172534 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 359185 Page 1 of 1
ONE CIVIC SQUARE KATIE SCHNEIDER
CHECK AMOUNT: $50.00
J CARMEL, INDIANA 46032 3211 CHADWOOD LANE N DR #1A
INDIANAPOLIS IN 46268 CHECK NUMBER: 172534
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
X1047 4344100 50.00 CELLULAR PHONE FEES
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Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
4/20/2009 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 L `tt r �i
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Address 3211 Chadwood Lane N Dr Apt 1 A MAY 0 5 t��9�
Check
payable to: City, St, Zip Indianapolis, IN 46268 q
Signature: Approved by:
Date: 5/5/2009 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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777 BIG TIMBER ROAD Manage Your Account Account Number Date Due
ELGIN, IL 60123 6 81011073 00001 a e•
Invoice Number 2002669357
10012048 01 AV 0.324 "AUTO TO 1 4020 46268 356511 1 3 E MICH2O10 Quick Bill Summary Mar 21 Apr 20
II III III
KATIE A SCHNEIDER
3211 CHADWOOD LANE NORTH DR 1 A Previous Balance (see back for details) $194.13
INDIANAPOLIS, IN 46268 -3565 Payment Thank You $194.13
Balance Forward $.00
Monthly Access Charges $124.97
Usage Charges
Voice $.00
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $4.11
Taxes, Governmental Surcharges Fees $6.69
x Total Current Charges $135.77
Change to Your Service
*This bill includes monthly access charges for
your next bill cycle. Total Charges Due by May 15, 2009 $135.77
Due to your recent plan or feature change, this
bill may include adWrnents to your monthly
access charges.
*Usage charges are for your voice, TXT /PIX/R-IX pulc
and data usage from your last bill cycle. p�J wwm
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V1 Bill Date April 20, 2009
AccountNumber 681011073 -00001
Invoice Number 2002669357
KATIE A SCHNEIDER Total Amount Due by May 15 2009
3211 CHADWOOD LANE NORTH DR 1A
INDIANAPOLIS, IN 46268 -3565 Make check payable to slip with Wireless $1 35.77
Please return this remit slip with payment
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P.O. BOX 25505
LEHIGH VALLEY, PA 18002 -5505
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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.
2002669357010681011073000010000135770000135779
Vei'izonwireless
Invoice Number Account Number Date Due Page
Get Minutes Used Get Data Used Get Balance
1 1A r 1 it 1
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $194.13
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 03/31/09 194.13
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $194.13
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 .ta
A late payment applies 'or unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and cre I s owd` g
Correspondence Address V erizonWlreless O peratfons;Support P 0 Box 9058 Dubltn OH
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 noted 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.
I 1 0
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 4020 Copy 10
Control #:10012048 00036300
V.-�vefizgnwireless
Invoice Number Account Number Date Due Page
Summary for Katie a Schneider: 317 650 -9404 (includes Calling Plan Change)
Your Calling Plan Charges
Monthly Access Charges
Nationwide Email &Messaging 900 Mins
Unlim BlackBerry $119.991107 Previous Calling Plan Refund 03/21 04/20 —99.99
$119.99 monthly access charge Current Calling Plan 03/21 04/20 119.99
900 monthly general allowance minutes Current Calling Plan 04/21 05/20 119.99
$.40 per minute after allowance 15% Access discount 03/21 04/20 15.00
15% Access discount 03/21 04/20 —18.00
Unl Night Weekend Min 15% Access discount 04/21 05/20 —18.00
Unlimited OFFPEAK WPP Insurance Asurion 04/21 05/20 4.99
Unl Text Messaging Ringback Tones —04/21 05/20 .99
Unlimited M2M TXT $124.97
Unlimited TXT Message Usage Charges
BlackBerry EVDO for MB Voice .00
Unlimited monthly megabyte Data .00
$.00
Beginning on 06/21/07: Verizon Wireless' Surcharges
15% Access discount Fed Universal Service Charge 1.49
M2M National Unlimited Regulatory Charge .07
Unlimited monthly Mobile to Mobile Administrative Charge .85
IN Utility Receipts Surcharge 1.24
Unl Picture/Video MSG IN Telecom Relay Surcharge .03
Unlimited monthly PIX —FLIX IN Universal Service Fee .36
IN State PUC Fee .07
Friends Family 5 $411
Taxes, Governmental Surcharges and Fees
IN State E911 Fee .50
IN State Sales Tax 6.19
$6.69
Total Current Charges for 317 -650 -9404 $13577
Usage Charges
Voice Allowance Used I Billable I Cost
m
Calling Plan minutes 900 308
Mobile to Mobile minutes unlimited 476
Night/Weekend minutes 132
N Total Voice $.00
Data
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TXT Messaging messages unlimited 1923
Unlimited M2M TXT messages unlimited 261
0
PIX —FLIX Messaging messages unlimited 14
Megabyte Usage megabytes unlimited 4
Total Data $.00
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Total Usage Charges $.00
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Invoice Number Account Number Date Due Page
I Vew your bill and call details online for FREE. Sign in to My Verizon at %umserizonwireless.com.
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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
4/20/09 Reimb. Cell phone fees Apr'09 50.00
Total 50.00
I 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, 1 A
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
7 -May 2009
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund