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221416 07/02/2013
CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 ` ONE CIVIC SQUARE SUSAN BEAURAIN CARMEL, INDIANA 46032 3737 KNICKERBOCKER PLACE 2 D CHECK AMOUNT: $100.00 INDPLS IN 46240 CHECK NUMBER: 221416 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 100 . 00 CELLULAR PHONE FEES 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 6/5/2013 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 May's 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 Address Check payable to: City, St, Zip Signature-.7_ Approved by: Date: �`SI(� Date: !, Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 5/31/13 Sprint-Pay Bill-Credit Card Payrnent Confirmation Personal Business Join Sprint Covonge maps Find a stom Shopping Cart Sprint x= My Sprint Shop Digital Lounge Community Support °` sbeaurain Sign out ' ." (583570967) Pay Bill t vont to... SUSAN BEAURAIN Account number:583570967 Pay bill Enroll in eBill Thank you!Your Visa payment has been successfully submitted Sprint ,x rf and will be posted to your account within 15 minutes.Please Track called nun>aers print this page for your records. See adjustments and credits Payment Date: May 31,2013 See my bill Payment amount: $137.33 See bill history Card: Visa Last 4 digits: 6283 See mt order history Expiration date: 1112015 See payment history ZIP code: 46032 Confirmation Number 031111 See my transaction histoi v Reduce the clutter,help the environment and go paperless with e8ilt Sinn 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 bitting confirmation for your Files Become an insider About us Contact us En espanol Mobile site Legal Privacy Ad choices ©2013 Sprint.com All rights reserved. https:HmWccoUntportal.spri nt.corTVser\4 eUecare 1/1 i 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 6/14/2013 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 June's Monthly Cell All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 1 Name(print) Susan Beaurain Address4t-D1s C0..rrpAk+Or, tk/e, JUN 18 2013 Check payable to: City, St, Zip IrYL--),,BQQ 4lLa2GF---) IBY; _ - _ Signature - Approved by: Date: 6.17.2013 Date: $� Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 6114/13 Sprint-Pay Bill-Credit Card Payment Confirmation Personal Business Jain Sprint coverace maps: Find a:tom Shopping Cart Sprint t:o My S Sprint Shop Digital Lounge Community ty Support sbeaurain Sign out .. .. (583570967) Pay Bill vent to... SUSAN BEAURAIN Account nwtteer:583570967 Pay bill Enroll in e8ill Thank you!Your Visa payment has been successfully subn-tted Spt p I 1 1 l Y1{. x P s and will be posted to your account within 15 minutes.Please Track called numbers print this page for your records. See adjustments and credits Payment Date: Jun 14,2013 See my bill Payment amount: $137.33 Card: Visa See bill history Last 4 digits: 6283 See my order history Expiration date: 11/2015 See payment history ZI P code: 46032 Confirmation Number 033409 See ny transaction history Reduce the clutter,help the environment and go paperless with eBiiL Sign Up now If you have questions,please contact us via email,or callus at(800)639.6111. Please print and keep a copy of this billing,confirmation for your flies Become an insider About us Contact us En espanol Mobile site Legal Privacy Ad choices ©2013 Sprint.com All rights reserved. https:Hmyoccountportal.spri nt.com/serNA ettecare 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 4615 Carrollton Ave Indianapolis, IN 46205 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/5/13 Reimb Cell phone charges May'13 $ 50.00 6/14/13 REimb Cell phone charges Jun'13 $ 50.00 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 Voucher No. Warrant No. 363878 Beaurain, Susan Allowed 20 4615 Carrollton Ave Indianapolis, IN 46205 In Sum of$ $ 100.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 50.00 1 hereby certify that the attached invoice(s), or 1091 REimb 4344100 $ 50.00 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 20-Jun 2013 YaAh&M,64 $ 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund