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217958 03/13/2013
CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $50.00 CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D INDPLS IN 46240 CHECK NUMBER: 217958 CHECK DATE: 3/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 50 . 00 CELLULAR PHONE FEES Carmel a y larks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount rrPurpose of Expense 2(ZZ v-;YVk- 1091 4344100 Cell Phone Charges $ 50.00 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 St NW Check payable to: City, St, Zip Carmel, IN 46032 Signatur ( �--- °' Approved by: Date: 2/22/2013 Date: 2 f ZS1!} Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request 2/22/13 Sprint-Pay Bill-Credit Card Payment Confirmation Personal Business Covcrace map,; rind,lxore Shc,ping Cart Sprint ,: My Sprint Shop Digital Lounge Community Support sbeaurain Sign out (583570967) Pay Bill Kantto... SUSAN BEAURAIN Account number:583570967 Pay bill Enroll in e8dl Thank you!Your Visa payment has been successfully submitted Sprint nt and w ll be posted to your account within 15 minutes.Please Track catleo nutters print this page for your records. See adjustments and credits Payment Date: Feb 22,2013 Soe,tty-bill Payment amount: $79.03 Card: Visa See Lill history Last 4 digits: 6283 Seery order hstory Expiration date: 11/2015 See payment his±o;y ZIP code: 46032 Confirmation Number 083711 See my transaction, hrstory Reduce the clutter,help the environment and go paperless with eBAL Sion a now If you have questions,1*ease contact tr,via ermit,or call us at(800)639-6111. Please crnt and ke:co a cony of this bilaru o7rr a*ion.`:or vour fees Become an insider About us Contact us En espanol Check out our mobile site Legal Privacy Ad choices ©2013 Sprint.com All rights reserved. a https://myoccountportal.spri nt.con-Vser,Aettecare 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 2/2/13 Reimb Cell phone charges Feb'13 $ 50.00 Total $ 50.00 t 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 f 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 7-Mar 2013 Signature $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund