HomeMy WebLinkAbout233964 06/25/14 ��`�A+, CITY OF CARMEL, INDIANA VENDOR: 365288
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j ® ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********50.00*
�� _�, CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 233964
y�TON�, WESTFIELD IN 46074 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 50.00 CELLULAR 'PHONE FEES
DUE BY: Jun 19, 2014 $180.50
KURTIS BAUMGARTNER
Account Number 243007377604 16990 KINGSBRIDGE BLVD
^}�} WESTFIELD,IN 46074-7800
Q` ` Please include account number on your check.
Make checks payable to-
E] CHECK FOR AUTO PAY AT&T MOBILITY
(SEE REVERSE) PO BOX 6416
CAROL STREAM IL 60197-6416
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97400243007377604D000000001.805.000000018050008
1898.14.597:126102 1 AV 0.381 6n AutoPay Enrollment 1
If I enroll in AutoPay,I authorize AT&T to pay my bill
�I��Illllll�l�ll�ll�ll�ll�l�liil��l�ll�l��lil�llli�llil�llill�ll� monthly by electronically deducting money from my bank
account.I can cancel authorization by notifying AT&T at
KURTIS BAUMGARTNER www.att.com or.by calling the customer care number
16930 KINGSBRIDGE BLVD listed on my bill.`•
WESTFIELD IN 46074-7800 Bank Account Holder Signature:
Date:
Carmel • Clay
Parks&Recreation
I
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount: Purpose of Expense
6/5/2014 AT&T 1091 4344100 Cellular Phone Fees $; SIC)•00) June's Cell Phone
s
. All receipts should be attached m the same order a listed above. o
No sales tax will be reimbursed. TOTAL: SO•
Employee Name(print) Kurtis Baumgartner
Check
Address 16930 Kingsbridge Blvd 1 JUN - 9 2014
f
payable to: City, St, Zip Westfield, IN 46074-7800
Signature: 4Approved by:
Date: q 1q Date:
i
! 's
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
i
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.
365288 Baumgartner, Kurtis Terms
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/9/14 Reimb Cell phone reimbursement Jun'14 $ 50.00
Total $ 50.00
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.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$.
$ 50.00
i
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT -
Dept# 1
1091 Reimb 4344100 $ 50.00 ' 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
f materials or services itemized thereon for
which charge is made were ordered and
received except
i
19-Jun 2014
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund I'