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HomeMy WebLinkAbout179403 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1 0 ONE CIVIC SQUARE KATIE SCHNEIDER CHECK AMOUNT: $1,770.48 CARMEL, INDIANA 46032 3211 CHADWOOD LANE N DR #lA o INDIANAPOLIS IN 46268 CHECK NUMBER: 179403 CHECK DATE: 11111/2009 DEPARTMENT ACCO PO NUMBER INV OICE NUMBER AMOUNT D ESCRIPTION 1047 4343003 1,549.48 TRAVEL LODGING 1047 4344100 100.00 CELLULAR PHONE FEES 1047 4358400 121.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 347969 Payment Date: 10/22/09 Household M 4726 OCT 2009 Monon Center Kate Schneider Hm Ph: (317)650 -9404 Carmel IN 46032 3211 Chadwood Drive North Lane Wk Ph: (317)573 -5236 L �e Apt la Cell Ph: Carmel IN 46032 Phone: (317)848 -7275 kschneider @carmelclayparks.com Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Enrollee Name: Kate Schneider Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 294820 -04 Splash -n -Dash 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 08/15/2009 (Cancelled) Primary Instructor: CCPR Staff Class Location: Fitness Center Class Dates: 11/15/2009 to 11/15/2009 Monon Center 7:OOA to 7:OOA Su Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: advanced request CANCELLATION Refund Of 33.00 Enrollee Name: Kate Schneider Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 297250 -01 Cookie Dipping 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/13/2009 (Cancelled) Primary Instructor: Cake 'n Crumbs Class Location: Program Room B Class Dates: 11/12/2009 to 11/12/2009 Monon Center 6:OOP to 7:30P Th Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: advanced request CANCELLATION Refund Of 85.00 Enrollee Name: Kate Schneider Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 297271 -01 Thanksgiving Cooking 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/13/2009 (Cancelled) Class Location: Kiss Z Cook Class Dates: 11/17/2009 to 11/17/2009 KissZCook 6:30P to 9:OOP 890 E. 116th St. Ste 125 Tu Carmel IN 46032 Scheduled Sessions: 1 (317)815 -0681 Cancel Reason: advanced request Page 1 ACTIVITY REFUND RECEIPT Receipt 347969 Payment Date: 10/22/2009 Household 4726 G/L Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 121.00 DR The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers. PREVIOUS NET CREDIT HOUSEHOLD BALANCE 3.00 Processed on 10/22/09 11:48:37 by MML FEES CHANGED ON CANCELLED ITEMS 118.00 NET AMOUNT FROM CANCELLED ITEMS 118.00 HH BALANCE APPLIED TO THIS RECEIPT 3.00 TOTAL AMOUNT REFUNDED 121.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 121.00 Made By REFUND FINAN With Reference advanced request All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issue No ash r credit card refunds. TeKpf�� Authorized Signature Date Authorized Signature Date OCT 2 7 1009 ALJ'L. Page 2 Carmel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 10/17/2009 Squatters Airport Pub 47 100.100.4343003 Travel Lodging 5.24 Meals 10/9/2009 Green Leaf Bananas 47 100.100.4343003 Travel Lodginq 18.70 Meals Total From Previous Pages 1,515.54 NOV 0 4 2009 JUJ All receipts should be attached in the same order as listed above. Ito4q, 4 1 No sales tax will be reimbursed. TOTAL: Employee Name (print) Kate Schneider Address 3211 Chadwood Lane N Dr Apt 1A Check ,payable to: City, St, Zip Indi a lis, 6268 1 Signatu e: Approved by: 41k Date: 01 /2009 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Carmel a Clay Parks &Recreati ®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1 0 /a v/O 9 V e r c zOr'► 147 4 3 <l Lh 0 C C-P—� k7 50, O C 0 0.Q_ PkI1 -A-u 9/20/2009 Verizon Wireles 47 100.100.4344100 Cellular Phone Fees 50.00 V Personal Cell phone Use 10/17/2009 Hatt Place Salt Lake City 47 100.100.4343003 Travel Lod in g 1,092.61 NRPA Hotel 10/9/2009 Delta 47 100.100.4343003 Travel Lodging 30.00 Baggage NRPA Out 10/17/2009 Delta 47 100.100.4343003 Travel Lodging 30.00 Baggage NRPA In 10/17/2009 City Express Ride 47 100.100.4343003 Travel Lodging 27.00 Airport Shuttle 10/13/2009 Lambs Grill Caf6 47 100.100.4343003 Travel Lodging 10.50 Meals 10/14/2009 Lambs Grill Caf6 47 100.100.4343003 Travel Lodging 7.01 Meals 10/15/2009 Lambs Grill Caf6 47 100.100.4343003 Travel Lod in 21.57 Meals 10117/2009 Vito's Deli 47 100.100.4003 Travel Lod in 343 21.97 Meals 1,290.66 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name (print) Kate Schneider Address 3211 Chadwood Lane N Dr Apt 1A Check payable to: City, St, Zip Indianapolis, IN 46268 Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Carmel e Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 10/16/2009 RedRock 47 100.100.4343003 Travel Lodging 31.29 V Meals 10/12/2009 Jason's Deli 47 1 100.100.4343003 Travel Lodging 10.34 Meals 10/14/2009 Jason's Deli 47 100.100.4343003 Travel Lodging 34.53 Meals 10/15/2009 Bia is 47 100.100.4343003 Travel Lodging 39.48 V Meals 10/15/2009 Copper Canyon 47 100.100.4343003 Travel Lodging 15.48 Meals 10/13/2009 RedRock 47 100.100.4343003 Travel Lodging 46.04 V Meals _14,I L� 10/12/2009 Skybox 47 100.100.4343003 Travel Lodging 1.4:14- Meals 10/16/2009 Red I uana 47 100.100.4343003 Travel Lodging 33.58 Meals Previous Page Total 1,290.66 1, 15.54 All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name (print) Kate Schneider Address 3211 Chadwood Lane N Dr Apt 1A Check payable to: City, St, Zip Indianapolis, IN 46268 Signature: Approved by: Date: 10/27/2009 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request G u E STC BE CIC M Date table Guests �Servw APP-T UP/SAL -EN VEGJPOT -DESSERT -SEV R ,-%,L nor- slsang iunowy am 1 j IllUJ'�UTJ�JaI�J(QUVUEU'MMA3 1 Mol zl 1 �l i r s`� 1. 1 l i� s •ssl z y'sl vt, A38—Ell3SS3(k-lOd/�y �'3a1N3=lt/$IdttOS s4sen� 9 We�. e�ep _C i� ;:,r "ct y S�'Y�"•�4 N,� irt`.3l lit �J j av .s. 4-u�s i r F. d�- •.h'+�'' }9�i ^r rt+.�''��}'I'.��L. L aZ t�>• F�' i�' �'tiYr`TK�A' �nJ unowy a�Q wu� Zti91 I�1 Xel L .P�. M n1�.i lk•E r ��faL�'.Si lS1r.PC 5 J f K. f ti rF bar M.N p- IIJ t S d' &DE LTA ASSENGER RECEIPT 02 EXCESS BAGGAGE 16OCT09 0066 US TICKET DL /(WW 7 SLC FTO ATE /SCHNEIDER THIS IS YOUR RECEIPT *NOT VALID FOR *TRANSPORTATION* PSGR TICKET 0062314076500 FOR CONDITIONS OF C DL MEM DL IND PRSCAR /DL CONTRACT SEE BCE 15.00 PASSENGER TICKET AND C 15.00 BAGGAGE CHECK i 1 vlxxxxxxxxxxxx0793 /06505& NOT VALID FOR TRAVEL 1 0 006 2511391786 1 0 006 2511391786 1 USD15.00 .DELTA �ENG R RECEIPT 02 EXCESS BAGGAGE 16OCT09 0066 US TICKET DL/ SLC FTO :SS /PINTER THIS IS YOUR RECEIPT *NOT VALID FOR *TRANSPORTATION* PSGR TICKET 0062314076501 FOR CONDITIONS OF C DL MEM DL IND PRSCAR /DL CONTRACT SEE EICE 15.00 PASSENGER TICKET AND C 15.00 BAGGAGE CHECK 'D 15.00 vlXxxxxxxxxxxx0793 /06578a NOT VALID FOR TRAVEL 1 0 006 2511391787 2 0 006 2511391787 2 USD15.00 hase 1 p putt J q p oO �J P.O. ar Cl Dato Line Date purchase APPro 1 Payment Receipt Page 1 of 1 A. D E LTA P SL RECEIPT 02 EXCESS BAGGAGE 080CT09 0066 US TICKET DL /WW IND FTO KATE /SCHNEIDER THIS IS YOUR RECEIPT *NOT VALID FOR *TRANSPORTATION* PSGR TICKET 0062314076500 FOR CONDITIONS OF IND DL CVG DL SLC PRSCAR /DL CONTRACT SEE PIECE 15.00 PASSENGER TICKET AND EaC 15.00 BAGGAGE CHECK USD 1. VIXXXXXXXXXXXX0793 /059098 NOT VALID FOR TRAVEL 1 0 006 2511497211 6 0 006 2511497211 6 USD15.00 A. D E LTA PASSENGER RECEIPT 02 EXCESS BAGGAGE DL /V� 08OCT09 0066 Us TICKET IND FTO TESS /PINTER THIS IS YOUR RECEIPT *NOT VALID FOR *TRANSPORTATION* PSGR TICKET 0062314076501 FOR CONDITIONS OF IND DL CVG DL SLC PRSCAR /DL CONTRACT SEE PIECE 15.00 PASSENGER TICKET AND EBC 15.00 BAGGAGE CHECK USD 15.00 VIXXXXXXXXXXXX0793 /060068 NOT VALID FOR TRAVEL 1 0 006 2511296493 6 0 006 2511296493 6 USD15.00 DO Purchase 5 LC P� Description P.O. P or® a.L Coa 1 Cn- 3 3 Budqet Line Desc b Purchaser Date Approval Date Hyatt Place Salt Lake City/ Downtown/The Gateway M HYATT PLACE" oct 23,1am 55 North 400 West 10:31 am Salt Lake City, UT 84101 Telephone: (801)456-6300 Fax: (801)456 -6301 KATE SCHNEIDER Account 2140 701 CICERO RD. Room Number: 414 NOBLESVII,LE, IN 46060 Rate: $102.00 Pay Method: VISA0793 Arrival Date: Sunday, October 11, 2009 Departure Date: Saturday, October 17, 2009 Member Date Department Reference Voucher Room Debit Credit 10/11/2009 Room Charge Auto Posted 414 $102.00 10/11/2009 State Occupancy Ta> Auto Posted 414 $6.99 10/11/2009 County Occupancy T Auto Posted 414 $4.85 10/11/2009 City Innkeepers Fee Auto Posted 414 $1.02 10/11/2009 State Occupancy Ta> Auto Posted 414 $0.07 10/11/2009 County Occupancy T Auto Posted 414 $0.05 10/11/2009 Parking Auto Posted 414 $10.00 10/12/2009 Room Charge Auto Posted 414 $102.00 10/12/2009 State Occupancy Ta> Auto Posted Purchase 414 $6.99 10/12/2009 County Occupancy T Auto Posted Description 414 $4.85 10/12/2009 City Innkeepers Fee Auto Posted P.O. -P 414 $1.02 10/12/2009 State Occupancy Ta> Auto Posted 3 414 $0.07 10/12/2009 County Occupancy T Auto Posted G. L. C 414 $0.05 Budget 0 l 414 $10.00 10/12/2009 Parking Auto Posted Line Desor 10/13/2009 Room Charge Auto Posted 414 $102.00 10/13/2009 State Occupancy Ta> Auto Posted Purchas 414 $6.99 10/13/2009 County Occupancy T Auto Posted Appro Dal 0 414 $4.85 10/13/2009 City Innkeepers Fee Auto Posted 414 $1.02 10/13/2009 State Occupancy Ta> Auto Posted 414 $0.07 10/13/2009 County Occupancy T Auto Posted 414 $0.05 10/13/2009 Parking Auto Posted 414 $10.00 10/14/2009 Room Charge Auto Posted 414 $102.00 10/14/2009 State Occupancy Ta> Auto Posted 414 $6.99 10/14/2009 County Occupancy T Auto Posted 414 $4.85 10/14/2009 City Innkeepers Fee Auto Posted 414 $1.02 10/14/2009 State Occupancy Ta> Auto Posted 414 $0.07 10/14/2009 County Occupancy T Auto Posted 414 $0.05 10/14/2009 Parking Auto Posted 414 $10.00 10/15/2009 Room Charge Auto Posted 414 $102.00 10/15/2009 State Occupancy Ta> Auto Posted 414 $6.99 10/15/2009 County Occupancy T Auto Posted 414 $4.85 10/15/2009 City Innkeepers Fee Auto Posted 414 $1.02 10/15/2009 State Occupancy Ta> Auto Posted 414 $0.07 10/15/2009 County Occupancy T Auto Posted 414 $0.05 10/15/2009 Parking Auto Posted 414 $10.00 10/16/2009 Transfer Debit From Folio #2144 HUGHEY, AUDREY 517 $287.75 10/16/2009 Room Charge Auto Posted 414 $102.00 10/16/2009 State Occupancy Ta> Auto Posted 414 $6.99 10/16/2009 County Occupancy T Auto Posted 414 $4.85 10/16/2009 City Innkeepers Fee Auto Posted 414 $1.02 10/16/2009 State Occupancy Ta> Auto Posted 414 $0.07 10/16/2009 County Occupancy T Auto Posted 414 $0.05 10/16/2009 Parking Auto Posted 414 $10.00 10/16/2009 Room Charge RFr 2144 /HUGHEY 517 $102.00 Hyatt Place Salt Lake City/ Downtown /The Gateway W H YA T T PLACE" Oct 23, Zoos 55 North 400 West 10:31 am Salt Lake City, UT 84101 Telephone: (801)456 -6300 Fax: (801)456 -6301 KATE SCHNEIDER Account 2140 701 CICERO RD. Room Number: 414 NOBLESVILLE, IN 46060 Rate: $102.00 Pay Method: VISA0793 Arrival Date: Sunday, October 11, 2009 Departure Date: Saturday, October 17, 2009 Member Date Department Reference Voucher Room Debit Credit 10/16/2009 State Occupancy Ta> RFr 2144 /HUGHEY 517 $6.99 10/16/2009 County Occupancy T RFr 2144 /HUGHEY 517 $4.85 10/16/2009 City Innkeepers Fee RFr 2144 /HUGHEY 517 $1.02 10/16/2009 State Occupancy Ta> RFr 2144 /HUGHEY 517 $0.07 10/16/2009 County Occupancy T RFr 2144 /HUGHEY 517 $0.05 10/17/2009 Visa CHECKED- OUTV10793 414 $1,152.61 10/23/2009 Parkinq Guest did not have car 414 .t o. $60.00 1 agree that my liability for all charges is not waived. Your privacy is important to us. Balance: $60.00 Please visit us at www.hyattplace.com to review our privacy policy. I accept delivery of The Q Wall Street Journal M -F (Gold Passport and VIP rooms only). If refused, a refund of $1 will be 1 a provided. Signature V `VedMnwireless 777 BIG TIMBER ROAD Manage Your Account Account Number Date Due ELGIN, IL 60123 M Verizon at www 09 Invoice Number '2303724764 10011 124 01 AV 0.335 "AUTO T9 2 4620 46268- 356511 12 E MICH2O10 Quick Bill Summary Sep 21 Oct 20 IIIIIIIIII IIIIIIIIIIIII II IIIIIIII II IIIIIIII II III IIIIIIII II IIII KATIE A SCHNEIDER 3211 CHADWOOD LANE NORTH DR t A Previous Balance (see back for details) $127.60 INDIANAPOLIS, IN 46268 -3565 Payment Thank You $127.60 Balance Forward $.00 Monthly Access Charges $116.47 Usage Charges Voice $.00 Data $.00 Verizon Wireless' Surcharges and Other Charges Credits $4.30 Taxes, Governmental Surcharges Fees $6.70 Total Current Charges $127.47 Save Time with Auto Bill Pay Pay your bills automatically every month, and never be late on a payment again! Total Charges Due by November 15, 2009 $127 =47 It's easy to enroll in Auto Bill Pay. See back of Payment Coupon below for details.1 NOV 0 4 2009 ISYe....................... Pay from Wireless Pay on the Web Questions: #PMT (#768). My'Verizon at vvvRv.ver1zonwireIesS.c0M 1.800.922..0204 or '611 from your wireless VN k,----�vedW wireless Bill Date October 20, 2009 Account Number 681011073 -00001 Invoice Number 2303724764 KATIE A SCHNEIDER T otal Amount Due by November 15, 2009 3211 CHADWOOD LANE NORTH DR lA Make check payable to Verizon Wireless INDIANAPOLIS, IN 46268 -3565 Please return this remit slip with payment $127.47 F1 1:11:1 F El P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 I�I�IILIIIIIII�ILIIIIIJ ,I�I�IIIIIII,���I.lnlllll F] 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. 2303724764010681011073000010000127470000127479 \,_�veriz nwireless Invoice Number Account Number Date Due Page Get Minutes Used Get Data Used Get Balance 1 1 3 1 Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $127.60 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 Payment Received 10/13/09 127.60 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $127.60 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 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. 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. Corresptinde�nce �VenzonWirehess Opera tionsaSupportP OBox 9058 Du�elin OH�4301g7 Fa Automatic Payment Enrollment for Account: 681011073-00001 KATIE A SCHNEIDER 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. l 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. IM F] I I E Changing your billing address for Account: 681011073 -00001 KATIE A SCHNEIDER 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 residential street address or primary business address State/Zip —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 4620 Copy 10 Control #10011 124 -00033687 V ,-�verin wireless Invoice Number Account Number Date Due Page Summary for Katie a Schneider: 317- 650 -9404 Your Calling Plan Charges Monthly Access Charges Nationwide Email &MSG 1350 Nationwide Email MSG 1350 10/21 11/20 129.99 $129.99 monthly access charge 15% Access Discount 10/21 11/20 —19.50 1350 monthly general allowance minutes WPP Insurance Asurion 10/21 11/20 4.99 $.35 per minute after allowance Ringback Tones 10/21 —11/20 .99 Unl Night Weekend Min $116.47 Unlimited OFFPEAK Usage Charges Unl Text Messaging Voice .00 Unlimited M2M TXT Data .00 Unlimited TXT Message $.00 BlackBerry EVDO for MB Verizon Wireless' Surcharges Unlimited monthly megabyte Fed Universal Service Charge 1.61 Regulatory Charge .07 Beginning on 06/21/07: Administrative Charge .92 15% Access Discount IN Utility Receipts Surcharge 1.24 M2M National Unlimited IN Telecom Relay Surcharge .03 IN Universal Service Fee .36 Unlimited monthly Mobile to Mobile IN State PUC Fee .07 Unl Picture/Video MSG $4.30 Unlimited monthly PIX —FLIX Taxes, Governmental Surcharges and Fees IN State E911 Fee .50 Friends Family 5 IN State Sales Tax 6.20 $6.70 Total Current Charges for 317 -650 -9404 $127.47 Usage Charges Voice Allowance Used Billable Cost Calling Plan minutes 1350 491 Mobile to Mobile minutes unlimited 951 Night/Weekend minutes 83 Total Voice $.00 Data 0 TXT Messaging messages unlimited 767 Unlimited M2M TXT messages unlimited 300 N 0 PIX —FLIX Messaging messages unlimited 22 Megabyte Usage megabytes unlimited 22 0 Total Data $.00 Total Usage Charges $.00 0 o View your bill and call details online for FREE Sign in to My Verizon at www.verizonwireless.com. 0 U 0 N O h m V Q k,,- Invoice Number Account Number Date Due Page x 230 681011073 00001, 11/W1'5/094 of 4`"���'� Need —to —Know Information 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 send 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 electronic funds 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. FUSC Change The Federal Universal Service Charge (FUSC) is a Verizon Wireless charge that is subject to change each calendar quarter based on contribution rates prescribed by the FCC. On October 1, the FUSC for products other than the Verizon Hub decreased to 2.56 percent of assessable wireless charges except for separately billed interstate and international long distance charges. The FUSC on these charges decreased to 12.3 percent. The Verizon HUB FUSC decreased to 7.98 For more details, please call 1- 888 684 -1888. Budget Friendly Usage Controls Provide wireless service to your family without worrying about unexpected charges. With Usage Controls you can designate thresholds for Voice usage, hard limits for Messaging usage, time and /or day restrictions for Messaging and Data, blocked numbers, trusted numbers that can always be reached and you can set age— appropriate Content Filters. Just $4.99 Monthly Access, per controlled line. Go to My Verizon for more info and to sign up. My Verizon Manage your Friends Family numbers, check your current usage, view, print or pay your bill, change your Calling Plan and more. My Verizon makes it easy for you to be in control. Visit www.verizonwireless.com/myverizon. Mobile Broadband You can access email and the Internet in more places than ever before, and at broadband speeds. Our growing high —speed wireless network covers more than 280 million people in over 264 major metropolitan areas and 268 primary airports, so you can connect where and when you need to. For more information, visit N www.verizonwireless .com /mobilebroadband and for coverage maps, visit www.verizonwi reless .com /broadbandeoverage. 0 0 0 0 U 0 u r 0 0 U 0 N 0 V m O 'verj ►7onmreless 777 BIG TIMBER ROAD Manage Your Account Account Number Date Due ELGIN, IL 60123 10115/09 Invoice Number 2289889963 10011039 01 AV 0.335 "AUTO T7 24520 46268 356511 12 E MICH2O10 Quick Bill Summary Aug 21 Sep 20 VIII III II III II III II VIII VIII III II IIIIIIII II III II III II III II II KATIE A SCHNEIDER 3211 CHADWOOD LANE NORTH DR 1 A Previous Balance (see back for details) $125.27 INDIANAPOLIS, IN 46268 -3565 Payment Thank You $125.27 Balance Forward $.00 Monthly Access Charges $116.47 Usage Charges Voice $.00 Data $.00 Verizon Wireless' Surcharges and Other Charges Credits $4.42 Taxes, Governmental Surcharges Fees $6.71 Y e N Total Current Charges $127.60 Save Time with Auto Bill Pay Pay your bills automatically every month, and never be late on a payment again! Total Charges Due by October 15, 2009 $127.60 It's easy to enroll in Auto Bill Pay. See back of Payment Coupon below for details. Purchase �✓OR Descxiptiotl P.O.0 P F L g `�h ine Desor 1 Q, Purchaser Date 0 1 pprov Ilk Date 4b7 [:Ray from Wireless Pay on the Web Questions: My-Ve"n"z at wkvvvenzonwireless.corn 80. VN ��V@PiZanwireiess Bill Date September 20, 2009 Account Number 681011073 -00001 Invoice Number 2289889963 KATIE A SCHNEIDER Total Amount Due by October 15, 2009 3211 CHADWOOD LANE NORTH DR 1A INDIANAPOLIS, IN 46268 -3565 Make check payable to slip with Wireless $127.60 Please return this remit slip with payment El El Fl. ❑F� P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 I, ��IILJ�IL��II��� „LLLL�IJJI����LLJ��II F] 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. 2289889963010681011073000010000127600000 ],27609 ��/eIr1 Al wireless Invoice Number Account Number Date Due Page Get Minutes Used Get Data Used Get Balance 1 /A 1 :A 1 Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $125.27 Verizon Wireless' Surcharges include charges to recover or help defray costs of taxes and of governmental charges and tees Payment Thank You imposed on us, including a Regulatory Charge (which helps defray Payment Received 09/01/09 125.27 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $125.27 Service Charge (and, if applicable, a State Universal Service Balance Forward $.00 Charge) to recover costs imposed on us by the government 10 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. 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., ,C 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 R Includes charges for products and services, and credits owing. Corres ondence�Address �VerizonWlreless Opeirat of ns Support P 0 Boxy p 9058 Dublin OH 430T7 r n Automatic Payment Enrollment for Account: 681011073 -00001 KATIE A SCHNEIDER 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. Charging your billing address for Account: 681011073 -00001 KATIE A SCHNEIDER 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. Order 4520 Copy )0 Control #:10011039- 00033672 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. 359185 Schneider, Kate Terms 3211 Chadwood Lane N. Drive, 1A Indianapolis, IN 46268 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10/18/02 347969 Refund 121.00 10/27/09 Reimb. Cell phone reimbursement 100.00 10/27/09 Reimb. NRPA conference expenses 1 Total 1,770.48 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. 359185 Schneider, Kate Allowed 20 3211 Chadwood Lane N. Drive, 1A Indianapolis, IN 46268 In Sum of 1,770.48 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. kCCT #/rITLE AMOUNT Board Members Dept 1047 347969 4358400 121.00 1 hereby certify that the attached invoice(s), or 1047 Reimb. 4344100 100.00 bill(s) is (are) true and correct and that the 1047 Reimb. 4343003 1,549.48 materials or services itemized thereon for which charge is made were ordered and received except 5 -Nov 2009 x/1'104 Signature 1,770.48 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund