HomeMy WebLinkAbout245899 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 368259
® ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $********25.00*
CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 245899
WESTFIELD IN 46074 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 25.00 CELLULAR PHONE FEES
Carmel 0 CI
y MAY 19 2015
Parks&Recreation
Employee Expense Reimbursement Request = —,
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
4/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 V Cell phone charges for April
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $25.001V
Employee Name(print) Shauna Lewallen
Address 15066 Redcliff Drive
Check
payable to: City, St, Zip Noblesville, IN 46062
Signature: /�Q��✓( �Q�(�(nj(,�,�JQjj/1 Approved by-
Date: 5/11/2015 Date: S DC7
Republic Wireless Page 1 of 1
Help(https://help.republicwireless.com) Community(https://community.republicwireless.com)
Blog(https://community.republicwireless.com/blogs/republic) Shop(/phones/) R My Account(/myaccount/)
Invoice INVO4305244 Billing Address
April 25,2015 Shauna Lewallen
Account:A00118873 17317 PINE WOOD LN
WESTFIELD,IN 46074-8940
Summary
Description Total i
Monthly Total:
$25.00
....... „ _. .. ....._...- _.._...
._.
One-Time Total: $0.00
- ...... .. _........-_
Taxes: $3.94,
Invoice Total: $28,94.
Payment:(Includes any available account credits) ($28.94)
Balance Due: $0.00
Charge Detail
(317)427-5511-Moto X Wi-Fi+Cell+3G Service Plan $25.001
E911(Wireless)-County(zo.00%) $0.20
E911(Wireless)-State(r9.00%) $0,19
...........
State Universal Service Fund-State(o.ea%) $0,18
Sales Tax-State(soo%) $1,61
Fed USF Cellular-Federal(fzao%) $1,62
6_
FCC Regulatory Fee(Wireless)-Federal(1.50%) $0.02
-. ........... .............. ...... ... .. .... .. ....... .-.............,I
Federal Compliance Fee-Federal(1.22%) 50,12
Monthly Subtotal: $25.00
Monthly Taxes: $3.94
MEET REPUBLIC PHONES(/PHONES) RESOURCES SUPPORT FOLLOW US
Is Republic Right For Me? Moto X(1st Gen.) (HTTPS://REPUBLICWIRREEW.E OtE20B110QIMUR5sC
(/is-republic-right-for- (/phones/moto-x-1st- Blog Community
me/) gen/) (http://pwk.republicwireless(bttpi)//republicwireless.com/community)
Get Started(/get-started/) Moto X(2nd Gen.) Legal(/legal/) FAQs(/fags/)
Service Status (/phones/moto-x-2nd- Republic Labs(/labs/) Help(/help)
(httpJ/status.republicwirelegpxam/) Affiliate Program My Account(/myaccount)
Press(/press/) Moto G(1st Gen.) (/affiliates/)
Media Reviews (/phones/moto-g-1st- Join Our Team(/careers/)
d(Tdf�,rp�AV l(c Wirelesstg,$n@viisiioc♦nrof Bandwidth.com,Inc.
{farmol4 Narox4loroGamlNesry4iMN[d}bY12Yr.}ri4MOrlE�eltro/aror�naeemartMW6ig;uf.so[a[vUetrctrart6inereNne rto/So[R[vUB[[C.Gn'lfiR CareaNrr nOPoi.r-SuppMare vat aro o[Mei�mpetrMeomen.
((phones/moto-e-1 st-
gen/)
DEFY Activation
(https://republicwireless.com/activate)
https://republiewireless.com/myaccount/invoices/invoice details/2c92aO944ce4afc9014cef... 5/11/2015
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.
I
Payee
Purchase Order No.
368259 Lewallen, Shauna Terms
15066 Redcliff Drive
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/25/15 Reimb Cell phone Apr'15 $ 25.00
Total $ 25.00
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.
368259 Lewallen, Shauna Allowed -20
15066 Redcliff Drive
Noblesville, IN 46062 ,
In Sum of$
.5'
$ .25.00 i.
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Po#or Board Members
Dept o INVOICE NO. CCT#/TITL AMOUNT_
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
{: May 28,2015
Signature
$. 25.00 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund