Loading...
HomeMy WebLinkAbout253409 01/15/16 +p1_C�q�f �/ CITY OF CARMEL, INDIANA VENDOR: 368259 ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $********25.00* s9 �''r CARMEL, INDIANA 46032 17317 PINE WOOD LANE CHECK NUMBER: 253409 ''��iox'bb, WESTFIELD IN 46074 CHECK DATE: 01/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES PZE C E- V k�- Carmel a Clay JAN - 4 2016 Parks&Recreation Employee Expense Reimbursement Requs Date of '—Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 12/25/2015 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for December All receipts should be attached in the same order as listed above. $25.001 No sales tax will be reimbursed. TOTAL: T Employee Name(print) Shauna Lewallen Address 15066 Reddiff Drive Check payable to: City, St, Zip Noblesville, IN 46062 Signature. a UvgktaA-- Approved by: 4 Date: 12/31 Date: I I/I t Isoi(0 Business Services Division,Revised 7-7-08 Republic Wireless Page 1 of 1 Invoice INVo6584993 Billing Address December 25,2015 Shauna Lewallen Account:A0o118873 17317 PINE WOOD LN WESTFIELD,IN 46074-5940 Summary Description Total Monthly Total: $25.00 One-Time Total: $0.00 Taxes: $3.91 Invoice Total: $28.91 _....... ............... Payment:(Includes any available account credits) ($2$.92) .... _ Balance Due: $0.00 Monthly Charges Charge Detail (317)427-5511-Moto X Wi-Fi+CeIl+3G $25.00 Service Plan Egn(Wireless)-County(28.00%) $0.28 Egli(Wireless)-State(x9.00%) $0.19 State Universal Service Fund-State(o.76%) $0.12 Sales Tax-State(6.00%) $1.6o Fed USF Cellular-Federal(r6.7o%) $1.56 FCC Regulatory Fee(Wireless)-Federal $0.01 (x.42%) Federal Compliance Fee-Federal(1.64%) $0.15 Monthly Subtotal: $25.00 ....... Monthly Taxes: $3.91 ©2014,Republic Wireless,a division of Bandwidth.com,Inc. Afotaroia;MoloX,Moto G mtd the Stylized M Logu arc registered tmdemarks of Motorola Trademark!/oldinys,LIZ.SOL REPUBLIC is a myLstetbd trademark of SOL REPUBLIC.Grim,Ca Wato and Poorer Support ore trademarks of theirrespwive owners. https://republicwireless.com/myaccount/invoices/l*nvoice_details/2c92aOad5l ce$b560151 d863ba... 12/31/2015 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 12/31/15 Reimb Cell phone Dec'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#/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 I materials or services itemized thereon for which charge is made were ordered and received except January 6, 2016 'P i Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if p Title claim paid motor vehicle highway fund