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177837 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1 ONE CIVIC SQUARE KATIE SCHNEIDER CARMEL, INDIANA 46032 3211 CHADWOOD LANE N DR #1A CHECK AMOUNT: $1,192.20 INDIANAPOLIS IN 46268 CHECK NUMBER: 177837 CHECK DATE: 9/29/2009 DEPARTME A CCOU NT PO NUMBE IN VOICE NUMBER AM DESCRIPTION 1047 4344100 150.00 CELLULAR PHONE FEES 1047 4359000 1,042.20 SPECIAL PROJECTS 1 Carmel C lay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 6/20/2009 Verizon Wireless 47 100 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone 7/20/2009 Verizon Wireless 47 100 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone 8/20/2009 Verizon Wireless 47 100 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone 9/5/2009 Kroger 47 100 100 4359000 Special Projects 579.00 abor Day Wknd Incentive: 9/8/098 Kroger 47 100 100 4359000 Special Projects 463.20 abor Day Wknd Incentive: All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $1,192.20 Poll Employee Name (print) Kate Schneider Address 3211 Chadwood Lane N Dr Apt 1A 0 zaos Check o payable to: City, St, Zip I diana i IN 68 Signatu Approved by: Date: 9/8/2 Date: D Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request R 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. 6/20/2009 Verizon Wireless 47 100 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone 7/20/2009 Verizon Wireless 47 100- 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone 8/20/2009 Verizon Wireless 47 100 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone 9/5/2009 Kroger 47 100 100 4359000 Special Projects 579.00 abor Day Wknd IncentiveE 9/8/098 Kroger 47 100 100 4359000 Special Projects 463.20 abor Day Wknd Incentive: i. 4 I All receipts should be attached in the same order as listed above. lMo sales tax will be reimbursed. TOTAL: $1,192.20 S C Employee Name (print) Kate Schneider StN 1 U 2009 Address 3211 Chadwood Lane N Dr Apt 1A Check fib' L o payable to: City, St, Zip 1 6 diana i IN 68 Signatu Approved by: Date: 9/8/2 Date: D D Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative \Forms \Staff Forms \Employee Exp Reimb Request ,'x V �ved mn wireless Invoice Number Account Number Date Due Page Get Minutes Used Get Data Used Get Balance 1 1+ i 1 Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $116.84 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 06/02/09 116.84 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $116.84 Service Charge (and, if applicable, a State Universal Service Balance Forward $.�0 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) tees 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. 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 .,�..•r� 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. 7' Correspondence address Verizon Wireless Operations Support P 0-. Box 9058!Dublln, 01 43017 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. 0 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 CRY 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 4220 Copy 10 Control #:1001 1592 00035057 verizR 1wireiess 777 BIG TIMBER ROAD Manage Your Account Account Number Date Due ELGIN, IL 60123 a 1111 1 0 Invoice Number 2028707474 10011592 01 AV 0.335 "AUTO T7 1 4220 46268- 356511 1 3 E MICH2O10 Quick Bill Summary May 21 Jun 20 I II IIIIIII [IIIIIIIIIIIIII n III n IIIIIIIIIIIIIIIIIIIII IIIII II II KATIE A SCHNEIDER 3211 CHADWOOD LANE NORTH DR 1 A Previous Balance see back for details) $116.84 INDIANAPOLIS, IN 46268 3565 Payment Thank You $116.84 Balance Forward $.00 Monthly Access Charges $117.02 Usage Charges Voice $133.20 Data $.00 Verizon Wireless' Surcharges and Other Charges Credits $8.23 Taxes, Governmental Surcharges Fees $8.34 Total Current Charges $266.79 Change to Your Service *This bill includes monthly access charges for your next bill cycle. Total Charges Due by July 15, 2009 $266.79 *Due to your recent plan or feature change, this bill may include adjustments to your monthly access charges. *Usage charges are for your voice, TXT /PWFLIX and data usage from your last bill cycle. pmhese Description Ve rs c%4_ C �Q P.O. P e G.L Budget Line Des Purchaser Date App roval-- F Pay from Wireless Pay on the Web Questions: VN l6rd ,wireless Bill Date June 20, 2009 Account Number 681011073 -00001 Invoice Number 2028707474 KATIE A SCHNEIDER Total Amount Due by July 15 2009 3211 CHADWOOD LANE NORTH DR 1A INDIANAPOLIS, IN 46268 -3565 Make check payable to slip with Wireless $266.79 Please return this remit slip with payment ❑El E. P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 l���IIIIIIIII��IIInnII�lllllnlll�IIIII�I�IIIII�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. 2028707474010681011073000010000266790000266799 verivnwirelessJ 777 BIG TIMBER ROAD Manage Your Account Account Number Date Due ELGIN, IL 60123 www.verizonwireless.com Invoice Number 2263823360 10016272 01 AT 0.357 "AUTO T70432046268-35651113 E MICH110 Quick BIII Summary Jun 21 Jul 20 IIIII VI III IIIIIIII11 I 11 IIII VI VI III KATIE A SCHNEIDER 3211 CHADWOOD LANE NORTH DR 1 A Previous Balance (see back for details) $266.79 INDIANAPOLIS, IN 46268 -3565 Payment Thank You $198.48 Adjustments $70.64 Credit Balance —$2.33 Monthly Access Charges $116.47 Usage Charges Voice $.00 Data $.00 Roaming $65.19 Verizon Wireless' Surcharges and Other Charges Credits $5.52 Save Time with Auto Bill Pay Taxes, Governmental Surcharges Fees $8.22 Pay your bills automatically every month, Total Current Charges $195.40 and never be late on a payment again! It's easy to enroll in Auto Bill Pay. See back of Payment Coupon below for Total Cha Due b A 15 2009 $193.07 details. 9 Y 9 Purchase pf Description P.O. P o. G. L. L4 I Cam, 1 00- Ll: Q 9 f 03 Budget n 1 L p 1 Z =-s Line Descr l Purchaser V DateL Approval Date Pay from Wireless Pay on the Web Questions: onwireless.com 1.800.922�0204 o VN V.- zwwireless Bill Date July 20, 2009 Account Number 681011073 -00001 Invoice Number 2263823360 KATIE A SCHNEIDER Total Amount Due by August 15, 2009 3211 CHADWOOD LANE NORTH DR 1A INDIANAPOLIS, IN 46268 -3565 Make check payable to Verizon Wireless $193.7 Please return this remit slip with payment s 1:1 El El El Ll P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 LIILJIIIIIIII��LLLIIIIIIIIIIIIIIIII E] 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. 22638233600106810110 73000010000195400000193079 �1 erimnwireless Invoice Number Account Number Date Due Page Get Minutes Used Get Data Used Get Balance ei e s Explanation of Charges Payments and Adjustments Verizon Wireless' Surcharges Previous Balance $266.79 Verizon Wireless' Surcharges include charges to recover or help defray costs of taxes and of governmental charges and fees Payment Thank You m imposed on us, including a Regulatory Charge (which helps defray P ay ment Received 07/07/09 198.48 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $198.48 Service Charge (and, it applicable, a State Universal Service Adjustments Charge) to recover costs imposed on us by the government to support universal service, and may include other charges also Airtime Usage for 317 650 -9404 on 06/26/09 -68.31 related to our governmental costs. It also includes an Other Fees and Surcharges -2.20 Administrative Charge, which helps defray certain costs we incur, currently including charges we, or our agents, pay local State Tax Adjustment -.13 telephone companies for delivering calls from our customers to Total Adjustments $70.64 their customers, (ii) tees and assessments on network facilities and services, and (iii) certain costs and charges associated with Credit Balance —$2 .33 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.'" �c -;ate a a ;Correa pot denc� Address Verizon uVlrei ss p rations Support P 0 Box,QO58 Q0bIiW ON 43017 L .....u� -.a;. 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 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. Th agreement does not alter the terms of your existing Customer Agreement. 1 agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account. 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: 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, prov 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 CRY 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 webshe to change the user's PPU address. Order #:4320 Copy' #:10 Control #:10016272- 00049710 Mill �''veri onmreiess 777 BIG TIMBER ROAD Manage Your Account Account Number Date Due ELGIN, IL 60123 M Vedzon at wvvw 09/ Invoice Number 12276852386 10011199 01 AV 0.335 AUTO 712442046268- 3565111 EMICH2O10 Quick Bill Summary Ju121 —Aug 20 III II VI VI III V III VI III II III II III IIIIIIIII KATIE A SCHNEIDER 3211 CHADWOOD LANE NORTH DR 1 A Previous Balance (see back for details) $193.07 INDIANAPOLIS, IN 46268 -3565 Payment Thank You $195.40 Credit Balance —$2.33 Monthly Access Charges $116.47 Usage Charges Voice $.00 Data $.00 Verizon Wireless' Surcharges I and Other Charges Credits $4.42 Taxes, Governmental Surcharges Fees $6.71 a a 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 September 15, 2009 $125.27 It's easy to enroll in Auto Bill Pay. See back of Payment Coupon below for details. P -0, Purchase Description. ao P.O. I P G.L q 1, 103. l Off C �q ILI 100 Budget I, Une Descx °l Purchaser Date Approv Date Questions'. Qay�romW�Celess QayontheWea RI `,--�'veri nwireiess Invoice Number Account Number Date Due Page Get Minutes Used Get Data Used Get Balance WIN 1' 1 .A Explanation of Charges Payments Verizon Wireless' Surcharges Previous Balance $193.07 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 08/18/09 195.40 costs of various regulatory mandates, including government number administration and license fees) and a Federal Universal Total Payments $195.40 Service Charge (and, if applicable, a State Universal Service Credit Balance —$2 .33 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) tees 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 W t he 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. J s�' Corres pondej�e�x�d ���tg �izo>< Wireless pperati�. o r �ppo7 a 0 Q L 1 y VN veri" wireless Bill Date August 20, 2009 Account Number 681011073 -00001 Invoice Number 2276852386 KATIE A SCHNEIDER Total Amount Due by S 15, 2009 3211 CHADWOOD LANE NORTH DR 1A INDIANAPOLIS, IN 46268 -3565 Make check payable to slip with Wireless $125.27 Please return this remit slip wish payment El F] Fl. P.O. BOX 25505 LEHIGH VALLEY, PA 18002 -5505 Gh�k h!?Ce a��d fill out the back of this slip if your billing address r jIOU aCe adding or changing your email address. has charged or 22? 6852366010681011073ZZ0010000127600000125279 rJ 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 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 IM agreement does not alter the terms of your existing Customer Agreement. I agree that Verizon Wireless is not liable for erroneous bill stat Coy 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 chec A 6 111 E F Changing your billing address for Account: 681011073 -00001 KATIE A SCHN EIDER fi o 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 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. t "s %ii;'s;;'f 'S, Provide New Address PLACE OF PRIMARY USE The home or bu City S'l mailing addr e is for the perSon using the phone(s) and is tnt1 s1ett State/Zip r esidential street address or primary business s Daytime Phone Evening Phone _YES —No 4 "N0" or for multHine accoUrll th More than one PPU address, please Contact our CU r Email Service Department or visit user's PPU address. webshe to change the Order 4420 Copy-#: 10 Control WPM f 11 Ij�pjI1jj1jljj 11111111 lir J il l 111 A r r �n 10 0 IVF /1lYgB� OF�q V W(�cy F ra �pe;ho w' U nUra units Perfo f price s service r per rMed date unit, etc, endered b s�hneid i 321 er kat� 1 ChadwoOd Purc hase ►radian Lane N Order No. apo/is, IN rive# 46268 1A Terms r; Invoice Date Invoice Number 6/20/09 Description Reimb, (or n° attached invoice(s) or bill(s)) 7120109 Cell phone fees PO Reimb, Cell !un'09 Amount 8120!09 Reimb. Phone fees u1,0,9 0.00 9/5/09 Cell phone fees A 5 9/8/09 Reimb, abor Day Wkndncentives 50.00 Reimb. Labor Da Y` 50.00 Y Wknd'ncentIves 579.00 n 463.20 otal 1,192.20 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 Win. u a rr a n t N� Allowed 20 e N Drive, 1 A �.N oo �62g8 to Sum of Ago 01'- ,�N g2.2 PPR0,R,PTJON FOR SO FA v� acr F und GG O P cv9� Board Members 0 tip that the attached invoice(s), or 50.00 I hereby certify 4344 (fo 50.00 bill(s) is (are) true and correct and that the O� Re�trb. ,,:+4100 0 materials or services itemized thereo 50.0 n for 4344100 which charge is made were ordered and 579.00 �c�irTl 4359000 received except Reimb 4359000 463.20 t 47 Reimb. r 04� 24-Sep 2009 Signature 1,192.20 Accounts Payable Coordinator Title Hoy distribution ledger classification if m paid motor vehicle highway fund cia �a 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 6/20/09 Reimb. Cell phone fees Jun'09 50.00 7/20/09 Reimb. Cell phone fees Jul'09 50.00 8/20/09 Reimb. Cell phone fees Aug'09 50.00 9/5/09 Reimb. Labor Day Wknd incentives 579.00 9/8/09 Reimb. Labor Day Wknd incentives 463.20 Total 1,192.20 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 4 1,192.20 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 Reimb. 43441.00 50.00 1 hereby certify that the attached invoice(s), or 1047 Reimb. 4344100 50.00 bill(s) is (are) true and correct and that the 1047 Reimb. 4344100 50.00 materials or services itemized thereon for 1047 Reimb. 4359000 579.00 which charge is made were ordered and 1047 Reimb. 4359000 463.20 received except 24 -Sep 2009 Signature 1,192.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund