Gal
Spr Customer Account Number Bill Period Bill Date
Susan Beaurain 583570967 Jun 02 Jul 01 Jul 05, 2011
1 of 6
Sprint is making changes to its policies.
H ell o! Please see the "Sprint News and
Notices" box on page 2, the back of
Unfortunately, your account is past due. Please pay the total below this page, for details.
immediately.
Your account has a $600.00 Spending
(317 734 -4150 Limit. To avoid service interruption,
keep your total balance under this limit.
Previous Balance.... 11.1 $186.89 For more information see the back page
d of this bill.
NewCharges $86.17
Total Due $273.06
You can contact Sprint
Customer Service
Purchase l
Description
P.O. P OC On the Web:
O �i www.sprint.com
Q.tr. L
BudSt By Phone:
Lute escr
Purchaser Date 1- 877 639 -8351
Approval Date
Use your Mobile free of charge:
Dial *2 to contact Customer Service
Dial *3 to make a one -time payment
Detach and return this remittance form with your payment.
Past due amount of 4186.89 due immediately. New charges due by Jul 25.
S C i nt Account Number 583570967
,p
A 1 Amount dueZ.73
#BWNKCTX
#00000583570967 B 4# Amount Enclosed
MANIFESTLINE-----------------
SUSAN BEAURAIN
140 3RD ST
CARMEL, IN 46032 -1728
F601974191912F
PO BOX 4191
CAROL STREAM, IL 60197 -4191
F55555444422CF
t
583570967 00000008617 000000186890 000000273065
r1 Page 1 of 1
Account number: 583570967
View and sort up to 13 months of your account's payment activity.
Date Activity Payment method Amount
07/22/2011 Payment Credit Card $86.17
07/04/2011 Payment Credit Card $186.89
https:// myaccountportal sprint, com/servlet/ecare ?inf template= /include /print_page.jsp &inf... 7/22/2011
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
7/26111 Reimb Cell phone reimbursement Jun,Jul'11 100.00
Total 100.00
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
100.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1091 Reimb 4344100 100.00 I 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
9 -Aug 2011
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund