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HomeMy WebLinkAbout252344 1 2/08/1 5 '%�c*p''F. CITY OF CARMEL, INDIANA VENDOR: 368259 �` W LLEN CHECK AMOUNT: $********25.00* �• ONE CIVIC SQUARE SHAUNA LE A :9 ,ra. CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 252344 .y,��N�. WESTFIELD IN 46074 CHECK DATE: 12/08/15 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 25.00 CELLULAR PHONE FEES Carmel e Clay F �°��'�T Parks&Recreation °�� , �o'� Employee Expense Reimbursement Request BY: Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 11/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 ell phone charges for Novembei All receipts should be attached in the same'erder 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: LQ�/�i Approved by: Date: 12/1/2015 Date: 1 z�7)1 Republic Wireless Page 1 of 1 Invoice INVo6292376 Billing Address November 25,2015 Shauna Lewallen Account:Aoo118873 17817 PINE WOOD LN WESTFIELD,IN 46o74-8940 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 Egli(Wireless)-County(28.00%) $0.28 Egli(Wireless)-State(ig.00%) $0.19 State Universal Service Fund-State(o.6891.) $0.17 Sales Tax-State(6.00%) $1.6o Fed USF Cellular-Federal(16.7o%) $1.56 _. .. ..... ._ ........ .. ...... .......... - .......... FCC Regulatory Fee(Wireless)-Federal $0.01 (1.42%) Federal Compliance Fee-Federal(1.64%) $0.15 Monthly Subtotal: $25.00 Monthly Taxes: $3.96 ©2014,Republic Wireless,a division of Bandwidth.com,Inc. Motorola,MoloX,Mato G and the Stylized M Logo arc registered trademarks ofMotomla Tmdeinark Iloldiugs,LLC.Sol.REPUBLIC is a registered trademark ajSOL REPUBLIC.Gruen,CaseMute and Powar Support arc trademarks of their respeetim owners. https://republicwireless.com/myaccount/invoices/invoice details/2c92aO9a5 l 3 8288aO 1 5 1 3 de6l b9... 12/1/2015 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 p'er 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 11/25/15 Reimb Cell phone Nov'15 $ 25.00 Total $ 25.00 I hereby certify that the attached invoice(s),or bili(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 368259 Lewallen, Shauna Allowed 20 15066 Redcliff Drive Noblesville, IN 46062 In Sum of$ i $ 25.00 I i ON ACCOUNT OF APPROPRIATION FOR 1 i 109 -Monon Center i PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# 1091 Reimb 4344100 $ 25.00 I 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 - I l i I i December 4,2015 'r 1 Signature $ 25.00 �. Accounts Payable Coordinator_ Cost distribution ledger classification if i Title claim paid motor vehicle highway fund I