HomeMy WebLinkAbout212668 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1
0 °, ONE CIVIC SQUARE LINDSAY LABAS CHECK AMOUNT: $100.00
s. CARMEL, INDIANA 46032 8809147TH PLACE
NOBLESVILLE IN 46060 CHECK NUMBER: 212668
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 100 . 00 CELLULAR PHONE FEES
Carmel • Clay AUG 2 9 2012
Parks&Recreation F B)YL—=-=�
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
vin %vt- Itss 1b, H S H g j 0o cl l OKL 9-50- 00 Ot I o
10 i �l 3 y�l l v e l (%1� W-t p. o o stow@.a",
All receipts should be attached in the same order as listed above. l O
No sales tax will be reimbursed. TOTAL:
Employee Name(print) I jVIJsay 1_abas
Address
Check
payable to: City, St, Zip es l It, y�0 O CQ O
Signature: T� H--fir--' Approved by:
aa u
Date: U oq all a Date: Ik�l L
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due
ACWORTH,GA 30101 ,,n at Wwwx6rizonwireless.com 986813753-00001 1
Invoice Number 2775141381
Quick Bill Summary Jun 21 -Jul 20
KEYLINE
/4606043313/
BENJAMIN LABAS Previous Balance (see back for details) $139.56
8809 147TH PL Payment—Thank You —$139.56
NOBLESVILLE,IN 46060-4331 Balance Forward $.00
Monthly Access Charges $127.38
Usage Charges $4.10
Verizon Wireless' Surcharges
and Other Charges&Credits $6.58
Taxes,Governmental Surcharges&Fees $6.86
Total Current Charges $144.92
Total Charges Due by August 15, 2012 $144.92
Pay from Wireless Pay on the Web Questions:
800.922.0204
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Bill Date July 20,2012
Account Number 986813753-00001
Invoice Number 2775141381
BENJAMIN LABAS Total Amount Due
8809 147TH PL
NOBLESVILLE,IN 46060-4331 deducted from bank account on 08/13/12
DO NOT MAIL PAYMENT S144.92
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
❑
Check here and fill out the back of this slip if your billing address /1800255054/
has changed or you are adding or changing your email address.
2775141381010986813753000010000144920000144922
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due
ACWORTH,GA 30101 , , , 1111 1'
Invoice Number. 2789400296
Quick Bill Summary Jul 21 -Aug 20
KEYLINE
/4606043313/
BENJAMIN LABAS Previous Balance (see back for details) $144.92
8809 147TH PL Payment—Thank You —$144.92
NOBLESVILLE,IN 46060-4331 Balance Forward $.00
Monthly Access Charges $127.38
Verizon Wireless' Surcharges
and Other Charges&Credits $5.94
Taxes,Governmental Surcharges&Fees $6.82
Total Current Charges $140.14
Total Charges Due by September 15, 2012 $140.14
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Bill Date August 20,2012
Account Number 986813753-00001 - -
Invoice Number 2789400296
BENJAMIN LABAS Total Amount Due
8809 147TH PL
NOBLESVILLE,IN 46060-4331 deducted from bank account on 09/13/12
DO NOT MAIL PAYMENT S140.14
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
F-1 Check here and fill out the back of this slip if your billing address /1800255054/
has changed or you are adding or changing your email address.
2789400296010986813753000010000140140000140142
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.
360464 Labas, Lindsay Terms
8809 147th Place Date Due
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/28/12 Reimb Cell phone usage Jul, Aug $ 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
i
Voucher No. Warrant No.
360464 Labas, Lindsay Allowed 20
8809 147th Place
Noblesville, IN 46060
In Sum of$
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund/109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE 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
6-Sep 2012
Signature
$ 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund