209055 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1
ONE CIVIC SQUARE SUSAN BEAURAIN
0 CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D
INDPLS IN 46240 CHECK NUMBER: 209055
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 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
p�
5/10/2012 Sprint 1091 4344100 Cellular Phone Fees 50.00 Personal Cell Phone Use
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name (print) Susan Beaurain
Address 140 3rd Street NW :�a MAY 1
Check
payable to: City, St, Zip Carmel, IN 46032
Signatur ty.l...' Approved by:
Date: 5/11/2012 Date:
r i
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request I
V
5/10/12 Sprint Pay Bill Credit Card Payment Confirmation
Personal Business
Sprint My Sprint Shop Digital Lounge Community Support sbeaurain Sign out
(563570967)
Pay Bill I vontto...
SUSAN BEAURAIN
Account number: rr: 583570967 nosy hill
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n t a and will be posted to your account within 15 minutes. Please
1 A e print this page for your records. See adjdst,ments and
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Payment Date: May 10, 2012 See nl bill
Payment amount: $79.59 See bill history
Card: an See rrry order history
Last 4 digits:
See payment history
Expiration date: 01/2013
See rtry transaction:
ZIP code: 46032
history
Confirmation Number 035811
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PurchA
De cription �QfSO 1 g� r ll P� SQt
P.O. P 04
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Budget Q Yl.e
Una Des(,
Purchaser
Approval Date
https:// myaccountportal .sprint.com /servlet/ecare 1/1
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.
363878 Beaurain, Susan Terms
143 3rd Street NW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/11/12 Reimb Cell phone fees Apr'12 50.00
Total F 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.
363878 Beaurain, Susan Allowed 20
143 3rd Street NW
Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT #[TITLE AMOUNT Board Members
Dept
1091 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
17 -May 2012
vr�J
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I