HomeMy WebLinkAbout172402 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362244 Page 1 of 1
ONE CIVIC SQUARE JEREMIAH KERR
s CHECK AMOUNT: $24.06
CARMEL, INDIANA 46032 5729 ENSENADA AVE
M `o INDIANAPOLIS IN 46237 CHECK NUMBER: 172402
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NU MBER IN VOICE NUMBER AMOUNT DESCRIPTION
1047 4344100 24.06 CELLULAR PHONE FEES
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Carmel Clay
Par ks &Rec r eation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name (print) 1 G((
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Address ig G Apt ]BY:
Check
payable to: City, St, Zip I u�
Signature. Appra ed W.�
Date: Date:
Business Services Division, Revised 7 -7-08
FILE: Shared\Administrative\Forms\ .Staff Forms\Employee Exp Reimb Request
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777 BIG TIMBER ROAD Manage Your Account Account Number Date Due
ELGIN, IL 60123 e e e e e 04/11/0
Invoice Number 1987362402
10016277 01 AV 0.324 "AUTO T00 3916 46237-221229 12 E MICH1610 Quick Bill Summary Feb 17 Mar 16
1 1111111 1 1111 1 1 1 11111111 11 I I I I 1 1 111111111 III 11 I I I I I I I I I I I I
JEREMIAH KERR
5729 ENSENADA AVE Previous Balance (see back for details) $127.35
INDIANAPOLIS, IN 46237 -2212 Payment Thank You $127.35
Balance Forward $.00
Monthly Access Charges $113.47
Usage Charges
Voice $.00
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $5.41
Taxes, Governmental Surcharges Fees $8.47
Total Current Charges $127.35
Total Charges Due by April 11, 2009 $127.35
P4y from Wireless Pay on the Web Questions:
:ee e e4 or *611.frorri your wireless
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,�1/eI'IZ�llwireless Bill Date Marat116, 2009
Account Number 380762544 -00001
Invoice Number 1987362402
JEREMIAH KERR Total Amount Due hvApril 11 2009_
5729 ENSENADA`AVE Make check payable to VeriYon Wireless
INDIANAPOLIS, IN 46,237=2212 Please return thig remit slip with payment $1 27.35
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P.O. BOX 25505
LEIJIGH VALLEY, PA 18002 -55Q5
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.1987362402011031 807625440000 ,0000127350600127358
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Invoice Number Account Number Date Due Page
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Get Minutes Used Get Data Used Get Balance
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Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $127.35
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 03/13/09 127.35
a costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $127.35
Service Charge (and, it 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
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
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
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
time.
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0
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.
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Correspondence AddressUe ❑zon WlrelessOperatlons Support P 0 Box 9058Dublm, ON43017
Automatic Payment Enrollment for Account: 380762544 -00001 JEREMIAH KERR
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: 380762544 -00001 JEREMIAH KERR
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.
Order 3916 Copy 10
Control #:10016277- 00049400
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Invoice Number Account Number Date Due Page
Overview of Lines
Your Account's Calling Plan Breakdown of Charges
Nationwide Select Family Share Primary 1400
$110 S49751107
$110.00 monthly access charge Current Calling Plan Voice* Data
$9.99 per additional line 317-432-2640(P) pg 3
(totaling $119.99 monthly) Jeremiah Kerr
317 417 -2708 pg 4
1400 monthly allowance minutes Krishna Kerr
$.40 per minute after allowance
Total Charges $.00 $.00
Voice may include long distance, 411 calls, SharePlan overage and
other calls.
Breakdown of Minutes
SharePlan
Current Calling Plan Nlinutes Used
317 432 -2640 (P) pg 3 311
317 417 -2708 pg 4 177
Total Mutes 488
SharePlan Allowance 1400
Overage N6nutes 0
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Summary for Jeremiah Kerr: 317- 432 -2640
Your Calling Plan Charges
Nationwide Select Family Share Primary 1400 Monthly Access Charges
$110 S49751107 Current Calling Plan 03/17 04/16 110.00
(see pg 3) 15% Access discount 03/17 04/16 —16.50
WPP Insurance Asurion 03/17 04/16 4.99
M2M National Unlimited $98,49
0
Unlimited Mobile to Mobile
Usage Charges
Unl Night Weekend Min Voice 00
It Unlimited OrFPEAK
0 Data 00
0 Unl Text Messaging $.00
Unlimited M2M TXT Verizon Wireless' Surcharges
0
Unlimited TXT Message Fed Universal Service Charge 1.28
Regulatory Charge 07
Pay As You Use Megabyte Data
$1.99 per megabyte Administrative Charge .85
IN Utility Receipts Surcharge 1.34
IN Telecom Relay Surcharge .03
0
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Invoice Number Account Number Date Due Page
Your Calling Plan, Charges, continued
continued Verizon Wireless' Surcharges
IN Universal Service Fee .39
Beginning on 02/21/08: IN State PUC Fee .08
15% Access discount $4,04
Uni Picture/Video MSG Taxes, Governmental Surcharges and Fees
Unlimited monthly PIX —FLIX IN State E911 Fee .50
IN State Sales Tax 6.69
$7.19
Total Current Charges for 317 432 -2640 $109.72
Usage Charges
Voice Allowance Used Billable Cost
SharePlan minutes 1400 311
(shared)
Mobile to Mobile minutes unlimited 763
Night/Weekend minutes 10
Total Voice $.00
Data
TXT Messaging messages unlimited 52
Unlimited M2M TXT messages unlimited 167
PIX —FLIX Messaging messages unlimited 9
Total Data $.00
Total Usage Charges $.00
View your bill and call details online for FRE Sign in to My Verizon at www.verizonwireless.com.
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Summary for Kristina Kerr: 317 417 -2708
Your Calling Plan Charges
Monthly Access Charges
Nationwide Select Family Share Primary 1400 Current Calling Plan Add'I Line 03/17 04/16 9.99
$110 S4975 1107
(see pg 3) WPP Insurance Lock \line 03/17 04/16 4.99
$14.98
N
M2M National Unlimited
tit Unlimited Mobile to Mobile Usage Charges
Voice .00
Unl Night Weekend Min Data .00
Unlimited OFFPEAK
o $.00
a Unl Text Messaging Verizon Wireless' Surcharges
a
Unlimited M2M TXT Fed Universal Service Charge .20
m Unlimited TXT Message Regulatory Charge .07
Administrative Charge .85
0
`.-�ver wireless
Invoice Number Account Number Date Due Page
Your Calling Plan, Charges, continued
continued Verizon wireless' Surcharges
IN Utility Receipts Surcharge .16
Pay As You Use Megabyte Data IN Telecom Relay Surcharge .03
$1.99 per megabyte IN Universal Service Fee .05
Uni Picture/Video MSG IN State PUC Fee .01
Unlimited monthly PIX —FLIX $1'37
Taxes, Governmental Surcharges and Fees
IN State E911 Fee .50
IN State Sales Tax .78
$1.28
Total Current Charges for 317 417 -2708 $17.63
Usage Charges
Voice Allowance Used I Billable I Cost
SharePlan minutes 1400 177
(shared)
Mobile to Mobile minutes unlimited 351
Night/Weekend minutes 124
Total Voice $.00
Data
TXT Messaging messages unlimited 116
Unlimited M2M TXT messages unlimited 297
PIX —FLIX Messaging messages unlimited 3
Total Data $.00
Total Usage Charges $.00
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Invoice Number Account Number Date Due Page
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1987362402 380 762544 00001,0,4/1';1/06 of 6 u
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Need —to —Know Information
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Limiting Notations on Payments
Written notations included with or on your payment cannot be reviewed
when bills are processed and will not be honored. Please s6nd such
notated payment and any accompanying correspondence to the
Correspondence Address on Page 2 of your bill.
Electronic Fund Transfer (EFT)
Your check authorizes us either to make a one —time electronic4unds
transfer (EFT) from your account or process as a check. An EFT may be
withdrawn from your account the same day you make your payment and
your check is not returned to you. If you want to be excluded from EFT,
please call 1- 866 544 -0401. If payment is returned unpaid, you
`authorized us to collect an additional $25 fee through EFT from your
account.
Picture and Video Messaging Pricing Change
Effective 05/03/09, when you send a picture or video message to multiple
recipients, you will be charged once for each recipient. if you already have
a messaging bundle, these messages will apply towards your bundle
quota. If you are on a Pay —as —You go plan or exceed your bundle quota,
you will be charged $.25 per recipient.
Baca Assistant(SM)
Never lose your contacts again! Backup Assistant automatically backs up
your address book wirelessly for just $1.99 per month, per line. But,
we'll waive the monthly fee for customers who register for My Verizon
online. Visit www. verizonwireless .com /backupassistant for details.
Ringtones Ringback Tones N
Have fun with your phone. With Ringtones and Ringback Tones, you and
your callers can enjoy hot new songs, or "classics" from the past,
whenever a call comes in. Choose from thousands of songs to personalize
your rings. Go to www.verizonwireless.com /mediastore for charges and
details,V nice Mail is required for use of Ringback Tones.
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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.
362244 Kerr, Jeremy Terms
5729 Ensenada Ave
Indianapolis, IN 46237
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4111/09 Reimb Cell phone reimbursement Apr'09 24.06
Total 24.06
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.
362244 Kerr, Jeremy Allowed 20
5729 Ensenada Ave
Indianapolis, IN 46237
In Sum of
24.06
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb 43441,00 24.06 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
7 -May 2009
Signature
24.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund