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226602 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 363878 Page 1 of 1 ONE CIVIC SQUARE SUSAN BEAURAIN CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 4615 CAROLLTON AVE INDPLS IN 46205 CHECK NUMBER: 226602 OM� CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 100 . 00 CELLULAR PHONE FEES Carmel * Clay Parks&Recreati®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 10/6/2013 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 October'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 Check payable to: City, St, Zip Indianapolis, IN 46205 Signature: it l5 (it3 Approved by: Date: Date: I , Is/L3 Revised 3-2-07 by Business Services; l Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 NOV 15 2013 Y: 11/15113 Sprint-Pay Bill-Credit Card Payment Confirmation Personal Business J p c 'g, ri a',s F n d a o S,h o o r;n C.C.—If Sprint My Sprint Shop Diaital Lounae Community Support sbeaufain Sign out Pay Bill Kent to... SUSAN BEAURAIN Account number:583570967 'Agnate uajc,riess Dii:rlu pay n:11 Thank you!Your Visa payment has been successfully submitted Sprint and will be posted to your account within 15 minutes.Please J", print this page for Your records. See adjusbi-f–Os and credits Payment Date: Nov 15.2013 See n bill Payment amount: $115.00 V6 Card: Visa See bill history Last 4 digits: 6283 Expiration date: 1112015 See s"ayrne:,hisTon, ZIP code: 46032 Confirmation Number 055808 Reduce the clutter,help the environment and go paperless with CHI.Si—'J.EZII�'.rr If you have questions please contact us via cna,_or go to a retai,,stoi ..... ................. ,',ease iAinl and.k2er,I in ui m 50i v0s"r rises t:::__L LLR c� Become ariinsider About us Contact us En espanol Mobile site Legal Privacy Ad choices ©2013 Sprint.comAll rights reserved. https://MyaccoUntportal.sprint.con-Vserviettecare Carmel • Clay Parks&Recreation Employee Expense Reimbursement Request I Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 11/6/20113 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 November's Cell Phone f t f i I r t ! I 1 1 I 1 I 1 t I I a d All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 I 1 Employee Name(print) Susan Beaurain Address 4615 Carrollton Ave Check I" payable to:; City, St, Zip Indianapolis, IN 46205 ..Signature: Approved by: 1 v I Date: - ( I`a I Date: Revised 3-2-071 by Business Services;:` Shared/Forms Land Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 1, NOV 15 2013 11/15/13 Sprint-Pay Bill-Credit Card Payment Confirmation Personal Business i n;n sr)r:n ❑naos Find a store Smprino Carl Sprint My Sprint Shop Digital Lounge Community Support stleaurain Sign out (583570967) Pay Bill I writ to... SUSAN BEAURAIN Account.number:583570967 paloc-oss"Ing F-14y bill. Thank you!Your Visa payment has been successfully submitted Sprint and Ma be posted to your account within 15 minutes.Please Track called nk:mbers print this page for Your records. See ajj(j c red Payment Date: Nov 15,2013 Payment amount: $115.00 See nlri bill Card: Visa See bill his Ioi v Last 4 digits: 6283 See my order Expiration date: 11/2015 See paymen*hi,tiliv ZIP code: 46032 Confirmation Number 055808 Sec nly h.s%r. Reduce the clutter,help the environment and go paperless with eBitt. If you have questions please contact us via c!lac or go to a reua,itsto!e, Please print Become an insider About us Contact us En espanol Mobile site Legal Privacy Ad choices 2013 Sprint.com All rights reserved. https:Hmyaccountportal-sprint.corrVserNettecare 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 10/6/13 Reimb Cell phone charges Oct'13 $ 50.00 11/6/13 Reimb Cell phone charges Nov'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 i 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 Relmb 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 27-Nov 2013 $ 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund