HomeMy WebLinkAbout228442 1/28/2014 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: 228442
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 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
12/5/2013 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 December'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
I DEC 06 2013
Address 4615 Carrollton Ave
Check .�3 ':
payable to: City, St, Zip Indianapolis, IN 46205
Signature Approved by:
Date: 'ZjSI jt� Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
11/29/13 Sprint-Pay Bill-Credit Card Payment Confirmation
Personal Business j
Sprint my Sprint Shop Digital Lounge Community Support sibeautain Sign out
(-583570467)
Pay Bill vIent to...
SUSAN BEAURAIN
,ce,ourit 583570967
Ray
Thank you!Your Visa Payment has been successfully submitted
Sprint and will be posted to your account within 15 minutes.Please
print this Page for VOW records. See,
Payment Date: Nov 29.2013 See n
Payment amount: $121 14
Card: Visa
Last 4 digits: 6283 sce mi 1';at')'
Expiration date: 11/2015
ZIP code: 46032
Confirmation Number 035610 soc!-M"
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CarI el • Clay { __
Parks&Recreati®n
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JAN 10 2014
Employee Expense Reimbursement Request +�
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
1/10/2014 Sprint 1091 4344100 Cellular Phone Fees $ 50.00 January Cell Phone
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All receipts should be attached in the same order as listeda bove.
No sales tax will be reimbursed. TOTAL: . $50.00
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Employee Name(print) Susan Beaurain
Address 4615 Carrollton Aver
Check i
payable to: City, St, Zip Indianapolis, IN 46205
Signature-_:_.�a ,w Approved by:
Iot ka,
Date: Date:
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Revised 3-2-07 by Business Services; .i
Shared/Forms and Templates/business Service Forms/Employee Exp,Reimb Request 2007-3
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I
1/10/14 Sprint-Pay Bill-Credit Card Payment Confirmation
Personal Business J 0;n r n: U F!r'.0 a
Sprint My Sprint Shop Digital Lounge Community Support sbeautain Sign out
(58'.57,1967)
Pay Bill Kent to...
SUSAN BEAURAIN
I nunlx r:583570967
Pay bil:
Thank you!Your Visa payment has been successfully submitted
Sprint and will be posted to your account within 15 minutes.Please Track called nuM)(;rs
print this page for Your records.
See
Payment Date: Jan 10,2014
Payment amc)unt: $120.14
Card: Visa Sec bi'2
Last 4 digits: 6283 Sea'rr'
Expiration date: 11/2015
ZIP code: 46032
Confirmation Number 061610 Ser,my
Reduce the clutter,help the environment and go paperless with ON.Sia..
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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
$ 50.00
1215113 Reimb Cell phone charges Dec'13 $ 50.00
1110/14 Reimb Cell phone charges Jan'14
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#/TITLE 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
21-Jan 2014
�6". —4Xet;;1A
$ 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund