214724 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 360464 Page 1 of 1
ONE CIVIC SQUARE LINDSAY LABAS
CARMEL, INDIANA 46032 8809147TH PLACE CHECK AMOUNT: $313.66
NOBLESVILLE IN 46060 CHECK NUMBER: 214724
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 263 . 66 TRAVEL FEES & EXPENSE
1125 4344100 50 . 00 CELLULAR PHONE FEES
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Carmel • Clay
Parks&Recreate®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
1013 la F"S N 1ST" S-tU.$uc k s -Rave-1 EXPfnSes Ste- 03 +
lID 131 1a tiffl s ftLSI J OWr v V- � ILl . 30
In 131 L7 y S- ors ✓ Cab
101131 4 01 VV • 3 0
o ► a. ( a5. 00 Labus (,hu,c
oiy La Wa as
�- Code Cov✓tR.r 8. 1 c,o `/ D h&-
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: C��► nL�7 S�t(c��
Employee Name(print) B YWSN L&b1.S
Address $809 'g place
Check
payable to: City, St, Zip
Signature: �w Approved by:
Date: �b� Date:
Business Services Division, Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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
I o /oil u tS 21- `.l-� ✓ Ul
I,I(N la i'� 1 33- Lo DIhht'v
I
ol I-3j� I-a &i - 8vKoo t L v{S 3.50 ✓ LwvL tits
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Id i irl I a- I hop 13 -a 8 ✓ BV-tA lc_.f a.a J-
10jjqj MA wtw S Lo- 25 Di n vltov-
o I Ma. M(,Dbna. JS g/q ✓ $rest� Sr
/011 a dSbh tW s �' Cp• 5: -
q/ 0//a- P,�i Y-e s ! oo C u o . 00
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) n
W
Address C
Check
payable to: City, St, Zip
W
Signature: Approved by:
Date: Date: �o/Z3I I c
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 My Verizon , , 986813753-00001
Invoice Number 2803639519
Quick Bill Summary Aug 21 -Sep 20
KEYLINE
/4606043313/
BENJAMIN LABAS Previous Balance (see back for details) $140.14
8809 147TH PL Payment—Thank You —$140.14
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 October 15, 2012 $140.14
NFL Action On Your Device
NFL Mobile now just$5 per month with
lots of great new features.For more info,
read the message on the back page of
the bill.
Pay from Wireless Pay on the Web I Questions:
:0i • your
------------------------------------------------------------------------------------------------------------------------------------------
VN
Bill Date September 20,2012
Account Number 986813753-00001
Invoice Number 2803639519
BENJAMIN LABAS Total Amount Due
8809 147TH PL
NOBLESVILLE,IN 46060-4331 deducted from bank account on 10/13/12
DO NOT MAIL PAYMENT $140.14
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
F-1 /1800255054/
Check here and fill out the back of this slip if your billing address
has changed or you are adding or changing your email address.
2803639519010986813753000010000140140000140142
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.
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
10/20/12 Reimb Cell phone usage Oct'12 $ 50.00
10/19/12 Reimb Travel expenses for NRPA conference $ 263.66
Total $ 313.66
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
120
Clerk-Treasurer
i
Voucher No. Warrant No.
360464 Labas, Lindsay Allowed 20
8809 147th Place
Noblesville, IN 46060
In Sum of$
$ 313.66
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund / 109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 Reimb 4344100 $ 50.00 1 hereby certify that the attached invoice(s), or
1091 Reimb 4343000 $ 263.66 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
15-Nov 2012
Signature
$ 313.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund