HomeMy WebLinkAbout201143 09/13/2011 t, 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: 201143
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
Carmel 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
8/26/2011 Sprint 1091 1 4344100 Cellular Phone Fees 50.00 Personal Cell Phone Use
August
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 QU
Address 3737 Knickerbocker Place
Check
payable to: City, St, Zip Indianapolis, IN 46240
Signature: Approved by: j4h
Date: 8/29/2011 Date: �f
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative %Formslstaff Forms\Employee Exp Reimb Request
sprint ray t-5m il react -ara rayment Confirmation https:// myaccountportal.sprint .com/servlet/ecar
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Payment Date! Aug 26, 2011 credits
Payment amount: $79.88 See my bill
Card: Visa
Last q digits: 6283 See bill history
Expiration date: 0112013 See my order history
ZIP code: 46032 See payment history
Confirmation Number 083212
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Purchaser Data
Approval Date
I of 1
8/26/2411 12:33 PN
-n ilL http://us.mgI.mail.yahoo.com/neo/launch?.rand=5nukasmifupul
Subject: Sprint Nextel Payment Confirmation
From: Online @Sprint.com (Online @Sprint.com)
To: sbeaurai @yahoo.com;
Date: Friday, August 26, 2011 12:32 PM
Sprint
Dear sbeaurain null:
Thank you for using My Sprint to pay your bill. Your payment has been posted to your account.
Please keep this information for your records.
Sprint Nextel account number: XXXXX0967
Date: Fri, Aug 26, 2011, 12:32:07 EST
Payment amount: $79.88
Payment method: Credit Card
For more information about this transaction, call 1 -800- 639 -6111.
Thanks again for using My Sprint.
I of 1
8/26/2011 1237 PN
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
8126111 Reimb Cell phone reimbursement Aug'11 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#MTLE 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
8 -Sep 2011
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund