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Home My WebLink About226113 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367745 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KILPATRICK CARMEL, INDIANA 46032 C/0 ESE CHECK AMOUNT: $50.00 CHECK NUMBER: 226113 CHECK DATE: 11/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 50 . 00 CELLULAR PHONE FEES Carmel ® Clay Parks&Recreati®n NOV 91 2993 Employee Expense Reimbursement Request $ -- --- Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense c a5 . oC� C ll a�E 1All receipts should be attached in the same order as listed above. -T No sales tax will be reimbursed. TOTAL: <� d Employee Name(print) M) C11L- / k1 )Pce ll-i'ck Address 3 Check payable to: City, St, Zip 5A t6 C"v� -T,') LJ&ac-q Signature: L� �� 1 �7` � Approved by: Date: l G' l� �' �l 3 Date: lot 301 R Business Services Division,Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due ACWORTH,GA 30101 Address Changed?—go to vzw.com/changeaddress Invoice Number 2971552312 Quick Bill Summary Aug 21 -Sep 20 KEYLINE /4606987253/ RENEE KILPATRICK Previous Balance (see back for details) $134.92 2335 W 236TH ST Payment—Thank You —$134.92 SHERIDAN,IN 46069-8725 Balance Forward $.00 Monthly Charges $114.36 Usage and Purchase Charges $14.25 Verizon Wireless' Surcharges and Other Charges&Credits $8.64 Taxes,Governmental Surcharges&Fees $10.30 Total Current Charges $147.55 Don t Forget To Renew Total Charges Due by October 15, 2013 $147.55 Your Discount To continue to receive your monthly discount,please validate your employment or affiliation status before your next bill at vzw.com/renewdiscount. See"Need-to-Know Information"section of this bill for details. Pay from Wireless I Pay on the Web Questions: VN Bill Date September 20,2013 Account Number 481004485-00001 Invoice Number 2971552312 RENEE KILPATRICK Total Amount Due by October 15, 2013 2335 W 236TH ST SHERIDAN,IN 46069-8725 Make check payable to Verizon Wireless. Please return this remit slip with payment. S 147.55 s ❑❑❑ m F-1 1:1 P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 F] /1800255054/ Check here and fill out the back of this slip if your billing address has changed or you are adding or changing your email address. 2971552312010481004485000010000147550000147553 NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due ACWORTH,GA 30101 , , , i Address Changed?—go to vzw.com/changeaddress Invoice Number 2985399790 Quick Bill Summary Sep 21 -Oct 20 KEYLINE /4606987253/ RENEE KILPATRICK Previous Balance (see back for details) $147.55 2335 W 236TH ST Payment—Thank You —$147.55 SHERIDAN,IN 46069-8725 Balance Forward $.00 Monthly Charges $114.36 Usage and Purchase Charges $6.20 Verizon Wireless' Surcharges and Other Charges&Credits $8.63 Taxes,Governmental Surcharges&Fees $9.74 Total Current Charges $138.93 Introducing Verizon Edge Total Charges Due by November 15, 2013 $138.93 Discover the newest way to upgrade.Get the phone you want,when you want it. No down payment.No finance charges or upgrade fees.Visit go.vzw.com/edgeinfo for details. Pay from Wireless I Pay on the Web Questions: VN Bill Date October 20, 2013 Account Number 481004485-00001 Invoice Number 2985399790 As part of Verizon's Go Green Initiatives,your RENEE KILPATRICK remit envelope will be omitted next month. $138.93 2335 W 236TH ST Please see Need—to—Know message for further info. SHERIDAN,IN 46069-8725 s ❑00 0 F]1:1 P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 F-1 /1800255054/ Check here and fill out the back of this slip if your billing address has changed or you are adding or changing your email address. 2985399790010481004485000010000138930000138933 NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. 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. Kilpatrick, Michael Terms 2335 West 236 St Sheridan, IN 46069 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/28/13 Reimb Cell phone charges Aug, Sep'13 $ 50.00 Total $ 50.00 1 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. Kilpatrick, Michael Allowed 20 2335 West 236 St Sheridan, IN 46069 In Sum of$ $ 50.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/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 14-Nov 2013 �e)&"4134 Jot Signature $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund