Loading...
HomeMy WebLinkAbout247376 07/1 5/1 5 �ui.BQgy CITY OF CARMEL, INDIANA VENDOR: 368259 ® `�. CHECK AMOUNT: $********25.00* ONE CIVIC SQUARE SHAUNA LEWALLEN :� _�; CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 247376 +.�j��'ON�� WESTFIELD IN 46074 CHECK DATE: 07/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 25.00 CELLULAR PHONE FEES Carmel 0Clay Parks&Recreati®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 6/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for June 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 C Prf Address 15066 Redcliff Drive JUL G 9 �.iis Check payable to: City, St, Zip Noblesville, IN 46062,n ,^ Signature: Approved by' Date: 7/7/2015 Date: —7/-7/j� Republic Wireless Page 1 of 1 Invoice 1W04865292 Billing Address June 25,2015 Shauna Lewallen Account:Aoo118873 17317 PINE WOOD LN WESTFIELD,IN 46074-8940 Summary Description Total 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 Monthly Charges Charge Detail .(317)427-5511-Moto X Wi-Fi+Cell+3G $25.00 Service Plan Egli(Wireless)-County(2o.00%) $0,20 Egli(Wireless)-State(ig.00%) $0,19 State Universal Service Fund-State(o.68%) $0.18 Sales Tax-State(6.00%) $1.61 Fed USF Cellular-Federal(17.40%) $1.62 FCC Regulatory Fee(Wireless)-Federal $0.02 (1.50%) Federal Compliance Fee-Federal(1.22%) $0.12 Monthly Subtotal: $25.00 Monthly Taxes: $3.94. ©2014,Republic Wireless,a division of Bandwidth.com,Inc. - Matorola,Moto X,MatoG and the Stylized M Lg...registered trademarks ofMatorola T demark lloldings,I.I.C.SOL RP.PUBLICis a registered trademark afSOI.RGPURLIG GrOin,C-Mate and Pourer Support are trademarks of their: owners. https://republicwireless.com/myaccount/invoices/invoice details/2c92aO984e2924d4Ol4e29bd16ec... 7/7/2015 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 15066 Redcliff Drive Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/7/15 Reimb Cell phone Jun'15 $ 25.00 Total Is 25.00 1 hereby certify that the attached invoice(s),or bili(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 i Allowed 20 15066 Redcliff Drive Noblesville, IN 46062 In Sum of$ $ 25.00 j ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center 1 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 }I l' i f, July 9, 2015 r 'P 4 ' Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I