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211213 07/31/2012 CITY . .. MEL, INDIANA VENDOR: 363878 Page 1 of 1 ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D INDPLS IN 46240 CHECK NUMBER: 211213 CHECK DATE: 7/3112012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 100 . 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 pi V IvM� l3 J 12 �; i c�11 4 2,,+4( oo � !"lr- ,,o t, C egg 4100 ��s - ,e 11"x, k, All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: Employee Name(print) �(,C�,r �,r�y-� RECFT,# � Address 140 2,_>Y-rL S - JUL 17 2012 Check payable to: City, St, Zip s.o `- ,t- 0 3 Z- Y _ Signature�k,��,, Approved by: �`, Date: I(��(2 r Date: -7/1-7 112— Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request 7/13/12 Sprint-Pay Bill-Credit Card Payment Confirmation ............- __..._---........................................................ Personal Business Coverage maps L'ia:avor Sp ini Bind a star. Shopoing Can My Sprint Shop Digital Lounge Community Support sbeaurain Sprint (583570967) Sign out Pay Bill 1 inentto... SUSAN BEAURAIN Account number:583570967 Flay bill Enroll in eBill Thank you!Your Visa payment has been successfully submitted Spr and wilt be posted to your account within 15 minutes.Please Track called numbers print this page for your records. See adjustments and Credits Payment Date: Jut 13,2012 See rtry bill !� 2 w•o rvk-In Payment amount: $161.55 See trill history Card: Visa See nN order history Last 4 digits: 6283 Expiration date: 01/2013 See payment history ZIP code: 46032 See my transaction history Confirmation Number 063109 Reduce the clutter,help the environment and go papertess with eBill.Sian up now If you have questions,please contact us via earth!,or call us at(800)639-6111. Pic,ase print and keep a copv of this billine confi mn•ion for youl.`pis Become an insider About us Contact us En espanol Checkout our mobile site Legal Privacy Ad choices ©2012 Sprint.comAll rights reserved. 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 7/13/12 Reimb Cell phone fees Jun & July $ 100.00 Total $ 100.00 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$ $ 100.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 100.00 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 26-Jul 2012 1041f�&Mn1. j Signature $ 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund