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
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ASSENGER RECEIPT 02 EXCESS BAGGAGE
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KATE /SCHNEIDER THIS IS YOUR RECEIPT
*NOT VALID FOR
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FOR CONDITIONS OF
IND DL CVG DL SLC PRSCAR /DL CONTRACT SEE
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USD 15.00 VIXXXXXXXXXXXX0793 /060068 NOT VALID FOR TRAVEL
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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.
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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.
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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
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Purchaser Date 0
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��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
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P.O. BOX 25505
LEHIGH VALLEY, PA 18002 -5505
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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
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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