HomeMy WebLinkAbout242340 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 360464
ONE CIVIC SQUARE LINDSAY LABAS CHECK AMOUNT: $********50.00*
:. as CARMEL, INDIANA 46032 8809 147TH PLACE CHECK NUMBER: 242340
v NOBLESVILLE IN 46060 CHECK DATE: 02/17/15
MUTON 00
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 REIMB 50.00 CELLULAR PHONE FEES
Car el e Clay
Parks&Recr-eation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above. 0
No sales tax will be reimbursed. TOTAL:
Employee Name(print) NY14!�l
Address kn i 1qj0' p kc, FEB — 9 2015
Check
payable to: City, st, zip Npblpsy0l r, /iu 4f&40(,ola BY _y
Signature: �Z �—�—_ T�-�— Approved by:
Date: a����� Date: /
Business Services Division, Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
Manage Your Account Account Number Date Due
• P.O.BOX 4002 986813753-00001
ACWORTH,GA 30101
Change your address at Invoice Number 3194539667
vzw.com/changeaddress
Quick Bill Summary Dec 21 —Jan 20
KEYLINE
BENJAMIN LABAS Previous Balance (see back for details) $146.32
8809147TH PL Payment—Thank You —$146.32
NOBLESVILLE,IN 46060-4331 Balance Forward $.00
Monthly Charges $133.38
Verizon Wireless'Surcharges
and Other Charges&Credits $6.24
Taxes,Governmental Surcharges&Fees $7.00
` Total Current Charges $146.62
Veri tin wireless; ews Total Charges Due by February 15, 2015 $146.62
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`, - Bill Date January 20,2015 4,1
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Account Number 986813753-00001 VqW
Invoice Number 3194539667 Please Recycle
BENJAMIN LABAS
8809147TH PL Total Amount Due
NOBLESVILLE,IN 46060-4331
will be submitted to credit card on 02/13/1 $
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DO NOT MAIL PAYMENT
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
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F1Check here and fill out the back of this slip if your billing address
has changed or you are adding or changing your email address.
31945396670109868137530000100000014662000000146622
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.
360464 Labas, Lindsay Terms
8809 147th Place Date Due
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/20/15 Reimb Cell phone charges Jan'15 $ 50.00
I
Total $ 50.00
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
120
Clerk-Treasurer
i
Voucher No. Warrant No.
360464 Labas, Lindsay Allowed 20
8809 147th Place
Noblesville, IN 46060
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 Reimb 4344100 $ 50.00 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
February 12, 2015
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund