HomeMy WebLinkAbout204718 12/20/2011 a 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: 204718
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
0 0 0
Carmel clays
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
12/11/2011 S rint 1091 4344100 Cellular Phone Fees 50.00 Personal Cell Phone Use
November
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
Address 140 3rd Street NW
Check OEC 1 3 M, P
payable to: City,. Zip Carmel, IN 46032 VA
Signature: Approved by:
Date: 12/5/2011 Date:
Business Division, Revised 7 -7 -08
FILE: Shared \Administrative \Forms \Staff Forms \Employee Exp Reimb Request
r.
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Payment Date: Dec 02, 2011 See my bill
Payment amount: $78.39
Card: Visa
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Last 4 digits: 6283 See my order history
Expiration date: 0112013 See payment history
ZIP code: 46032
Confirmation Number 035411 See my transaction
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Purchase
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Line Desct
Purchaser
Date
a
Approval Date
l of 1
12/2/2011 11:54 Al,
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.
Terms
363878 Beaurain, Susan
143 3rd Street NW
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
50.00
12111!11 Reimb Cell phone use Nov'11
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
2a
Clerk- Treasurer
Voucher No. Warrant No.
363878 Beaurain, Susan Allowed 20
143 3rd Street NW
Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE 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
15 -Dec 2011
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund