HomeMy WebLinkAbout236311 08/27/14 1�y,.�„,° CITY OF CARMEL, INDIANA VENDOR: 365288
i'r_ ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $ ....'"50.00"
CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 236311
9M��ON tel= WESTFIELD IN 46074 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
DUE BY: Aug 19, 2014 $181.00
KURTIS BAUMGARTNER
Account Number 243007377604 WEE IELD,I 4607 BLVD
- at&t WESTFIELD,IN 46074-7800
Ptease include account number on your check.
Make checks payable to-
CHECK FOR AUTO PAY AT&T MOBILITY
(SEE REVERSE) PO BOX 6416
CAROL STREAM IL 60197-6416
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974002430073776040000000001810000000018100001
4347.2.17.3597 1 AV 0.381 6n Auto Pay Enrollment
If I enroll in AutoPay,I authorize AT&T to pay my bill
�'�'�I'111111' 'lilll�ll����l�lll����l��l�lll�l'�II�I��1�1�'lllll 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:
. A
4
Carmel 0 clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
8 Ia t`i '1 _T IOaI y3,1y100 O0 " y
S Coll re,
iAll receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: 1575
Employee Name(print) lluvkis
Check Address 1119R30 ICt2gsbr�dat �wd
payable to: City, St, Zip Wes�-I�,Q(a, I N ` (o014
Signature: Approved by:
Date: S I Z/l`� Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
Y
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
8/19/14 Reimb Cell phone reimbursement Jul"4 $ 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
ON ACCOUNT OF APPROPRIATION FOR
109 -Morton Center
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
21-Aug 2014
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund