206140 02/14/2012 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: 206140
CHECK DATE: 211412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
0
Carmel Clair
Parks& R ecreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1/31/2012 Sprint 1091 4344100 Cellular Phone Fees 50.00 Personal Cell Phone Use
F eipts shouVd be attached in the same order as listed above.
les tax will be reimbursed. TOTAL: $50.00
Employee Name (print) Susan Beaurain JI ly R i
Address 140 3rd Street NW FEB a
Check
payable to: City, St, Zip Carmel, IN 46032
Signature: Approved by:
Date: t2t51201"t t I 31 I11- Date: 2� (mil 7-0 i 2r
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative\Formskstaff FormslEmployee Exp Reimb Request
1131112 Sprint Pay Bill Credit Card Payment Confirmation
Personal Business ;ooer sprfn Rod a fore+ Shopping Car, Search
sbeaurain
My Sprint Shop Digital Lounge Community Support
r-' (5$3570967)
Pay Bill I tint to...
SUSAN BEAURAIN
Account number: 583570967 flay bill
;droll in P941
p p� Thank you! Your Visa payment has been successfully subrnitted
Sprin 1t Track crafted i
t and wit. be posted to your account within 15 minutes. Please
print this page for your records. See ad;ustnxef
credits
Payment Date: Jan 31, 2612
See my hill
Payment amount: $78.72 See bi':l history
Card: Visa See m; order
Last 4 digits: 6283
Expiration date: 0112013 Sri payrttent I
ZIP code: 46032 See rriy trans=
Confirmation Number 042711 history
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2012 Sprint,co =t? All r
Purchase e
Description
P.O. P o
G.L.#
Budoet
Line bescr e
Purchaser Date
Approval Date
c5w
https:l lmyaccountportal .sprint.com /servletlecare
111
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
143 3rd Street NW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/31/12 Reimb Cell phone use Jan'12 50.00
Total 50.00
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
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
9 -Feb 2012
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund