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HomeMy WebLinkAbout249781 09/23/15 r CAA �'' "' CITY OF CARMEL, INDIANA VENDOR: 368259 v, 4' 1 ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: S""""'25.00" ?� CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 249781 " o, WESTFIELD IN 46074 CHECK DATE: 09/23/15 ��ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 25.00 CELLULAR PHONE FEES harks&Recreation Carmel (9 Clav Jf AUG 3 1 2015 BY: Employee Expense Reimbursement Request ________=_--- Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 8/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for August 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 15066 Redcliff Drive Check payable to: City, St, Zip Noblesville, IN 46062 Signature: Approved b o pp Y� Date: 8/31/2015 Date: Republic Wireless Page 1 of 1 Invoice INVO5437661 Billing Address August 25,2015 Account:Aoou8873 Shauna Lewallen 17317 PINE WOOD LN WESTFIELD, IN 46074-8940 Summary Description Total Monthly Total: $25.00 One-Time Total: $0.00 Taxes: $4.03 c� Invoice Total: $29.03 CD f Payment:(Includes am'available account credits) (S29.03) Balance Due: $0.00 Monthly Charges Charge Detail (317)427-5511-Moto X Wi-Fi+Cell+3G $25.00 Senice Plan Federal Compliance Fee-Federal(f.64%) $0.15 FCC Regulatory Fee(Wireless)-Federal $0.02 (1.50%) Fed USF Cellular-Federal(17,10%) $1.6o Sales Tax-State(6.00%) $1.61 State Universal Senfice Fund-State(o.68%) $o.t8 Egli(Wireless)-State(.9.00%) $0.19 E911(Wireless)-County(28.00%) $0.28 Monthly Subtotal: S25.00 Monthly Taxes: $4.03 ©2014,Republic Wireless,a division of Bandividth.com,Inc. Mruamla,Motrr.1',Mn(n(:and(hc.tifylized M1I lsyu am rcgistcrcd(mdcmark.q%M1latnm/a 7'mdcrnark llrrfdinys.I.I.I Yll.1:1:1'1 f(tl.lCis a rcyis(crcdlmdcrnark r J YJI,l:lil'!/Nl./C. CaseMu(c and I'oucr Supparf arc InidemarA.s of mao-res�ecnr aa,rr•r... htt s:Hre ublicwireless.con ni account/inv p p y oiceshm Dice_details/_c92a0ab4f592d54014f64cf1 f5a... 8/31/2015 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 8/25/15 Reimb Cell phone Aug'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 20_ Clerk-Treasurer Voucher No. Warrant No. 368259 Lewallen, Shauna Allowed 20 15066 Redcliff Drive Noblesville, IN 46062 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 which charge is made were ordered and received except September 17, 2015 Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund