Loading...
HomeMy WebLinkAbout203928 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1 ONE CIVIC SQUARE LINDSAY LABAS CARMEL, INDIANA 46032 8809147TH PLACE CHECK AMOUNT: $287.63 NOBLESVILLE IN 46060 CHECK NUMBER: 203928 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4342100 REIMB 5.20 POSTAGE 1125 4343000 REIMB 182.43 TRAVEL FEES EXPENSE 1125 4344100 REIMB 100.00 CELLULAR PHONE FEES Carmel 0 Clay Parks &Recreati ®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor li sted on rece ipt Line Budget Description Amount Purpose of Expense o t 4MI00 U4u&Omms6 60. A rail S XI M U rSeMee �o b V jrz 01 �-?H41 Cell ulC,l' Phn s 60. ®o 6 RH acr ©190 �1 u� 01 �3� OO v a.y l a ill L• 0 0 D WkYo JYQL rn' 1125 -i-U� o f o Lo r o 3 c �e t- co tof �1eq C e�IL -n n too CnooOellas CCU to• q a di lnntr US 19. 66 bxealc s} V weed. 101 cle0y ire Woad Con ym Ce t a All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: =on WOamt o� Employees Name (prinq ��k(�,(..� �,QS �O11�1�j �0 J Address C1 �1(� J U 1 11 Check �g NOV ?�t� payable to: City, St, zip 9�� bb layil1 1 e, i m q L# DU Signature: Approved by: a....................... Date: Date: Revised 3 -2 -07 by Business Services; Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3 'PEE o f 3 Carrel •Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1 Wt I Y1}tVM -Ca:;&-0 1 2s -1 -ot o 1 .4 39 X00 InW 4 1,okk 1 oq I" t v1 Ro.U's I ki Ae UN dcvi n.ey GW Vig ctn I I 32 kZ l t I s" "Yen m n -M l Un ill S W-in 6.00 K MLft troA i t Id GW �o s S Ct�- C f a t�' t f l o o a a 3 t�l 1 �b �W (omyns C ow u• a w 1 (,D I 1 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name (print) I Address Check payable to: City, St, Zip Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request TA C7 2dF3 Carmel Clay Pa Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1129 -VOI v v All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $U:UQ• Employee Name (print) e e +D-W Address Check payable to: City, St, Zip Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staffi Forms\Employee Exp Reimb Request p�CE 3 OF 3 c oylitm C9 b1m IA l® e U q °y TUESDAY, NOVEMBER 1 ywm �v \l�S V UL°IU e u UxZU.I° AL7 �AYIU�- /.:A�A/.� AND GENERAL 1NFORMATIOIV WEDNESDAY, NOVEMBER 2 e G, o e l%@ o G t/.°.1�11�o� n{ ��e o 0 0 0 "`+"uW�W11U5„lf /,Y•2 r�lfiJo° L5G.11111' IJIS Ul�lll 4.1J �y _IJlS C1R1,J o e cam•- a e L� TW URSSD AV, ,VAC vE�vji 0L�R CAJ (�1ry1/�yN'Ih UV EXPOSITION 0 0 e o 0 GEORGIA WORLD CONGRESS CENTER �c ���``F. �••ti.'`�i i j ras`i r� .C• A 0� ��1� T4 J'K s 1 M '•p 6� P 8 t'r D r�� 44 •:0' sA r1�F t 4 l.y 1 i Y✓ c t t' ax S R+ {a ►6 if r r Uri. www.NRPA.org /Congress2011 Z 777 BIG TIMBER ROAD Manage Your Account View Your Usage Details Account Number Date Due ELGIN, IL 60123 M Verizon at www.verizonwireless.com Invoice Number 2632813947 Quick Bill Summary Aug 21 Sep 20 KEYLINE /4606043313/ BENJAMIN LABAS t Q LjhdSaq 146NS� Previous Balance (see back for details) $138.42 8809147TH PL No Payment Received $.00 APT 2C Balance Forward Due Immediately $138.42 NOBLESVILLE, IN 46060 -4331 Account Charges and Credits Includes Late Fee of $5.00 $5.00 Monthly Access Charges $127.39 Usage Charges Voice $.00 Messaging $.00 Data $.00 Verizon Wireless' Surcharges Important News About Your Bill and Other Charges Credits $5.05 Beginning next month there will be Taxes, Governmental Surcharges Fees $5.98 changes to your bill. Please see the Total Current Charges Due by October 15, 2011 $143.42 Need -To -Know Information section on the back of the bill for more details. Total Amount Due $281.84 Our records indicate your account is past due. Please send payment now to avoid service disruption. Pay from Wireless Pay on the Web Questions: 1.800.922.0204 or *611 from your wireless VN Bill Date September 20, 2011 Account Number 986813753 -00001 Invoice Number 2632813947 BENJAMIN LABAS Total Amount Due 8809 147TH PL deducted from bank account on 10/14/11 APT 2C OBL SVILLE, IN 46060 4331 DO NOT MAIL PAYMENT $28 1.84 P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 F 1 /1800255054/ Check here and fill out the back of this slip if your billing address has changed or you are adding or changing your email address. 2632813947010986813753000010000143420000281842 r l Invoice Number Account Number Date Due Page 2632813947 986813753 -00001 Past Due 2 of 14 Get Minutes Used Get Data Used I Get Balance QA Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $138.42 Verizon Wireless' Surcharges include charges to recover or help defray costs of taxes and of governmental charges and fees No Payment Received imposed on us, including a Regulatory Charge (which helps defray Total Payments $.00 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Balance Forward Due Immediately $138.42 Service Charge (and, if applicable, a State Universal Service Charge) to recover costs imposed on us by the government to Total Amount Due will be deducted from your bank account on 10/14/11 support universal service, and may include other charges also related to our governmental costs. c also includes an Account Charges and Credits Administrative Charge, which helps defray certain costs we incur, g currently including (i) charges we, or our agents, pay local telephone companies for delivering calls from our customers to Late Fee 5.00 their customers, (ii) fees and assessments on network facilities Subtotal $5.00 and services, and (iii) certain costs and charges associated with proceedings related to new cell site construction. Please note that these are Verizon Wireless charges, not taxes. These Total Account Charges and Credits $5.00 charges, and what's included, are subject to change from time to time. Taxes, Governmental Surcharges and Fees Includes sales, excise and other taxes and governmental surcharges and fees that we are required by law to bill customers. These taxes, surcharges and fees may change from time to time without notice. Late Fee Information A late payment applies for unpaid balances. The charge is the greater of $5 or 1.5% per month, or as permitted by law. Verizon Wireless' Other Charges and Credits Includes charges for products and services, and credits owing. Correspondence Address: Verizon Wireless Operations Support 777 Big Timber Road Elgin, IL 60123 Automatic Payment Enrollment for Account: 986813753 -00001 BENJAMIN LABAS By signing below, you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account. The check you send will be used to setup Automatic Payment. You will be notified each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these terms. This agreement does not alter the terms of your existing Customer Agreement. I agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account. To withdraw your authorization you must call Verizon Wireless. Check with your bank for any charges. 1. Check this box. 2. Sign name in box below, as shown on the bill and date. 3. Return this slip with your check for this month's payment. I Changing your billing address for Account: 986813753 -00001 BENJAMIN LABAS Use this space or sign in to My Verizon at www.verizonwireless.com to change the mailing address where we send your bill. If we do not have your most recent email address, provide it below and we'll use it to tell you important information about your Verizon Wireless service. Allow 2 billing cycles for the address change to take effect. New Address PLACE OF PRIMARY USE (PPU) The home or business mailing address indicated to the left City is for the person using the phone(s) and is the person's State/Zip residential street address or primary business address YES NO If "NO" or for multi -line accounts with Daytime Phone Evening Phone more than one PPU address, please contact our Customer Email Service Department or visit our website to change the user's PPU address. Invoice Number Account Number Date Due Page 2632813947 986813753 -00001 Past Due 3 of 14 Overview of Lines Your Account's Plan Breakdown of Charges Nationwide Talk FS 700 $60.00 monthly access charge Current Calling Plan Voice* Messaging Data $9.99 per additional line 219- 308 -5994 (P) pg 4 (totaling $69.99 monthly) Benjamin Labas 700 monthly allowance minutes 219- 381 -0474 pg 9 $.45 per minute after allowance Benjamin Labas Total Charges $.00 $.00 $.00 Voice may include long distance, 411 calls, SharePlan overage and other calls. Breakdown of Minutes SharePlan Current Calling Plan Minutes Used 219 308 -5994 (P) pg 4 250 219 381 -0474 pg9 327 Total Minutes 577 SharePlan Allowance 700 Overage Minutes 0 777 BIG TIMBER ROAD Manage Your Account View Your Usage Details Account Number Date Due ELGIN, IL 60123 My Verizon at www.verizonwireless.com 986813753-00001 Invoice Number 2647014479 Quick Bill Summary Sep 21 Oct 20 KEYLINE /4606043313/ BENJAMIN LABAS t LI Vjd$M L PUS) Previous Balance (see back for details) $281.84 8809147TH PL Payments Thank You $281.84 APT 2C Balance Forward $.00 NOBLESVILLE, IN 46060 -4331 Monthly Access Charges $127.38 Verizon Wireless' Surcharges and Other Charges Credits $5.24 Taxes, Governmental Surcharges Fees $5.98 Total Current Charges $138.60 Total Charges Due by November 15, 2011 $138.60 Changes To Your Bill Verizon Wireless has made some changes to your bill. Please review the new Guide to Understanding Your Bill, the additional insert and message found on the back pages of this bill for more details. Pay from Wireless Pay on the Web Questions: 1.800.922.0204 or *611 from your wireless VN Bill Date October 20, 2011 Account Number 986813753 -00001 Invoice Number 2647014479 BENJAMIN LABAS Total Amount Due 8809 147TH PL APT 2C deducted from bank account on 11/13/11 NOBLESVILLE, IN 46060 -4331 DO NOT MAIL PAYMENT $138.60 P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 F 1 /1800255054/ Check here and fill out the back of this slip if your billing address has changed or you are adding or changing your email address. 2647014479010986813753000010000138600000138602 Invoice Number Account Number Date Due Page 2647014479 986813753 -00001 11/15/11 2 of 12 Get Minutes Used Get Data Used Get Balance #DATA+ SEND #BAL+ SEND Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $281.84 Verizon Wireless' Surcharges include charges to recover or help defray costs of taxes and of governmental charges and fees Payments Thank You imposed on us, including a Regulatory Charge (which helps defray P ayment Received 09/24/11 138.42 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Payment Received 10/13/11 143.42 Service Charge (and, if applicable, a State Universal Service Total Payments $281.84 Charge) to recover costs imposed on us by the government to support universal service, and may include other charges also Balance Forward $.00 related to our governmental costs. It also includes an Total Amount Due will be deducted from your bank account on 11/13/11 Administrative Charge, which helps defray certain costs we incur, currently including (i) charges we, or our agents, pay local telephone companies for delivering calls from our customers to Account Charges and Credits their customers, (ii) fees and assessments on network facilities and services, and (iii) certain costs and charges associated with proceedings related to new cell site construction. Please note Account Monthly Access Charges that these are Verizon Wireless charges, not taxes. These charges, and what's included, are subject to change from time to Nationwide Talk Share 700 10/21 11/20 50.00 time. 21 Access Discount ($50.00 $9.99) 10/21 11/20 —12.60 Subtotal $37.40 Taxes, Governmental Surcharges and Fees Includes sales, excise and other taxes and governmental Total Account Charges and Credits $37.40 surcharges and fees that we are required by law to bill customers. These taxes, surcharges and fees may change from time to time without notice. Late Fee Information A late payment applies for unpaid balances. The charge is the greater of $5 or 1.5% per month, or as permitted by law. Verizon Wireless' Other Charges and Credits Includes charges for products and services, and credits owing. Correspondence Address: Verizon Wireless Operations Support 777 Big Timber Road Elgin, IL 60123 Automatic P_ ayment Enrollment for Account: 986813753 -00001 BENJAMIN LABAS By signing below, you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account. The check you send will be used to setup Automatic Payment. You will be notified each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these terms. This agreement does not alter the terms of your existing Customer Agreement. I agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account. To withdraw your authorization you must call Verizon Wireless. Check with your bank for any charges. 1. Check this box. 2. Sign name in box below, as shown on the bill and date. 3. Return this slip with your check for this month's payment. I 1 Changing your billing address for Account: 986813753 -00001 BENJAMIN LABAS Use this space or sign in to My Verizon at www.verizonwireless.com to change the mailing address where we send your bill. If we do not have your most recent email address, provide it below and we'll use it to tell you important information about your Verizon Wireless service. Allow 2 billing cycles for the address change to take effect. New Address PLACE OF PRIMARY USE (PPU) The home or business mailing address indicated to the left City is for the person using the phone(s) and is the person's State /Zip residential street address or primary business address _YES NO If "NO" or for multi -line accounts with Daytime Phone Evening Phone more than one PPU address, please contact our Customer Email Service Department or visit our website to change the user's PPU address. Invoice Number Account Number Date Due Page 2647014479 986813753 -00001 11/15/11 3 of 12 Overview of Lines Your Account's Plan Breakdown of Charges Nationwide Talk Share 700 Account Charges Credits pg 2 $37.40 $50.00 monthly access charge 219- 308 -5994 pg 4 $50.60 700 monthly allowance minutes Benjamin Labas $.45 per minute after allowance 219- 381 -0474 pg 8 $50.60 Unlimited Nights and Weekend Benjamin Labas Unlimited National M21VI Total Current Charges $138.60 Beginning on 10 /21/11: Breakdown of Minutes 21 Access Discount SharePlan Current Calling Plan Minutes Used 219 308 -5994 (P) 180 219 381 -0474 475 Total Minutes 655 SharePlan Allowance 700 Overage Minutes 0 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. 360464 Labas, Lindsay Terms 8809 147th Place Date Due Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11/7/11 Reimb Cell hone charges Sep,Oct'11 100.00 11/7/11 Reimb Postage for IPRA awards 5.20 11/7/11 Reimb Travel expenses for NPRA congress 182.43 Total 287.63 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 i Voucher No. Warrant No. 360464 Labas, Lindsay Allowed 20 8809 147th Place Noblesville, IN 46060 In Sum of 287.63 ON ACCOUNT OF APPROPRIATION FOR 101 -General I PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4344100 100.00 1 hereby certify that the attached invoice(s), or 1125 Reimb 4342100 5.20 bill(s) is (are) true and correct and that the 1125 Reimb 4343000 182.43 ma'erials or services itemized thereon for which charge is made were ordered and received except 17 -Nov 2011 Signature 287.63 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund