HomeMy WebLinkAbout252339 12/08/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 367745
ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: $•***"'187.35•
CARMEL, INDIANA 46032 C/o ESE CHECK NUMBER: 252339
CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 162.35 TRAVEL FEES & EXPENSE
1091 4344100 25.00 CELLULAR PHONE FEES
Carmel o Cip
Parks&Recreation Nov 2 205
Employee Expense Reimbursement Request BY: --
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description -Amount Purpose of Expense
10/15/2015 Verizon Wireless cell phone $ 25.00 cell p
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $25.00
Employee Name(print) Michael Kilpatrick
Address 2335 west 236th St.
Check
payable to: City, St, Zip Sheridian In. 46069
Signature: yPo�� zy � Approved by:
T
Date: 11/10/2015 Date: n/10/L5
Business Services Division,Revised 7-7-08
-451-E: Shared\Forms\Business Services\Employee Exp Reimb Request
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Manage Your Account Account Number Date Due
P.O.BOX 4002 : tla �: oltee e
ACWORTH,GA 30101
Change your address at Invoice Number 3303318460
vzw.com/changeaddress
0214131 01 AT 0.413 "AUTO T2 0 4520 46069-872535 -C07-P14365-1 Quick Bill S u m o�n ary Aug 21 —Sep 20
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RENEE KILPATRICK Previous Balance(see back for details) $101.07
2335 W 236TH ST Payment—Thank You —$101.07
SHERIDAN,IN 46069-8725
Balance Forward $.00
Monthly Charges $127.97
Usage and Purchase Charges $.85
Verizon Wireless'Surcharges
and Other Charges&Credits $9.46
Taxes,Governmental Surcharges&Fees $10.42
Total.Current Charges $148.70
Vernon Wireless..News'
One Plan. Pick A Size.Simple Total Charges Due by October 15,2015 $148.70
Whether your data needs are Small or
X-Large,our new plan has the size that's
right for you.Plus,you can switch it up at
anytime.Learn more at go.vzw.com/plan. -
NOV 12 206
BY:
You're eligible fora
I
PHONEUPGRADE.
j See back page for details.
Pay from Wireless I Pay on the Web Questions:
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----------------------------------------------------------------------
VN
verizonv Bill Date September 20,2015
Account Number 481004485-00001
In of Number 3303318460 Pic se Rccycke
RENEE KILPATRICK
2335 W 236TH STT al Amount Due by October 15, 2015
SHERIDAN,IN 46069-8725
Make check payable to Verizon Wireless. ��48°7�
Please return this remit slip with payment. v
$ 1-1 El El El El
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 LEHIGH VALLEY, PA 18002-5505
mobile device or visit vzw.com/myverizon. M
Check here and fill out the back of this slip if your billing address
��II'l��l'Ili"I�ll�ll'��l��lll'I�'ll�'I'lllllll1111111111�111111
has changed or you are adding or changing your email address.
33033184600104810044850000100000014870000000148703
NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. _^
y
Carmel e Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
10/25/2015 CiCi's Pizza 1091 4343000 Travel Fees& Expenses $ A 9.56 Conference Meal Expenses
10/26/2015 Golden Corral 1091 4343000 Travel Fees & Expenses $ 1 12.34 Conference Meal Expenses
10/26/2015 Cheesecake Factory 1091 4343000 Travel Fees &Expenses $ C' 27.90 Conference Meal Expenses
10/27/2015 Chili's 1091 4343000 Travel Fees& Expenses $ V 16.85 Conference Meal Expenses
10/28/2015 CiCi's Pizza 1091 4343000 Travel Fees &Expenses $ 9.56 Conference Meal Expenses
10/28/2015 Joe's Crab Shack 1091 4343000 Travel Fees&Expenses $ 34.38 Conference Meal Expenses
10/29/2015 Famous Famiglia ( . 1091 4343000 Travel Fees& Expenses $ 6.76 Conference Meal Expenses
10/29/2015 Indianapolis International Airport 1091 4343000 Travel Fees & Expenses $ 45.00 Conference Parking Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $162.35
Employee Name(print) Mike Kilpatrick
Address _i 3 3S o,,v _), 3 6 4� S�
Check
payable to: City, St, Zip 5h t4/' v/ G/ - L! 0�
Signature: Approved by:
,��e�
Date: Date: �t�3o/Za S
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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1012712015 9-'D'g 'T2.31 A Achieving Excellence in Maint...... 331 A
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1012812015 9:OOam W2.2D Technolojy and Maintenance........ 230 D
1012812015 10:OOam 1Y3.30B LED LigbUngg: The Antidote to.... 330 B
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MICHAEL KILPATRICK
366
Reg#:210
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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
11/10/15 Reimb Cell phone charges Oct'15 $ 25.00
11/12/15 Reimb Travel expenses Bldg Operating Management $ 162.35
Total $ 187.35
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
367745 Kilpatrick, Michael I Allowed
20
2335 West 236 St
Sheridan, IN 46069
In Sum of$
J
$ 187.35
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
f�
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Dept#
1091 Reimb 4344100 $ 25.00 1 hereby certify that the attached invoice(s), or
1091 Reimb 4343000 $ 162.35 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
f
November 23,.2015
PAM
Signature
$ 187.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund