HomeMy WebLinkAbout253690 1/22/16 y��.5.lF,pe
�/ .. CITY OF CARMEL, INDIANA VENDOR: 355319
ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $********50.00'
?�; CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 253690
,,H;`,_� BROWNSBURG IN 46112 CHECK DATE: 01/22/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 012116 50.00 CELLULAR PHONE FEES
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.
355319 Klitzing, Michael Terms
1550 Redsunset Dr Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/12/15 Reimb Cell phone Jan'16 $ 50.00
Total $ 50.00
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
Carmel Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund .Account Account
Receipt Vendor listed on receipt # : Line# Budget Description . Amount Purpose of Expense
Reimbursement for use of
12/12/2015 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department
business
All,receipts should be attached in the same order as listed above.
No sales tax.will be reimbursed. TOTAL:'. $50.00 F ; -�
Employee Name(print) Michael Klitzing V SAN 1 2016
Address 1550 Redsunset Dr. LY° �.
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: 1/7/2016 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
% erizow/
Manage.Your Account Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101, www.vzw.GQM 4808 963-00001
Change your address at Invoice Number 3340033479
vzw.com/changeaddress
0117196 01 AV 0.388 "AUTO T31 481246112-773450 -C07-P17323-11 Quick Bill Summary Nov 13--Dec 12
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MICHAEL W KLITZING Previous Balance(seeback for details) $108.86_
1550 REDSUNSET DR Payment-Thank You -$108.86
BROWNSBURG,IN 46112-7734
Balance Forward $,00
Monthly Charges $73.99
Usage and Purchase Charges
Voice $.00
Messaging $.00
- - -- - ---�- �- Data - $.00
Equipment Charges $27.08
Verizon Wireless'Surcharges
11erIZ0I1196Ii1eless News and Other Charges&Credits $3.84
Gifts For Everyone On Your List Taxes,Governmental Surcharges&Fees $4.28
This year win at gifting.Find the best Total Current Charges $109.19
holiday deals at go.vzw.com/holiday.
Total Charges Due by January 07, 2016 $109.19
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Pay from phone Pay on the Web Questions:
#PMT(4768) My Verizon at WwVVxzw,com 1.800,922.0204 or*611 from your phone
VN
verizonv/ Bill Date December 12,2015 ®�
Account Number 480873963-00001
Invoice Number 3340033479 Please Recycle
MICHAEL W KLITZING
As part of Verizon's Go Green Initiatives,you
1550 REDSUNSET DR
1550 RE BURG,IN 46112-7734 remit envelope will be omitted next month.your n
BROPlease see Need-to-Know message for further into.
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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. o_ f
F] Check here and fill out the back of this slip if your billing address I�IIrIIIIrIIIII�I�IIIrrIIIIIII�IIIl1����ll��rllrl���ll�lll�rrl�ll
has changed or you are adding or changing your email address.
33400334790104808739630000100000010919000000109198
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