HomeMy WebLinkAbout250310 10/07/15I
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*F CITY OF CARMEL, INDIANA VENDOR: 367745
® 1 ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: $"'*"'"*25.00"
?� CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 250310
MzrnN'�°' CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 25.00 CELLULAR PHONE FEES
Carmel
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) /y` k L Ki 4eq lel c rl�
Address v2 J 3Y . Wt2,9 236 1-4 _5 7OCT — � 2��5
Check /�
payable to: City, St, Zip G /�� [i d�p� ��'----
Signature: Approved by:
Date: �✓ / Date: Old/`
Business Services Division,Revised 7-7-08
FILE`Shared\Forms\Business Services\Employee Exp Reimb Request
a Manage Your Account
Account Number�Date Due
P.O.BOX 4002
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ACWORTH,GA 30101
Change your address at T I Invoice Number 3289802482
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0213596 Ot AT 0 413 "AUTO T4 04420 46069-872535 -C07-P13629-1
Quick Dill Summary Jul 21 —Aug 20
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RENEE KILPATRICK Previous Balance(see back for details) $124.91
2335 W 236TH ST Payment—Thank You —$175.00
SHERIDAN,IN 46069-8725 Credit Balance —$50.09
Monthly Charges $127.97
Usage and Purchase Charges $3.10
Verizon Wireless'Surcharges
and Other Charges&Credits $9.51
Taxes,Governmental Surcharges&Fees $10.58
Total Current Charges $151.16
Verizon Wireless News"
Total Charges Due by September 15, 2015 $101.07
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Pay from Wireless Pay on the Web Questions:
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V. Bill Date August 20,2015 01%
VerlZonwireless Account Number 481004485-00001 M rd,
QInvoice Number 3289802482 P,,.,,.,z��:,,a
RENEE KILPATRICK .` Due b September 15, 215
2335 W 236TH ST Total Amount D y p
SHERIDAN,IN 46069-8725
Make check payable to Verizon Wireless. $101.07
Please return this remit slip with payment.
$ 0—El El E
Scan To Pay Or Go Paperless
Pay your bill online,or enroll in Paperless Billing P.O.BOX 25505
or Auto Pay.Simply scan the QR code with your -0 LEHIGH VALLEY, PA 18002-5505
mobile device or visit vzw.com/myverizon. o
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Check here and fill out the back of this slip if your billing address
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has changed or you are adding or changing your email address.
32898024820104810044850000100000015116000000101073
I NOTICE:Bank account and rousing numbers will be retained to enable future payments by phone or online.To opt out,call 1—fi6fi 544-0 . _
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.
367745 Kilpatrick, Michael Terms
2335 West 236 St
Sheridan, IN 46069
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/9/15 Reimb Cell phone charges Sep'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.
367745 Kilpatrick, Michael Allowed 20
2335 West 236 St
Sheridan, IN 46069
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
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
October 1, 2015
'PAN"VA"
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund