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Home My WebLink About233048 05/28/14 Gi tf. CITY OF CARMEL, INDIANA VENDOR: 366940 i, ''r ONE CIVIC SQUARE NICHOLE HABERLIN CHECK AMOUNT: S""""" "50.00' a a� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 233048 '%iroN c� CHECK DATE: 05/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 50.00 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 4/6/2014 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 Aril 5/6/2014 Verizon 1091 4344100 Cellular Phone Fees $ 25.00 May All receipts should be.attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 Employee Name(print) Nichole Haberlin Address 9958 Washington Blvd Check payable to: City, St, Zip Fish rs, IN 46038 Signature: Z�/ 64 Approved by4;?-71 Date: 5/8/2014 Date: 15 _,Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 MAY 0 8 2014 1 r 5/8/2014 4 Bill Payer I Payment Center �(CWO Biller Name Account Amount Pay Date Confirmation Status VERIZON WIRELESS *38009 $110.39 04/09/2014 GXCWH-X2ZMV Paid phone *00001 The funds for your payment to VERIZON WIRELESS were withdrawn from your*38009 account on 04/09/2014.VERIZON WIRELESS received your payment electronically on 04/09/2014. Your payment was posted to your VERIZON WIRELESS account on 04/09/2014. 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 inquML. View Bill Due Date Amount Account Balance 04/14/2014 Due:$110.39 https://bil ipayl.pscufs.com/cw4l l/wps?rq=ov&sp=17028&oss=44ee078Odl OOt7e4bOb7f6868Od6554b&osn= 1/1 5/8/2014 BillPayer I Payment Center ((�f Biller Name Account Amount Pay Date Confirmation Status VERIZON WIRELESS *38009 $110.40 05/06/2014 HOOQF-3ZY9D Paid phone *00001 The funds for your payment to VERIZON WIRELESS were withdrawn from your*38009 account on 05/06/2014.VERIZON WIRELESS received your payment electronically on 05/06/2014. Your payment was posted to your VERIZON WIRELESS account on 05/06/2014. 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 --05/14/2014 - Due:$110.40 J https://bi I I payrl.pscufs.con-VcvAl 1/wps?rq=ov&sp=17028&oss=44ee078Od100f7e4bOb7f6868Od6554b&os n= 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 5/8/14 Reimb Cell phone reimbursement Apr, May'14 $ 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. i 366940 Haberlin, Nichole �Allowed 20 In Sum of$ i' $ 50.00 ON ACCOUNT OF APPROPRIATION FOR �< 109 -Monon Center i I PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 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 22-May 2014 I Signature $ 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i