HomeMy WebLinkAbout254104 02/05/16 u1�,qM CITY OF CARMEL, INDIANA VENDOR: 368259
.I ., ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $********25.00*
CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 254104
WESTFIELD IN 46074 CHECK DATE: 02/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 020116 25.00 CELLULAR PHONE FEES
I
VoucherNo. Warrant No.
368259 Lewallen, Shauna i Allowed 20
15066 Redcliff Drive
Noblesville, IN 46062
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or ; Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1091 Reimb 4344100 $ 25.00 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
i materials or services itemized thereon for
which charge is made were ordered and
received except
January 27, 2016
i
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Carmel CD clay FJAN27 2016
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
1/25/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for January
All receipts should be attached in the same ordLr as listed above.
No sales tax will be reimbursed. TOTAL: $25.00 VVV
Employee Name(print) Shauna Lewallen
Address 15066 Redcliff Drive
Check
payable to: City, St, Zip Noblesville, IN Q�IS�JI46'062n ,,,
Signature: g<IA�(f�/V�l.b� 1 �IV I Approved by:
Date: 1/26/2016 Date: l
Business Services Division,Revised 7-7-08
Republic Wireless Page 1 of 1
Invoice INVo68736o9 Billing Address
January 25,2o16 Shauna Lewallen
Account:Aool18873
15066 REDCLIFF DR
NOBLESVILLE,IN 46o62-7107
Summary
Description Total
Monthly Total: $25.00
One-Time Total:
$0.00
Taxes: $5.29
Invoice Total: $30,29
_ _._ ..... __ ... _... _.. .._.. .._........
Payment:(Includes any available account credits) ($30.29)
Balance Due: $0.00
Monthly Charges
Charge Detail
(317)427-5511-Moto X Wi-Fi+Cell+3G $25.00
Service Plan
E911(Wireless)-State(10o.00%) $1,00
Telecom Relay Surcharge-State(3.009a) $0.03
Statutory Gross Receipts-State(1.4096) $0.33
P.U.C.Fee-State(0.1596) $0.04
Sales Tax-State(7.00%) $1,88
__... . ... ..___...
Fed USF Cellular-Federal(18.20%) $1.70
FCC Regulatory Fee(Wireless)-Federal $0.01
(1.4296)
Federal Compliance Fee-Federal(1.54x6) $0.15
IN Universal Service Charge-State(0.6296) $0.10
Monthly Subtotal: $25,00
Monthly Taxes: 2
Q 2014,Republic Wireless,a division of Bandwidth.com,Inc.
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their respectiee onrners.
https://republiewireless.com/myaccount/invoices/invoice_details/2c92aO9a52693 34eO l 5278095f6... 1/26/2016