HomeMy WebLinkAbout247748 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 365288
ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $"""*'50.00'
CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 247748
WESTFIELD IN 46074 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB CELL 50.00 CELLULAR PHONE FEES
DUE BY: Jul 19, 2015 $97.29
_ KURTIS BAUMGARTNER
Account Number 243007377604 16930 KINGSBRIDGE BLVD
}�} WESTFIELD,IN 46074-7800
l ` Please include account number on your check.
Make checks payable to:
CHECK FOR AUTO PAY AT&T MOBILITY
(SEE REVERSE) PO BOX 6416
CAROL STREAM IL 60197-6416
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9740024300737760400000000DD9729000000D9729008
1679.7.327.66722 1 AV 0.391 6n AutoPay Enrollment
If I enroll in AutoPay,I authorize AT&T to pay my bill monthly
II��I��i�l��ll�l�ll�l�ll����llllllll'llllll'I�I'�I���I�I�'ll"��I by electronically deducting money from my bank account.I can
cancel authorization by notifying AT&T at www.att.com or by
KURTIS BAUMGARTNER calling the customer care number listed on my bill.Your
16930 KINGSBRIDGE BLVD enrollment could take 1-2 billing cycles for AutoPay to take
WESTFIELD IN 46074-7800 effect. Continue to submit payment until page one of your invoice
reflects either AutoPay will Debit Your Bank Account by or
AutoPay will Debit Your Credit Card by.
Bank Account Holder Signature:
Date:
Carmel
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
7/19/2015 AT&T 1091 4344100 Cellular Fees $ 50.00 June Cell Reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(print) Kurtis Baumgartner
Check Address 16930 Kingsbridge Blvd
payable to: City, St, Zip Westfield, IN 46074
Signature: Approved by:
Date: 7/11/2015 Date: llldlla
Business Services Division, Revised 7-7-08 FJ
`�(`��-,FILE: Shared\Forms\Business Services\Employee Exp Reimb RequestUL 1 3 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.
Terms
365288 Baumgartner, Kurtis
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s)or bill(s))
$ 50.00
7111115 Reimb Cell phone reimbursement Jun'15
Total $ 50.00
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
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1091 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
July 23, 2015
A""VYUA)
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund