HomeMy WebLinkAbout231256 04/08/14 ^% tr CITY OF CARMEL, INDIANA VENDOR: 366940
® ONE CIVIC SQUARE NICHOLE HABERLIN CHECK AMOUNT: $"`"`*175.00'
:. r" CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 231256
*ro„•�` CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 175.00 CELLULAR PHONE FEES
k
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
9/24/2013 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Sept
11/6/2013 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Oct
12/3/2013 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Nov
12/31/2013 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Dec
1/28/2014 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Jan
2/25/2014 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Feb
4/14/2014 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 March
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $175.00
Employee Name(print) Nichole Haberlin
Address 9958 Washin ton Blvd
Check
payable to: City, St, Zip Fishers, �IN 46038\ ' i-
Signature: 1 UE�e!� Crl��(� Approved by:
�.
Date: 3/25/2014 Date:
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
3/25/2014 BillPayer I Bill History
Bill History
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Past 6 months Sep 23,2013 and future
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Payments 61-73 of 73
Biller NameCategor3 Account Amount Pay Date Status Action
ry
Utilities l `
Vectren Gas
*31491
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Utilities
Vectren Gas
*31491
Utilities
Vectren Gas
*31491
Utilities
Vectren Gas
*31491
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Utilities
Vectren Gas
*31491
Utilities
Vectren Gas
*31491
VERIZON WIRELESS $110.39 04/14/2014 Unpaid View Detail
Cellular
*00001
VERIZON WIRELESS *38009 $110.39 02/25/2014 Paid View Detail
Cellular
phone
*00001
VERIZONWIRELESS *38009 5110.41 01/28/2014 Paid View Detail
Cellular
phone
*00001
VERIZON WIRELESS *38009 $110.30 12/31/2013 Paid View Detail
Cellular
phone
*00001
VERIZON WIRELESS *38009 $110.30 12/03/2013 Paid View Detail
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3/25/2014 BillPaWr Bill History
Cellular
p hone
*00001
VERIZON WIRELESS *38009 $110.34 11/06/2013 Paid View Detail
Cellular
phone
*00001
VERIZON WIRELESS *38009 $109.18 09/24/2013 Paid View Detail
Cellular
phone
*00001
Total $8796.95 Includes Paid,Pending,and Processing amounts only.
Payments 61 -73 of 73
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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.
366940 Haberlin, Nichole Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bi(l(s)) PO# Amount
3/25/14 Reimb Cell phone reimbursement Sep'13 thru Mar'14 $ 175.00
Total $ 175.00
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$
$ 175.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 175.00 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
3-Apr 2014
Signature
$ 175.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund