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218771 04/09/2013
CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 j ONE CIVIC SQUARE SUSAN BEAURAIN CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D CHECK AMOUNT: $50.00 INDPLS IN 46240 CHECK NUMBER: 218771 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 50 . 00 CELLULAR PHONE FEES Carmel e Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Pu pose of Expense 3/22/2013 Sprint 1091 4344100 Cellular Phone Fees $50.00 Marc Cell Phone 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 � iTVFD Address 140 3rd Street NW MAR 2 8 2013 Check payable to: City, St, Zip Carmel, IN 46032 Signatur . l -- Approved by: Date: 3/27/2013 Date: Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 3/22/13 Sprint-Pay Bill-Credit Card Payment Confirmation .................................................... ....................... Personal Business Coverane maps Find a:xom ; Shopping Car j sbeaurain Sprint � ; My Sprint Shop Digital Lounge Community Support (583570967) Sign out Pay Bill I Kent to... SUSAN BEAURAIN Account number:583570967 Pay bill Enroll in eBill Thank you!Your Visa payment has been successfully submitted Sprint t1t and will be posted to your account within 15 minutes.Please Track called numbers print this page for your records. Sea adjustments and credits Payment Date: Mar 22.2013 Sec ny bill Payment amount: $79.03 See bill history Card: Visa Last 4 digits: 6283 See my order history Expiration date: 11/2015 See payment history ZIP code: 46032 See my transaction Confirmation Number transaction history Reduce the clutter,help the environment and go paperless with eBill.Sign up now If you have questions,Please contact us via email,or call us at(800)639.6111. Please print and keen a copy of this billing confirmation for your fiss Become an insider About us Contact us En espanol Check out our mobile site Legal Privacy Ad choices ©2013 Sprint.comAll rights reserved. https://myaccountportal.sprint.condser\AeVecare 1/1 i 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 3/22/13 Reimb Cell phone charges Mar'13 $ 50.00 Total $ 50.00 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 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 Board Members PO#or INVOICE NO. CkCCT#[TITLE AMOUNT 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 4-Apr 2013 p � Signature $ 50.00 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund