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244006 04/08/2015
C.IN. >�'� "' CITY OF CARMEL, INDIANA VENDOR: 368259 ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $*****"**25.00* CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 244006 'bi>un Ga WESTFIELD IN 46074 CHECK DATE: 04/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES Carmel 0 Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 3/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for March 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 Check payable to: City, St, Zip Westfield, IN 46074 Signature: Approved IpW5��_Zie, Date: 3/25/2015 Date: 312. 41 Kepttbl)c Wireless 1- / Help(https://help.republicwireless.com) Community(https://community.republicwireless.com) Blog(https://community.republicwireless.com/blogs/republic) Shop(/shop) Q My Account(/myaccount/) Invoice INVO3830445 Billing Address March 25,2015 Shauna Lewallen Account:A00118873 �C'-�� 17317 PINE WOOD LN MAR 2 6 2015 WESTFIELD,IN 46074-8940 Summary Description Total Monthly Total: $25.00 One-Time Total: $0.00 Taxes: $3.88 Invoice Total: $28.88 Payment:(Includes any available account credits) ($2$•8$) Balance Due: $0.00 Monthly Charges Charge Detail Moto X Wi-Fi+Cell+3G Service Plan $25.00 E911(Wireless)-County(2o.00%) $0.20 E911(Wireless)-State(moo%) $0.19 State Universal Service Fund-State(o.cs%) $0.18 Sales Tax-State(a.00%) $1.60 Fed USF Cellular-Federal(/6so%1 $1.57 FCC Regulatory Fee(Wireless)-Federal(l.so%) $0.02 Federal Compliance Fee-Federal(/.2296) $0.12 Monthly Subtotal: $25.00 Monthly Taxes: $3.88 MEET REPUBLIC PHONES(/PHONES) RESOURCES SUPPORT FOLLOW US KEEP UP WITH US (/MEET-REPUBLIC) Moto X(/phones/moto-x) (HTTP S://REP UBLICWIRQ1:11135M.6IINilL�OBIBffiLIfDiH �jSC { 1 1 ,a�fa� bW=*W#,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.corp&@OWPVknd Community (http://(Jafapt�t...,..o�...no•ag4)ss) How We Dolt(/how-we- (https://republicwireless.cor(UttyatbmpraLlhEiviirdisis.com/community) Submit do-it) Affiliates(/affiliates) FAQs(/fags) Reviews(/reviews) Blog Help (http://republicwireless.coffOUtM)//republicwireless.com/help) ©2014,Republic Wireless,a division of Bandwidth.8ffi,Inc. Legal(/legal) (http://bandwidth.com/peoftuViemgq Mo(oro/a,MoroX Moro bandthe Sty/uedMLagoarc mgisteredt demlr a/Motom/a Trademark Ho/dings,[[CSOL REPUBLICisare�Yth)f�[�e����40L`M12tVB[)f��mn;n34f����Id�J�ppnRare trademarks o/Me,�respeRiveamps. Service Status (http://status.republicwireless.com/) 4.� 1 https:Hrepublicwireless.com/myaccount/invoices/invoice_details/2c92aO994c398582014c4... 3/25/2015 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 3/25/15 Reimb. Cell phone Marl $ 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 I Voucher No. Warrant No. 368259 Lewallen, Shauna Allowed 20 17317 Pine Wood Lane Westfield, IN 46074 In Sum of$ $ 25.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE 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 whic[ charge is made were ordered and received except April 2, 2015 Signature 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund