HomeMy WebLinkAbout251633 11/18/15 w CITY OF CARMEL, INDIANA VENDOR: 368259
® 'il ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $""""*25.00`
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CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 251633
WESTFIELD IN 46074 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 25.00 CELLULAR PHONE FEES
Carmel e ClKU
c ` VED
NOV - 2 2015
Parks& ecreatio BY:
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
10/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for October
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: �l�/U� �. Approved by:
Date: 10/31/2015 Date: 1112-11 J
Republic Wireless Page 1 of 1
Invoice INVo6o04227 Billing Address
October 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: $3.96
Invoice Total: $28.96
Payment:(Includes any available account credits) ($28.96)
Balance Due: $0.00
Monthly Charges
Charge Detail
(317)427-5511-Moto X Wi-Fi+Cell+3G $25.00
Service Plan
Federal Compliance Fee-Federal(1.64%) $0.15
Fed USF Cellular-Federal(16.7o%) $1.56
FCC Regulatory Fee(Wireless)-Federal $0.01
(x.42%)
State Universal Senice Fund-State(o.68%) $0.17
Sales Tax-State(6.00%) $1.6o
Egli(Wireless)-County(28.00%) $0.28
Egli(Wireless)-State(19.00%) $0.19
Monthly Subtotal: $25.00
Monthly Taxes: $3.96
C 2014,Republic Wireless,a division of Bandwidth.com,Inc.
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https://republiewireless.com/myaccount/invoices/invoice_detai l s/2c92aOaa5078c2eb01509e0786... 10/31/2015
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
10/25/15 Reimb Cell phone Oct'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
November 3, 2015
y
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund