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HomeMy WebLinkAbout238147 10/15/14 CITY OF CARMEL, INDIANA VENDOR: 368259 .�; ® ,i• ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $***"*"'25.00' CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 238147 Mirori�°, WESTFIELD IN 46074 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES Carmelo Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 9/25/2014 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for Sept. All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $25.00 Employee Name (print) Shauna Lewallen Address 17317 Pine Wood Lane OCT -g 21])4 Check B Y: payable to: City, St, Zip Westfield, IN 46074 Signature: WAl , L Approved by Date: 10/3/2014 Date: , i 1 Republic Wireless Page 1 of 1 Help(https://help.republicwireless.com) Community(https://community.republicwireless.com) Blog(https://community.republicwireless.com/blogs/republic) Shop(/shop) g My Account(/myaccount/) Invoice INV02285111 Billing Address September 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: $3.73, Invoice Total: $28.73 Payment:(Includes any available account credits) ($28.73) --- Balance Due: $0.00 Monthly Charges Charge Detail _........................ Moto X Wi-Fi+Cell+3G Service Plan $25.00 E911(Wireless)-County t2o.oax/ $0.20 E911(Wireless)-State(19aox) $0.19 State Universal Service Fund-State(o.sax) $0.14 Sales Tax-State(600x) $1.60 ....... . .........._ ...... ... .... _...... .. .... .... ._.... Fed USF Cellular-Federal(1smx/ $1.46 FCC Regulatory Fee(Wireless)-Federal(aeox) $0.02 Federal Compliance Fee-Federal(1.2296) $0.12 Monthly Subtotal: $25.00 .... ........... .......... ..... ........_. .. . _. ........_ . .... _..... ......... !Monthly Taxes: $3.73 MEET REPUBLIC PHONES(/PHONES) RESOURCES SUPPORT FOLLOW US KEEP UP WITH US VMEET-REPUBLIC) Moto X(/phones/moto-x) (HTTPS://REPUBLICWIRQM2P62Wt'OBIlIDTIIoffW�sCOM 'b plicwirele 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) (https://republicwireless.corR&FHYDItR)end Community (http:/(Nu2tpuShtBi�h a®Y :.,:riaas9ss) How We Do It(/how-we- (https://republicwireless.corfh'ttwtbu4and6 efe&olos.com/community) - -Submit do-it) Affiliates(/affiliates) FAQs(/fags) Reviews(/reviews) Blog Help (http://republicwireless.con%4dl4g)/irepublicwireless.com/help) ©2014,Republic Wireless,a division of Bandwidth,Inc. Legal(/legal) (http://bandwidth.com/peoWAffms% Meroro6.MeroX Moro 6odlheSWedM1090are rcgisleredvademarb o/Moforo/a TmdeMdH0/digr UC SO(AEFUSUcia regi'INtI/f5ad�l Rb1 (4kb{f� �5'1,�PF3l(A7JM�I,3 Id�4ZP�.ra ev dema no/me;,re�arr�eo ems. Service Status (http://status.republicwireless.com/) https://republiewireless.com/myaccount/invoices/invoice details/2c92aO9448 a320200148a... 10/3/2014 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 9/25/14 Reimb' Cell phone Sep'14 $ 25.00 Total $ 25.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and l 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 i In Sum of$ $ 25.00 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 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 1 Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title r claim paid motor vehicle highway fund I 1 I 1