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224235 09/23/2013
CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 1 � ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $50.00 CARMEL, INDIANA 46032 4615 CAROLLTON AVE INDPLS IN 46205 CHECK NUMBER: 224235 CHECK DATE: 9/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 50 . 00 CELLULAR PHONE FEES v Carmel e Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 9/6/2013 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 Sept'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 4615 Carrollton Ave SEP 10 2013 Check payable to: City, St, Zip Indianapolis, IN 46205 BY Si( nature��� ��' Approved by: Date: ko `y� Date: Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 9/6113 Sprint-Pay Bill-Credit Card Payment Confirmation ............... ... Personal Business Join Sprint Coverane mn,s Find a stom Shopping Car, S[' � fix' r pk in ` N1ySprint Shop Digital Lounge Community Support ' sbeaurain g * (583570967) Si nowt Pay Bill /vm int to... SUSAN BEAURAIN Account number:583570967 Nisnage paperless biiing Pay bill Thank you!Your Visa payment has been successfully submitted Sprint and will be posted to your account within 15 minutes.Please Track called numbers print this page for your records. See adjushronts and credits Payment Date: Sep 06,2013 Payment amount: $111.91 See my bill Card: Visa See bill history Last 4 digits: 6283 Seery order history Expiration date: 11/2015 See payment history ZIP code: 46032 Confirmation Number 013510 See my transaction history Reduce the clutter,help the environment and go paperless with e0i1L Sign up now If you have questions,please contact us via()mail,or call us at(800)639-6111. Ps-se print and keep a copy,of this bitting confirmation for your files Become an insider About us Contact us In espanol Nbbile site Legal Privacy Ad choices ©2013 Sprint.com All rights reserved. r' https://myaccountportal.spri nt.con Vservlet/ecare 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 9/10/13 Reimb Cell phone charges Sep'13 $ 50.00 Total $ 50.00 1 hereby certify that the attached invoice(s), or biii(s)is(are)true and correct and I have audited same in.accordance with IC 5-11-10-1.6 120— Clerk-Treasurer Voucher No. Warrant No. 363878 Beaurain, Susan Allowed 20 4615 Carrollton Ave p Indianapolis, IN 46205 In Sum of$ $ 50.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 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 19-Sep 2013 $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund