HomeMy WebLinkAbout202921 10/25/2011 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: $30.41
INDPLS IN 46240 CHECK NUMBER: 202921
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 30.41 CELLULAR PHONE FEES
Carmel e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
10/11/2011 Sprint 1091 4344100 Cellular Phone Fees 30.41 Personal Cell Phone Use
September
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $30:41
Employee Name (print) Susan Beaurain
Address 3737 Knickerbocker Place
Check
payable to: City, St, Zip Indianapolis, IN 46240
Signature: Approved by.
Date: 10/11/2011 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
https:// myaccountportal .sprint.conVservlet/ecare ?inf template /include..
SUSAN BEAURAIN
Account number: 583570967
Thank you! Your Visa payment has been successfully submitted and will
Sprl I t be posted to your account within 15 minutes. Please print this page for
your records.
Payment Date: Oct 07, 2011
Payment amount: $30.41 (('.eCziVe6- ctxspVN ae tdty
Card: Visa
Last 4 digits: 6283
Expiration date: 01/2013
ZIP code: 46032
Confirmation Number 040215
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Purchase
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Purchaser Date
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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
10/11/11 Reimb Cell phone reimbursement Sep'11 30.41
Total 30.41
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
Es
cher No. Warrant No.
378 Beaurain, Susan Allowed 20
3737 Knickerbocker place Apt 2D
Indianapolis, IN 46240
In Sum of
30.41
w "'nE�,x v j
ON ACCOUNT OF APPROPRIATION FOR
.r_ 109 Monon Center
4 PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb 4344100 30.41 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 I
received except
20 -Oct 2011
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Signature
30.41 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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