HomeMy WebLinkAbout236855 9 /10/2014 r Coq
CITY OF CARMEL, INDIANA VENDOR: 366940
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ONE CIVIC SQUARE NICHOLE HABERLIN CHECK AMOUNT: S""......25.00"
CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER: 236855
�MIiON�O\ CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES
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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
8/14/2014 Verizon Wireless 1091 4344100 Cellular Phone Fees $ 25.00 Cell Phone Charges for Au
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) Nichole Haberlin
AUG 2 5 2014
Address 9958 Washington Blvd
Check --_—
--_-_---------__—
payable to: City, St, Zip Fishers, IN 46038
Signature: Approved o
Date: / Date: $
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
BillPayer I Bill Detail Page 1 of 1
Biller Name Account Amount Pay Dale Confirmation Status
VERIZON WIRELESS *38009 $11040 07/28/2014 H8J11N-VHHDQ Paid
phone
00001
The funds for your payment to VERIZON WIRELESS were withdrawn from lour*38009 account on 07/28/2014 VERIZON WIRELESS received your payment electronically
on 07/38/2014
Your payment was posted to your VERIZON NA71RELESS account on 07/26/2014.
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 momw.
View Bill
Due Date Amount Account Balance
wti+... 08/14/2014 Due$11038
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https:/ibillpayl.pscufs.com/cw4l I/wps?rq=pv&applyr=y&id=20140725113202161548&£.. 8/22/2014
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.
366940 Haberlin, Nichole Terms
9958 Washington Blvd
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/14/14 Reimb Cell phone reimbursement Aug'14 $ 25.00
Total $ 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
20_
Clerk-Treasurer
Voucher No. Warrant No.
366940 Haberlin, Nichole Allowed 20
9958 Washington Blvd
Fishers, IN 46038
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Board Members
PO#or INVOICE NO. CCT#/TlTLE AMOUNT
Dept#
1091 Reimb 4344100 $ 25.00 I 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
4-Sep 2014
f;&A&
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund