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
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Purchaser Date
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Pay from Wireless Pay on the Web Questions:
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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
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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.
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
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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
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Budget I,
Une Descx °l
Purchaser Date
Approv Date
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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.
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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
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►radian Lane N Order No.
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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.
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a rr a
n t N� Allowed 20
e N Drive, 1 A
�.N oo �62g8 to Sum of
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PPR0,R,PTJON FOR
SO FA
v� acr F und
GG O P cv9� Board Members
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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