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HomeMy WebLinkAbout234058 06/25/14 ,�,_CAg3Ff CITY OF CARMEL, INDIANA VENDOR: 368259 \. CHECK AMOUNT: $********25.00* .�; , ONE CIVIC SQUARE SHAUNA LEWALLEN s /_�, CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 234058 9��TUN�` WESTFIELD IN 46074 CHECK DATE: 06/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 25.00 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 6/5/2014 Republic Wireless 1091 4344100 Cellular Phone Fees $ 25.00 May's Cell Phone All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Shauna Lewallen Address 17317 Pine Wood Lane EJUIN - 9 2014 Check payable to: City, St, Zip Westfield, IN 46074 _____ Signature: Approved by' Date: �Iq Date: ln,�9jq Revised 3-2-07 by Business Services; Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3 Republic Wireless Page 1 of 1 Help(https://help.republicwireless.com) Community(https://community.republicwireless.com) Blog(https://community.republicwireless.com/blogs/republic) Shop(/shop) gMyAccount(/myaccounV) Invoice INVOI450239 Billing Address May 25,2014 Shauna Lewallen Account:A00118873 17317 PINE WOOD LN WESTFIELD,IN 46074-8940 Summary Description Total Monthly Total: $25.00 One-Time Total: $0.00 Taxes: $3.681 ......_..... ...... .. ........ ........ ...."_....... .._ ...... .......... .......< Invoice Total: $28.68. —' Payment:(Includes any available account credits) ($28.68) - — =- -... 1n Balance Due: $0 00 .. ... JUN _ Monthly Charges Charge Detail Moto X Wi-Fi+Cell+3G Service Plan $25.00. E911(Wireless)-County(zo.00%) $0.20 E911(Wireless)-State(f9.00r6) $0.19 State Universal Service Fund-State(o5496) $0.14'. Sales Tax-State(coasb) $1.59 _._.". _...... _......_..., .... ........, Fed USF Cellular-Federal(tb:co%) $1.54 FCC Regulatory Fee(Wireless)-Federal(1.5o%) $0.02 _ ........_ _ ........._. _ _...._.._.. _- Monthly Subtotal: $25.00 Monthly Taxes: $3.68 _.__..._- ... . .......... MEET REPUBLIC PHONES(/PHONES) RESOURCES SUPPORT FOLLOW US KEEP UP WITH US /MEET-REPUBLIC) Moto X(/phones/moto-x) (HTTPS://REPUBLICWIRQHW.&CA iM 5 okw%j' O ( BR�H� s< b"' b licwirele Our Mission(/our- Moto G(/phones/mato-g) Get Started(/start) Meet the Team(/support- f ! mission) Activate Your Phone Press Room(/press-room) team) I I Our Story(/our-story) (https://republicwireless.COFR&EtilfflIFeBend Community How We Do It(/how-we- (https://republicwireless.cor0itt ptbmputbfirLeirtsfi3)s.com/community) Submit do-it) Affiliates(/affiliates) FAQs(/fags) Reviews(/reviews) Blog Help (http://republicwi r,eless.corr(Utff)//republ icwireless.com/help) ©2014,Republic Wireless,a division of Bandwidth:156�fi,Inc. Legal(/legal) (http://bandwidth.com/peogWdatma M.10 A&Ua XMoloGandlheSVLwdMLogoarercgisleredlndemakro/Ma[oroGtrademarkMdings,LLC.SOLREPUBLLCisareAlMlpl�:d�,S$Rb14�A.�@HIS& QfI)�d13M� NF1S')Ppor,.eve,,,,.k:o�mei. rrveow„ers. https://republicwireless.com/myaccount/invoices/invoice_details/2c92aO97462270abO 14632... 6/5/2014 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. Lewallen, Shauna Terms 17317 Pine Wood Lane Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 6/5/14 Reimb Cell phone May'14 $ 25.00 Total Is 25.00 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Lewallen, Shauna Allowed 20 17317 Pine Wood Lane Westfield, IN 46074 . In Sum of$ i $ 25.00 I L ON ACCOUNT OF APPROPRIATION FOR 1 109 -Monon Center PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 25.00 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 Z' 19-Jun 2014 I. Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund