HomeMy WebLinkAbout237398 09/23/14 CITY OF CARMEL, INDIANA VENDOR: 366940
® ONE CIVIC SQUARE NICHOLE HABERLIN CHECK AMOUNT: S""""""""25.00'
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?� CARMEL, INDIANA 46032 C/O PARKS CHECK NUMBER• 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES
Carmel ® Clay
Parks&Recreato®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
9/14/2014 Verizon Wireless 1091 4344100 Cellular Phone Fees $ 25.00 Cell Phone Charges for Sept
All receipts should be attached in the same order as fisted above.
No sales tax will be reimbursed. TOTAL: $25.00
Employee Name(print) Nichole Haberlin
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Address 9958 Washington Blvd AUG 2 2014
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payable to: City, St, Zip /Fishers, IN 46038
Signature: // G/l/�%� Approved by:
Date: , r1 Date: 825 !
Revised 3-2-07 by Business Services;
Shared/Forms and Templates/Business Service Forms/Employee Exp Reimb Request 2007-3
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Due Date Amount Pay Date
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9/14/2014
$110.31 -Amount Due
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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
9/14/14 Reimb Cell phone reimbursement Sep'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#/TITL AMOUNT
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
18-Sep 2014
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund