The URL can be used to link to this page

Home My WebLink About205921 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1 ONE CIVIC SQUARE LINDSAY LABAS CHECK AMOUNT: $280.00 CARMEL, INDIANA 46032 8809 147TH PLACE NOBLESVILLE IN 46060 CHECK NUMBER: 205921 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 REIMB 180.00 MARKETING PROMOTION 1125 4344100 REIMB 100.00 CELLULAR PHONE FEES z 0 O N E-+ W Carmel Clay W r G T N O Parks &Recreation N r a Z 0 Employee Expense Reimbursement Request x z m a a z Date of Fund Account Account 2 Y 0 H Receipt Vendor listed on receipt Line Budget Description Y Y w a x a s a W W U U W AA jl� 'r s I o I y3�141 on Ce�lula� �hAnc 0 0 o I fS S l0 I 3 '1 I O L a� 1' o�� I o 0 Noill Wi n 00 Z 0 00 1 i c I o I LI3 y I j 91 ukt, n a co 0 mwQ aQZ W Jew W a� m U) -2 0 Z 0 O Z Jmz U O H H WW 0 !x fx 0 z W m All receipts should be attached in the same order as listed above. D No sales tax will be reimbursed. TOTAL: z 0 j a p rint) �dS CI,U L�Joa S a Employee Name Q H o z rn o Address ��j0�( Iy�-�' pla�, N U 0 z'' z Check J a M M payable to: Ci St, Zip Q NI I l l Q I N y W m �D Q Signature: Approved by: U o 0 LL Z 0 Date: lQ 1 Date: U W 0L) W JAN 1 1 2012 Business Services Division, Revised 7 -7 -08 J _q, —1 u1 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request w o BY: 1/6/12 Stock Photography: Search Royalty Free Images Photos I iStock iStockphoto LP Suite 200 1240 20th Ave SE Calgary, Alberta T2G 1M8 Purchase Receipt Canada Tel: 403.265.3062 UStID: EUS26013185 Billing Information: Payment Information: Order Information: Name: Lindsay Labas Type: Visa Member Ilabas name: Business: Carmel Clay Amount: $180.00 USD Parks Transaction January 06, Recreation Name on Lindsay H date: 2012 05:50:36 card: Labas I Address: 1235 Confirmation 120106 Last 4 digits: 9345 no: 7792664 205 Central Park Drive Confirmation VXYC8C179F9F Order id: 16083632 East no: Carmel, IN, United States ...-.1 46032 Phone 3175734020 no: Purchased Items Items Quantity Item price Total Pay -as- you -go: 120 Credits 1 $180.00 USD $180.00 USD packageName: Pay -as- you -go Credits Expire: January 6, 2013 Order subtotal $180.00 USD I I.......... Shipping $0.00 USD Tax $0.00 USD Total $180.00 USD Refund Policy Pay -as- you -go credits or Top -up credits You are entitled to a full refund within 14 days of the purchase of your credit plan provided that you have not used any credits. iStock does not provide a refund on credit plans if you have used any of the credits. Please print this page for your records. www.istockphoto.com/store 60836328Detaile... 1/2 777 BIG TIMBER ROAD Manage Your Account View Your Usage Details Account Number Date Due ELGIN, IL 60123 M Verizon www.verizonwireless.com 1111 Invoice Number 2661255935 Quick Bill Summary Oct 21- Nov 20 KEYLINE /4606043313/ BENJAMIN LABAS Previous Balance (see back for details) $138.60 8809147TH PL Payment Thank You $138.60 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 December 15, 2011 $138.60 Changes To Your Bill Last month we made some changes to your bill and provided informational details about the changes. Please see the message in the Need -to -Know. Information section for details. Pay from Wireless Pay on the Web Questions: VN Bill Date November 20, 2011 Account Number 986813753 -00001 Invoice Number 2661255935 BENJAMIN LABAS Total Amount Due 8809147TH PL APT 2C deducted from bank account on 12/13/11 NOBLESVILLE, IN 46060 -4331 DO NOT MAIL PAYMENT X138.60 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. 2661255935010986813753000010000138600000138602 Invoice Number Account Number Date Due Page 2661255935 986813753 -00001 12/15/11 2 of 14 Get Minutes Used Get Data Used Get Balance DA r #BAL+ SEND Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $138.60 Verizon Wireless' Surcharges include charges to recover or help defray costs of taxes and of governmental charges and fees Payment Thank You imposed on us, including a Regulatory Charge (which helps defray P ayment Received 11 /14/11 138.60 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $138.60 Service Charge (and, if applicable, a State Universal Service Balance Forward $.00 Charge) to recover costs imposed on us by the government to support universal service, and may include other charges also Total Amount Due will be deducted from your bank account on 12/13/11 related to our governmental costs. It also includes an Administrative Charge, which helps defray certain costs we incur, currently including (i) charges we, or our agents, pay local Account Charges and Credits telephone companies for delivering calls from our customers to their customers, (ii) fees and assessments on network facilities Account Monthly Access Charges and services, and (iii) certain costs and charges associated with proceedings related to new cell site construction. Please note Nationwide Talk Share 700 11/21 —12/20 50.00 that these are Verizon Wireless charges, not taxes. These charges, and what's included, are subject to change from time to 21 Access Discount ($50.00 $9.99) 11/21 12/20 —12.60 time. Subtotal $37.40 Taxes, Governmental Surcharges and Fees Total Account Charges and Credits $37.40 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. 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. P.O. BOX 4002 Manage Your Account View Your Usage Details Account Number Date Due ACWORTH, GA 30101 My Verizon www.verizonwireless.com 986813753-00001 Invoice Number 2675526210 Quick Bill Summary Nov 21 Dec 20 KEYLINE /4606043313/ BENJAMIN LABAS Previous Balance (see back for details) $138.60 8809147TH PL Payment Thank You $138.60 NOBLESVILLE, IN 46060 -4331 Balance Forward $.00 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 January 15, 2012 $138.60 SAVE TIME PAY YOUR BILL ONLINE It's fast, easy and secure! Best of all, you can do it from your home, office or any computer with an Internet connection. Go to www.vzw.com /myverizon. Pay from Wireless Pay on the Web Questions: VN Bill Date December 20, 2011 Account Number 986813753 -00001 Invoice Number 2675526210 BENJAMIN LABAS Total Amount Due 8809147TH PL NOBLESVILLE, IN 46060 -4331 deducted from bank account on 01/13/12 DO NOT MAIL PAYMENT S138.60 P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 F] /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. 2675526210010986813753000010000138600000138602 Invoice Number Account Number Date Due Page 2675526210 986813753 -00001 01/15/12 2 of 14 Get Minutes Used Get Data Used Get Balance rA Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $138.60 Verizon Wireless' Surcharges include charges to recover or help defray costs of taxes and of governmental charges and fees Payment Thank You imposed on us, including a Regulatory Charge (which helps defray P ayment Received 12/13/11 138.60 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $138.60 Service Charge (and, if applicable, a State Universal Service Balance Forward $.00 Charge) to recover costs imposed on us by the government to support universal service, and may include other charges also Total Amount Due will be deducted from your bank account on 01/13/12 related to our governmental costs. It also includes an Administrative Charge, which helps defray certain costs we incur, currently including (i) charges we, or our agents, pay local Account Charges and Credits telephone companies for delivering calls from our customers to their customers, (H) fees and assessments on network facilities Account Monthly Access Charges and services, and (iii) certain costs and charges associated with proceedings related to new cell site construction. Please note Nationwide Talk Share 700 12/21 01/20 50.00 that these are Verizon Wireless charges, not taxes. These charges, and what's included, are subject to change from time to 21 Access Discount ($50.00 $9.99) 12/21 01/20 —12.60 time. Subtotal $37.40 Taxes, Governmental Surcharges and Fees Total Account Charges and Credits $37.40 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. 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 Service Department or visit our website to change the Email user's PPU address. 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 360464 Labas, Lindsay Purchase Order No. 8809 147th Place Terms Noblesville, IN 46060 Date Due Invoice Invoice -Description Date Number (or note attached invoice(s) or bill(s)) PO 12/26/11 Reimb Cell hone char es Nov, De Amount 1/6/12 Reimb Istockphoto LP 100.00 180.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordancceal 2$0'00 with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. 360464 Labas, Lindsay Allowed 20 8809 147th Place Noblesville, IN 46060 In Sum of 280.00 ON ACCOUNT OF APPROPRIATION FOR 101 General 1 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1125 Reimb 4344100 0 7 100.00 1 hereby certify that the attached invoice(s), or 1091 Reimb 4341991 180.00 bi11(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 26 -Jan 2012 Signature 280.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund