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212510 09/12/2012 a CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 Q � ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $50.00 CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D INDPLS IN 46240 CHECK NUMBER: 212510 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 50 . 00 CELLULAR PHONE FEES 0 R-ECE-IVED 9 Aug 2 4 2012 Barks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense �jtti9(' 8/20/2012 Sprint 1091 4344100 Cellular Phone Fees 50.00 Personal Celf 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 Check payable to: City, St, Zip Carmel, IN 46032 Signature: c� Approved by: Date: 8/20/2012 Date: ��L/��Z. Business Services Division,Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request pp,.- B/20/12 Sprint-Pay Bill-Credit Card Payment Confirmation Personal Business e a„e,r,-,r t =xo•.r ;:r :rx e :,: (:a r? S ? I t1 '' My Sprint Shop Digital Lounge Community Support r; sbeaurain Sign out tsass�a9sn Pay Bill ltaentto... SUSAN BEAURAIN Account nu311ber:583570967 Pay bill. Giroll in eBiil Thank you'Your Visa payment has been successfully submitted SpC!�t and will be posted to your account within 15 minutes.Pease Tract.cork 'nur ue•;. [ i! print this page for your records. See adlustmen;s and credits Payment Date: Aug 20,2012 See rry bill Payment amount: $78.98 Sets bill history Card: Visa Last 4 digits: 6283 See my ordei;,istory Expiration date: 01/2013 p ...:pay mY.':'i hISiC(y ZI P code: 46032 See mi transaaien Confirmation Number 095811 hislory Reduce the clutter,help the environment and go paperless with eBitL Si;n._iip new If you have questions,please contact us via enwt,or callus at(800)639-6111. Pease rr:.D anti iceeo a coPY=this b.ingc._ni�:ina:mn fp..;.g_L._iL-; Become an insider About us Contact us En espanol Check out our mobile site Legal Privacy Ad choices ©2012 Sprintcom All rights reserved. Purchase � Description •t_2. P.O.# P G.L# 0 Budget I � a h Line Descx Purchaser Date Approval 41 Date TILL- https://myaccountportal.sprint.com/serviet/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 8/20/12 Reimb Cell phone fees August $ 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 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 NO. 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 6-Sep 2012 Signature $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund