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Home My WebLink About206327 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1 ONE CIVIC SQUARE LINDSAY LABAS CHECK AMOUNT: $100.00 a CARMEL, INDIANA 46032 8809 147TH PLACE NOBLESVILLE IN 46060 CHECK NUMBER: 206327 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4344100 100.00 CELLULAR PHONE FEES Carmel Clair Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 12- 20 v n 34 I o o Ceti p one S C to \Vn 1 20 z- V M Zan W I CS 1 4.30 coo Cell ne CLU WLL r All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL:' 00 Employee Name (print) L mdSM LO►IOA D l �:7 o ��r'V` i r Address 8801 1 y +-L PIGt((-. FEB U 6 2012 Check payable to: City, St, Zip NoUCS\ Xe, I N L OU O Signature: Approved by: Date: f a+ Date: 2- Gj Z-- Z Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request r f i 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 I Pay on the Web Questions: 1. 800 922 0204 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 $135.60 P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 /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 i l Invoice Number Account Number Date Due Page 2675526210 986813753 -00001 01/15/12 2 of 14 Get Minutes Used Get Data Used Get Balance DA r' i 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 Y 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, (ii) fees and assessments on network facilities and services, and (iii) certain costs and charges associated with Account Monthly Access Charges proceedings related to new cell site construction. Please note that these are Verizon Wireless charges, not taxes. These Nationwide Talk Share 700 12/21 01 50.00 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 v.. f.z Taxes, Governmental Surcharges and Fees Total Account Charges and Credits $37.40 Includes sales, excise and other taxes and a: 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 sue 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. c� Correspondence Address: Verizon Wireless Operations Support 777 Big Timber Road Elgin, IL 60123 :98681 3 75 -00001 BE NJ Automatic Payment Enrollment for Account: 98681 3 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. a r Changing your billing address for Account: 98 6813753 -00001 BENJAMIN LABAS Use this space or sign i t My Verizon at w Lon a yo t t inform it below and we'll use it to tell you important inform to change the mailing address where we send your bill. tf we do not have your most rece information about your Verizon Wireless service. Allow 2 billing cycles for the address chan a to take email address, provide New Address 9 effect. City PLACE OF PRIMARY USE (PPU) The home or business mailing address indicated to the left State /Zip is for the person using the phone(s) and is the person's Daytime Phone residential street address or primary business address Evening Phone _YES NO If "l or for multi -line accounts with Email more than one PPU address, please contact our Customer user's PPU artmest or visit our website to change the �r +r 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 1 Invoice Number 2689828214 Quick Bill Summary Dec 21 Jan 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 $6.06 Taxes, Governmental Surcharges Fees $6.04 Total Current Charges $139.48 Total Charges Due by February 15, 2012 $139.48 Pay from Wireless Pay on the Web Questions: :11 1 1 rpm your wire ess VN Bill Date January 20, 2012 Account Number 986813753 00001 Invoice Number 2689828214 BENJAMIN LABAS Total Amount Due 8809 147TH PL NOBLESVILLE, IN 46060 -4331 deducted from bank account on 02/13/12 DO NOT MAIL PAYMENT X139.48 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. 2689828214010986813753000010000139480000139482 Invoice Number Account Number Date Due Page 2689828214 986813753 -00001 02/15/12 2 of 12 Get Minutes Used Get Data Used Get Balance #DATA+ SEND #BAL+ SEND Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $138.60 Verizon Wireless' Surcharges include (i) a Regulatory Charge (which helps defray various government charges we pay including Payment Thank You government number administration and license fees); (ii) a Payment Received 01/13/12 138.60 Federal Universal Service Charge (and, if applicable, a State Universal Service Charge) to recover charges imposed on us by Total Payments $138.60 the government to support universal service; and (iii) an Balance Forward $.00 Administrative Charge, which helps defray certain expenses we incur, including charges we or our agents pay local telephone Total Amount Due will be deducted from your bank account on 02/13/12 companies for delivering calls from our customers to their customers, fees and assessments on our network facilities and services, and costs and charges associated with new cell site Account Charges and Credits construction, local number portability, and other government mandates. Please note that these are Verizon Wireless charges, Account Monthly Access Charges not taxes. These charges, and what's included, are subject to change from time to time. Nationwide Talk Share 700 01/21 02/20 50.00 21 Access Discount ($50.00 $9.99) 01/21 02/20 —12.60 Taxes, Governmental Surcharges and Fees Subtotal $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 Total Account Charges and Credits $37.40 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 It "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 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 2/6/12 Reimb Cell phone charges Jan,Feb'12 100.00 Total 100.00 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 20_ Clerk- Treasurer i Voucher No. Warrant No. 360464 Labas, Lindsay Allowed 20 8809 147th Place Noblesville, IN 46060 In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4344100 100.00 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 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund