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HomeMy WebLinkAbout238142 10/15/14 a°�-4,Ab �/ \� CITY OF CARMEL, INDIANA VENDOR: 367745 ,1• ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: $********44.19* �? ;�a CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 238142 '+;;,TON�. CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 19.19 TRAVEL FEES & EXPENSE 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES Carmel * Clay Parks&Recreat'on Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense �r1S V r�' z©•� l'i"'releSrlO0l t-13gL/ /©O CRll p �rC"re C611 PAO� P �'(�9 P g�'ni U a'SC�h-i a.5-, 60 /r a uck )2c, S lm4 4Ce N64(,cP 10 q 1 I 43'4 3000 TM„nl -65 4 Inses )q , q TaAVELTO FingreR An4LFTICS MAYIUFAR URR) CDMTVOL S'f� All receipts should be attached in the same'order as listed above. WLIL. !9 No sales tax will be reimbursed. TOTAL: / -413"el Employee Name(print) /1/1,'c GSC,(te �D Address a 3 3 5 VV fS 3 6 A 9,? SE-" Check payable to: City, St, Zip Signature: jLrc�� ,�/G� j ��� Approved by Date: �r� f l Date:q�z"4/14{ Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request tfer qn—wireless Manage Your Account.&View Your Usage Details Account Number Date Due P.O.BOX 4002 ACWORTH,GA 30101 Eli •�,„ i Address Changed?—co to vzv,.com/changeaddress i Invoice Number ' 3124370927 0018121 02 AT 0.403 "AUTO TB 0 4420 46069.872535 -C22-P18139-I Quick I I `t1 11`al Jul 21 -Aug20 III°°°I°IIIIIIIIIIII°IIII°°II°I°I°11'11°lul°Illnlnlll°1111°°I° RENEE KILPATRICK 2335 W 236TH ST Previous Balance(see back for details) $145.78 SHERIDAN,IN 46069-8725 Payment—Thank You —$145.78 Balance Forward $.00 Monthly Charges $124.36 Usage and Purchase Charges $.45 Verizon Wireless'Surcharges and Other Charges&Credits _ $8.83- Taxes,Governmental Surcharges&Fees $10.15 Total Current Charges $143.79 — -t Stmpli4,Life Total Charges Due by September 15, 2014 $143.79 Easily manage your account with My Verizon.Pay your bill,check usage, change your calling plan,add features, and much more!Go to www.vzw.com/myverizon for details and get started today. - t t. 0 Pay from Wireless Pay on the Web Questions: VN VEflwireless Bill Date August 20,2014 0 Account Number 481004485-00001 `' Invoice Number 3124370927 RENEE KILPATRICK 2335 W 236TH ST Total Amount Due by September 15, 2014 SHERIDAN,IN 46069-8725 Make check payable to Verizon Wireless. ��. Please return this remit slip with payment. 1:1 El Scan To Pay Or Go Paperless Pay your bill online,or enroll in Paperless Billing P.O.BOX 25505 or Auto Pay.Simply scan the QR code with your - LEHIGH VALLEY, PA 18002-5505 mobile device or visit vzw.com/myverizon. Check here and fill out the back of this slip if your billing address X11111°IIII°IIIIIII11II°1111111111111°IIII°III°IIII°III°IIIIIIII° ® has changed or you are adding or changing your email address. 31243709270104810044850000100000014379000000143793 SEP 25 2014 .: r"'; 4 3 9 989192881 ALE HOUSE CLACK.G00 Von ANG URBANA. IL -344 9334 CVFJCE-3 u: 002 Ref �-1ri-aTG; NG Stuff H, b Sale " :�� . Entry Metnod: BLACK DOG SMOKE & ALE HOUSE 201 N. BROADWAY . ;: 44.28:5 URBANA, IL 6180119/1���a RRPr�oae�925698 j .217-344-9334 ;� �. Batch:804225 DATE 09/16/2014 TUE TIME 10:35 ;` +crag; Gnline PULLED PORK PLAT T1 $13.95 SOFT DRINKS T1 $1.75 1 4AL $17.19 ° Li CASH $17.19 TOki'. CLERK 1 162730 00001 - 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. 367745 Kilpatrick, Michael Terms 2335 West 236 St Sheridan, IN 46069 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/15/14 Reimb Cell phone charges Aug'14 $ 25.00 9/16/14 Reimb Travel expenses to Porter Athletics to learn $ 19.1.9 , about Gym Control system Total $ 44.19 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. 367745 Kilpatrick, Michael Allowed 20 2335 West 236 St Sheridan, IN 46069 In Sum of$ $ 44.19 . ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 25.00 1 hereby certify that the attached invoice(s), or 1091 Reimb 4343000 $ 19.19 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 9-Oct 2014 Signature $ 44.19 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i I i