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213851 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $50.00 i•�,�o CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D INDPLS IN 46240 CHECK NUMBER: 213851 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 50 . 00 CELLULAR PHONE FEES Carmel 0 Clay arks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 10/5/2012 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 Check payable to: City, St, Zip Carmel, IN 46032 4: Q04e— Signature: Approved by: Date: 10/9/2012 Date: /-7—Z!� / Business Services Division,Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request GALLOWAY, BETH D GAMBREL, ALISSA A GANZEL, CANDICE J GARBER,TANYA J GARCIA, MARIO GARCIA, YENIS M GARDNER, FRANK J GARG, INDU GARNES, KATHERINE M GARRETT, PAM J GARRISON, COURTNEY R GARRISON, KAZUE GATTE,JOELLEN GAW, GWENDOLYN H GAY, ASHLEIGH R GEBHART, AIMEE R GEBROW, KATHY GEESKIE, LINDA J GENDY, SAMIR A GERARDOT, WENDY L. GERKE,AMBER P GERTH, STACY L. GETZ, BRIAN M GIANAKOS, PAUL JOHN GIBBONS, KERRY S GIBSON, LINDA D GILBERT, BEVERLEY L GILBERT, PAMELA B GILBERT, SHANNON R GILCHRIST, DIANE GILES, LIANA GILLESPIE, DIANA K. GILLETT, PERRY'J GILLIM, SARAH,,,E GILMORE, LAURA,_, GILMORE, M6dY G GILPATRICK,JESSICA S GILPIN, NANCY S GILTNER, GEORGE G GIOE,THOMAS GLANDER, CHRISTOPHER J GLAVAN, KIMBERLY A GLODOWSKI, MICHELLE M GLOVER, AMY L GOFF,JUSTIN S GOGGINS, BARBRA D GOGULIS-DANENMAN, ANITA Personal Business Coverage maps Dim er Sprir:t Find a:xore Shopping Car Sprint My Sprint Shop Digital Lounge Community Support sbeaurain Sign out (563570967) Pay Bill I Kent to... SUSAN BEAURAIN Account number:583570967 Pay bill Enroll in eBHI Thank you!Your Visa payment has been successfully submitted Sp!p I 1 E i^1{L and will be posted to your account within 15 minutes.Please Track called nurrimrs print this page for your records. See adjustrrkn(s and credits Payment Date: Oct 05,2012 See my bill Payment amount: $79.13 Card: Visa Sae bill history Last 4 digits: 6283 See my order history Expiration date: 01/2013 See payrreri history ZIP code: 46032 Confirmation Number 073213 See rrry tr+rsacticn nisory Reduce the clutter,help the environment and go paper(ess with eBill.Si n up now If you have questions,pluase contact us via emeil,or callus at(800)639.6111. Pause(arint alai kec a a coon oft his biAin c_mfinratior:for your Become an insider About us Contact us En espanol Check out our mobile site Legal Privacy Ad choices ©2012 Sprint.com Ali rights reserved. Purchase p `f Q�' V Description t S � Q`\ 1 � P.O.# 2 P rF G.L.# DD Line ��\ a S escr_�� Purchaser Date Approval.._. Date 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 1015112 Reimb Cell phone fees Oct'12 $ 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 WTITLE 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 18-Oct 2012 Signature $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund