HomeMy WebLinkAbout253583 01/22/16 `% a����- CITY OF CARMEL, INDIANA VENDOR: 365288
`t` '`1 CHECKAMOUNT: $********50.00*
.y ® '�• ONE CIVIC SQUARE KURTIS BAUMGARTNER
*;. CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 253583
"��I`roi+EO' WESTFIELD IN 46074 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 012016 50.00 CELLULAR PHONE FEES
Carmel * Clay
Parks&Recreation
Employee Expense Reimbursement Requ st
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpos of Expense
1/15/2016 AT&T 1091 4344100 Cellular fees I$ 50.00 December cell reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name (print) Kurtis Baumgartner
R: CE;
Check Address 16930 Kingsbridge Blvd. JAN 1 2016
JAN 1 20
payable to: City, St,Zip Westfield, IN 46074
Signature: Approved by.
Date: 1/6/2016 Date: 1, It
Business Services Division,Revised 7-7-08
FILE: SharedXForms\Business Services\Employ6e Exp Reirrib Request
Carmel d Clay
Darks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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1/15/2016 AT&T 1091 434400 Cellular fees $ 50.00 December cell reimbursement
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. 7 TOTAL: $50.00
Employee Name(print) Kurtis Baumgartner
I I ^
Address 16930 Kingsbridge Blvd. I I �"��' 2016
Check
payable to: City, St, Zip Westfield, IN 46074
Signature: Approved by:
I
Date: 1/6/2016 j Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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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.
365288 Baumgartner, Kurtis Terms
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/6/16 Reimb Cell phone Dec'15 $ 50.00
Total $ 60.00
I 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.
__________ `
'
366288 Baumgartner, Kurtis / Allowed 20____
16930 Kingsbridge@kd
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Westfield, IN 46074
"^."uo/v/
ONACCOUNT OFAPPROPRIATION FOR '
109 -K0onon Center
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
Dept#
1091 Reimb 4344100 $ 50.00 | hereby certify that the attached invuica(a). nr
bi||(s)io(oe)true and correct and that the
materials orservices itemized thereon for
which charge iomade were ordered and
).
received except
January 14,2016
Signature
$ 60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
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claim paid motor vehicle highway fund ,
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