Loading...
HomeMy WebLinkAbout236448 08/27/14 r CAA CITY OF CARMEL, INDIANA VENDOR: 368259 ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $ """'**"25.00* CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 236448 WESTFIELD IN 46074 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES Carmel 0 clayI AUG 19 2014 Parrs&Recreation Employee Expense Reimbursement Request T--- Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 7/25/2014 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for.July All receipts should be attached in the same order as listed above. _T No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Shauna Lewallen Address 17317 Pine Wood Lane Check payable to: City, St, Zip Westfield, IN 46074 / Signature: Approved by: &Z— Date: 8/15/2014 Date: �S / Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Republic Wireless Page 1 of 1 , Help(https://help.republicwireless.com) Community(https://communiLy.republicwireless.com) Slog(https://community.republicwireless.com/blogs/republic) Shop(/shop) My Account(/myaccount/) Invoice INVO1845313 Billing Address July 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: $3.60 Invoice Total: $28.60 :.Payment:(Includes any available account credits) ($28.60) Balance Due: $0.00 Monthly Charges Charge Detail Moto X Wi-Fi+Cell+3G Service Plan $25.00 E911(Wireless)-County/20.00%/ $0.20 E911(Wireless)-State/i9.00%/ $0.19 State Universal Service Fund-State(o.sa%) $0.14 Sales Tax-State/s.00%/ $1.59 Fed USF Cellular-Federal(i5.7o%) $1.46 FCC Regulatory Fee(Wireless)-Federal/1.50961 $0.02 Monthly Subtotal: $25.00 Monthly Taxes: $3.60 MEET REPUBLIC PHONES(/PHONES) RESOURCES SUPPORT FOLLOW US KEEP UP WITH US (/MEET-REPUBLIC) Moto X(/phones/moto-x) (HTTPS://REPUBLICWIRQHW.6f1NWEQ�OB1lDIJAaIFIB �SCIlhl3eblicwirele Our Mission(/our- Moto G(/phones/moto-g) Get Started(/start) Meet the Team(/support- mission) Activate Your Phone Press Room(/press-room) team) Our Story(/our-story) (haps://republicwireless.corR(S@NWlte0end Community How We Do It(/how-we- (haps://republicwireless.co(ti[tg53tbuWWtbheferrt�I$s.com/community) Submit do-it) Affiliates(/affiliates) FAQs(/fags) Reviews(/reviews) Blog Help (http://republicwireless.con-(Utlg)//republicwireless.com/help) ©2014,Republic Wireless,a division of Bandwidth.,Inc. Legal(/legal) (http://bandwidth.com/peop4tjamma I1 Ma(ora/a,No Xm-6a d(heSredM(oga are regirlered(rademarb o/Mororo/s lademark Nobnq;(LC.SO(RfpUB(/C,ra reg(4'MfI'tSa�P ir�YCX f(f))I� d�rl,�(�P �� {��3)pporr are trademarAr o/!heir rerpectrve ownerr Service Status (http://status.republicwireless.com/) https:Hrepublicwireless.com/myaccount/invoices/invoice details/2c92a094476091440147... 8/15/2014 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. 368259 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 7/25/14 Reimb. Cell phone Jul'14 $ 25.00 Total $ 25.00 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. 368259 Lewallen, Shauna Allowed 20 17317 Pine Wood Lane Westfield, IN 46074 In Sum of$ $ 25.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center Board Members PO#or INVOICE NO. CCT#/TITL AMOUNT Dept# Dept 4344100 $ 25.00 I hereby certify that the attached invoice(s), or 1091 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 $ 25.00 Accounts Payable Coordinator Title Cost distribution ledger classification if claim paid motor vehicle highway fund