HomeMy WebLinkAbout175122 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1
0 ONE CIVIC SQUARE KATIE SCHNEIDER
CARMEL, INDIANA 46032 3211 CHADWOOD LANE N DR #1A CHECK AMOUNT: $50.00
INDIANAPOLIS IN 46268
�o CHECK NUMBER: 175122
CHECK DATE: 7/22/2009
DEP ARTME NT ACCOUNT PO NUMBER INV N AMOUNT DESCRIPTION
1047 4344100 REIMB 50.00 CELLULAR PHONE FEES
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
5/20/2009 Verizon Wireless 47 100 100 4344100 Cell Phone Fees 50.00 Use of Personal Phone
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name (print) Kate Schneider
Address 3211 Chadwood Lane N Dr Apt 1A
Check
'payable to: City, St, Zip Indiana o s, IN 46268
Signature: Approved by:
fy
Date: 7/1/2009 Date: 5
c JUL 0 7 2009 1
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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ELGIN IL 60123
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Invoice Number 2015674578
10011802 01 AV 0.335 "AUTO T9 2 412046268- 356511 12 E MICH2O10 Quick Bill Summary Apr 21 May 20
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KATIE A SCHNEIDER
3211 CHADWOOD LANE NORTH DR 1 A Previous Balance (see back for details) $135.77
INDIANAPOLIS, IN 46268 -3565 Payment Thank You $135.77
Balance.Forward $.00
Monthly Access Charges $107.97
Usage Charges
Voice $.00
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $3.40
Taxes, Governmental Surcharges Fees $5.47
AUNO 1 Total Current Charges $116.84
It's Easy Being Green
With Paperless Billing and AutoPay, you
can do your part for the environment Total Charges Due by June 15 2009 $116.84
save time and save on stamps.
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Account Number 681011073 -00001
Invoice Number 2015674578
KATIE A SCHNEIDER Total Amount Due by June 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 $116.84
P.O. BOX 25505
LEHIGH VALLEY, PA 18002 -5505
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has changed or you are adding or changing your email address.
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Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $135.77
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 04/28/09 135.77
costs of various regulatory mandates, including government
number administration and license tees) and a Federal Universal Total Payments 413517
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) 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 cha e%�ihe�
greater of $5 or 1.5% per month, or as permitted by law. J
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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.
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
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 4120 Copy 10
Control #:10011802- 00035954
\,�verizonwireless
Invoice Number Account Number Date Due Page
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0 681011073=00001j6/15/09 3 of 5g 9
Summary for Katie a Schneider: 317- 650 -9404
Your Calling Plan Charges
Nationwide Email &Messaging 900 Mins Monthly Access Charges
Unlim BlackBerry $119.991107 Current Calling Plan 05/21 06/20 119.99
$119.99 monthly access charge 15% Access discount 05/21 06/20 —18.00
900 monthly general allowance minutes WPP Insurance Asurion 05/21 06/20 4.99
$.40 per minute after allowance Ringback Tones —05/21 06/20 .99
$107.97
Unl Night Weekend Min
Unlimited DFFPEAK Usage Charges
Voice .00
Unl Text Messaging Data .00
Unlimited M2M TXT
$.00
Unlimited TXT Message
Verizon Wireless' Surcharges
BlackBerry EVDO for MB Fed Universal Service Charge 1.12
Unlimited monthly megabyte Regulatory Charge .07
Administrative Charge .85
Beginning on 06/21/07: IN Utility Receipts Surcharge .99
15% Access discount IN Telecom Relay Surcharge .03
M2M National Unlimited IN Universal Service Fee .29
Unlimited monthly Mobile to Mobile IN State PUC Fee .05
$3.40
Unl Picture/Video MSG Taxes, Governmental Surcharges and Fees
Unlimited monthly PIX —FLIX IN State E911 Fee .50
Friends Family 5 IN State Sales Tax 4.97
$5.47
Total Current Charges for 317 650 -9404 $116.84
Usage Charges
Voice Allowance Used Billable Cost
Calling Plan minutes 900 165
Mobile to Mobile minutes unlimited 319
Night/Weekend minutes 221
Total Voice $.00
01
Data
Unbilled Usage from Previous Months
O
TXT Messaging messages 16
N
O
Unlimited M2M TXT messages 5
s
tt Current Data Usage
TXT Messaging messages unlimited 1051
O
U Unlimited M2M TXT messages unlimited 207
O
PIX —FLIX Messaging messages unlimited 22
Megabyte Usage megabytes unlimited 7
0 Total Data $.00
N Total Usage Charges $.00
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Invoice Number Account Number Date Due Page
z X20`15674578
6810311073 OOOQ1 06/15/09
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
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
5/ Reimb. Cell phone fees May'09 50.00
Total 50.00
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
1 20_
Clerk- Treasurer
Voucher No. Warrant No.
359185 Schneider, Kate Allowed 20
3211 Chadwood Lane N. Drive, 1A
Indianapolis, IN 46268
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Reimb. 4344100 50.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
16 -Jul 2009
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund