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HomeMy WebLinkAbout239069 11/11/14 ^y " CITY OF CARMEL, INDIANA VENDOR: 368259 ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $'"`•**164.71' f ?�; CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 239069 9y���ON�� WESTFIELD IN 46074 CHECK DATE: 11/11114 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 139.71 TRAVEL FEES & EXPENSE 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES Ali NRPA � CONGRESS GREAT IDEAS START HERE October 14-16,2014 1 CharloRe,NC www.nrpo.org/Congress20l4 SHAUNA SHAUNA LEWALLEN CARMEL CLAY PARKS & RECREATION CARMEL, IN 41213035 Carmel eClby Parks&Recreation Employee Expense Reimbursement Request Date of 'Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 10/25/2014 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for Oct. All receipts should be attached in the same order as listed above. ; i f'(� , No sales tax will be reimbursed. TOTAL: 7O7CT $25.00 g 2814 Employee Name(Print) Shauna Lewallen Address 17317 Pine Wood Lane Check payable to: City, St,Zip Westfield, IN 46074 Signature: yA A LQ,U1 Approved by: -11k6 Date: BT'w', ,,,, Date: �0 Z9 11 � V 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 INVO2520087 Billing Address October 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: $3.77 Invoice Total: $28.77 Payment:(Includes any available account credits) ($28.77) Balance Due:— $0.00 Monthly Charges Charge Detail Moto X Wi-Fi+Cell+3G Service Plan $25.00 E911(Wireless)-County po.0096/ $0.20 ` E911(Wireless)-State(r9.00q6) ._� _. ..�_._....._. ..- - $0.19 State Universal Service Fund-State(os496) $0.14 Sales Tax-State(c00%) $1.60 Fed USF Cellular-Federal(fc.fo%) $1.50 ..... FCC Regulatory Fee(Wireless)-Federal(tsofq $0.02 Federal Compliance Fee-Federal(12296) $0.12 Monthly Subtotal: $25.00 Monthly Taxes: $3.77 MEET REPUBLIC PHONES(/PHONES) RESOURCES SUPPORT FOLLOW US KEEP UP WITH US VMEET-REPUBLIC) Moto X(/phones/moto-x) (HTTPS://REPUBLICWIRRHW.M MIUM nfiUUIM�SCRM* 'bti eblicwirele 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(�FryWltft�end Community (http://(kca(az, ht�t�ahrah:.�YI,' �'aa3�ss) How We Do It(/how-we- (https://republirwireless.cor(hYtpjothmpeUdtef+hdt ss.com/community) Submit - - do-it) Affiliates(/affiliates) FAQs(/fags) Reviews(/reviews) Blog Help (http://republicwireless.corr(Utp)//republlcwireless.com/help) ©2014,Republic Wireless,a division of Bandwidth,Inc. 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Service Status (http://status.republicwireless.com/) https://republicwireless.com/myaccount/invoices/invoice details/2c92aO97493c22690149... 10/28/2014 J i I Carmel clay Parks&Recreation Employee Expense Reimbursement Request ��A C:c�f�IC�RCS Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 10/13/2014 US Airways $25.00 A checked luggage 10/16/2014 US Airways $27.00 checked luggage 10/16/2014 Indianapolis International Airport $36.00 C parking fees 10/13/2014 Shomars 3rd St. $6.90 food 10/14/2014 Fuel on the Green $28.80 food 10/16/2014 City Smoke $11.69 food 10/16/2014 Charlotte International Airport $4.32 G food All receipts should be attached In the same order as listed above. / No sales tax will be reimbursed. TOTAL: $139.71 V/ f Employee Name(print) Shauna Lewallen Address 17317 Pine Wood Lane 92=9 Check payable to: City, St, Zip Westfield, IN 46074 Signature:_ ya � � pi1/1 Approved by: A9Z Date: 110/28/2014 Date: 1012-Ah4 i Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request i i I ,I I V 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 Pinei Wood Lane Westfield, IN 46074 I Invoice Invoice] Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 10/25/14 Reimb; Cell phone Oct'14 $ 25.00 10/28/14 Reimbi Travel expenses NRPA Congress $ 139.71 Total $ 164.71 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. 368259 Lewallen, Shauna Allowed 20 17317 Pine Wood Lane Westfield, IN 46074 In Sum of$ $ 164.71 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center I, PO#or INVOICE NO. ACCT#/TITI-E AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 25.00 i I hereby certify that the attached invoice(s), or 1091 Reimb 4343000 $ 139.71 bills)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except I I 6-Nov 2014 i I Signature $ 164.71 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund