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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 Reduce the clutter, help the environment and go paperless with eBill. Si n_up If you have questions, ntease_contac us via or call us at (800) 639 -6111. Purchase Description P P.O.# G.L B Line C Dat Purchaser Date i�;�Prova� \01"1120 3:02 PN i 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 V2 Zwimnw) Signature 30.41 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund �i ,t>