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Home My WebLink About224258 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 366940 Page 1 of 1 ONE CIVIC SQUARE NICHOLE HABERLIN CARMEL, INDIANA 46032 C/O PARKS CHECK AMOUNT: $75.00 CHECK NUMBER: 224258 CHECK DATE: 9/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 75 . 00 CELLULAR PHONE FEES Carmel 0 Clay FD - SEP 11 2013 Parks&Recreation Employee Expense Reimbursement Request BY: Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense UI v I �/u l� 1091 4344100 Cell Phone Charges $ 25.00 kjtkn CLU N U All receipts should be attached in the same order as listed above. -T No sales tax will be reimbursed. TOTAL: O Employee Name(print) Nldqd�- Check Address ` 6'� �N lV�� {'�l�/d payable to: City, St, Zip Sin zn 3�N Signature: Approved by. Date: / Date: Business Services Division, Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request 9/9/13 BillPaWr I Bill Detail Bill History Bill Detail Biller Name Account Amount Pay Date Confirmation Status VERIZON WIRELESS *38009 $122.94 07/01/2013 FZ07K-T14DV Paid phone *00001 The funds for your payment to VERIZON WIRELESS were withdrawn from your*38009 account on 07/01/2013. VERIZON WIRELESS received your payment electronically on 07/01/2013. Your payment was posted to your VERIZON WIRELESS account on 06/29/2013. If you have a question about your bill or about crediting the payment to your biller account,please contact VERIZON WIRELESS directly. If you have a question about this payment,you can send us a payment inquiry. View Bill Due Date Amount Account Balance 07/14/2013 Due:$122.94 https://bi I I payl.pscufs.com/cvAl 1/wps?rq=pv&sp=17028&oss=44eeO780d 100t7e4bOb7f6868Od6554b&osn=&id=20130628094221555345&.done=wps%3Frq%3D... 1/1 9/9/13 BillPaWr I Bill Detail Bill History BW Detail Biller Name Account Amount Pay Date Confirmation Status VERIZON WIRELESS *38009 $109.11 08/13/2013 G3GKX-3LNSG Paid phone *00001 The funds for your payment to VERIZON WIRELESS were withdrawn from your*38009 account on 08/13/2013. VERIZON WIRELESS received your payment electronically on 08/13/2013. Your payment was posted to your VERIZON WIRELESS account on 08/13/2013. If you have a question about your bill or about crediting the payment to your biller account,please contact VERIZON WIRELESS directly. If you have a question about this payment,you can send us a payment inquiry View Bill Due Date Amount Account Balance xrtarlrsut.,::�,:�x 08/14/2013 Due:$109.11 https:/Ibi I I payl.pscufs.corrVcvA 11/caps?rq=pv&sp=17028&oss=44eeO780d 1 OOt7e4bOb7f6868Od6554b&osn=&id=20130810105412464855&.done=wps%3Foss%3... 1/1 9/9/13 BillPayer I Bill Detail Bill History Bill Detail Biller Name Account Amount Pay Date Confirmation Status VERIZON WIRELESS *38009 $109.18 09/09/2013 66797-WKPLY Paid phone *00001 The funds for your payment to VERIZON WIRELESS were withdrawn from your*38009 account on 09/09/2013. VERIZON WIRELESS will receive your payment electronically on 09/09/2013. Your payment was posted to your VERIZON WIRELESS account on 09/07/2013. If you have a question about your bill or about crediting the payment to your biller account,please contact VERIZON WIRELESS directly. If you have a question about this payment,you can send us a payment inquiry. View Bill Due Date Amount Account Balance =' 09/14/2013 Due:$109.18 https://bilIpayl.pscufs.com/cw411/wps?rq=pv&sp=17028&oss=44eeO78Odl OOt7e4bOb7f6868Od6554b&osn=&id=20130906180058172285&.done=wps%3Frq%3D... 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. 366940 Haberlin, Nichole Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 9110/13 Reimb Cell phone reimbursement Jun,Jul,Aug'13 $ 75.00 Mileage 1/28/13 Total $ 75.00 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. 366940 Haberlin, Nichole Allowed 20 In Sum of$ $ 75.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center Po#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1091 Reimb 4344100 $ 75.00 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 Signature $ 75.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund