HomeMy WebLinkAbout235110 07/22/14 CITY OF CARMEL, INDIANA VENDOR: 366940
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.;; '1• ONE CIVIC SQUARE NICHOLE HABERLIN CHECK AMOUNT: $"••""""67.99'
?� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 235110
CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 REIMB 42.99 OFFICE SUPPLIES
1091 4344100 REIMB 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
7/1/2014 Verizon 1091 4344100 Cellular Phone Fee $ 25.00 Jul
6/27/2014 OfficeMax 1091 y230= Receipt Paper $ Facility Operation
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) Nichole Haberlin
JUL - 2014
Address 9958 Washington Blvd
Check B"rj:
payable to: City, St, Zip Fishers, IN 46038
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nature:
Approved b v
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Date: 7/1/2014 Date: —77
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Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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7/1/2014 BiIIPayer I Payment Center
A64 H ��
Biller Name Account Amount Pay Date Confirmation Status
VERIZON WIRELESS *38009 $110.40 07/01/2014 H5PG4-9STWS Paid
phone
*00001
The funds for your payment-to VERIZON WIRELESS were withdrawn from your*38009 account on
07/01/2014.VERIZON WIRELESS will receive your payment electronically on 07/01/2014.
Your payment was posted to your VERIZON WIRELESS account on 07/01/2014.
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 inqujy .
ViewBill
- -Due Date Amount- AccountBalance-
07/14/2014 Due:$110.40
https://bilipayl.pscufs.conVcw411hvps?rq=ov&sp=17028&oss=44ee0780d100f7e4bOb7f68680d6554b&osn= 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
7/1/14 Reimb Cell phone reimbursement Jul'14 $ 25.00
6/27/14 Reimb Receipt Paper Office Max $ 42.99
Total $ 67.99
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.
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366940 Haberlin, Nichole Allowed 20
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In Sum of$
$ 67.99
ON ACCOUNT OF APPROPRIATION FOR f
109 -Monon Center
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 25.00 1 hereby certify that the attached invoice(s), or
1091 Reimb 4230200 $ 42.99 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
16-Jul 2014
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Signature
$ 67.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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