HomeMy WebLinkAbout253689 1/22/16 (9)
CITY OF CARMEL, INDIANA VENDOR: 367745
ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: $********25.00*
CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 253689
CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 012116 25.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
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367745 Kilpatrick, Michael Allowed 20
2335 West 236 St
Sheridan, IN 46069
In Sum of$
$ 25.00
I
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
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PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
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1091 Reimb 4344100 $ 25.00 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
January 14,2016
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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venzonv
Manage Your Account Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101
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Change your address at Invoice Number
vm.com/changeaddrest 3343980583
0077561 01 AV 0.388 **AUTO 781482046469-872535 -CO7-P77638-1 Quick Bill Summary Nov 21 —Dec 20
RENEE KILPATRICK Previous Balance(see back for details) $150.20
2335W 236TH ST
SHERIDAN,IN 46069-8725 Payment—Thank You —$150.00
Balance Forward $.20
Monthly Charges $127.97
Usage and Purchase Charges $2.85
Verizon Wireless'Surcharges
and Other Charges&Credits $10.30
Taxes,Governmental Surcharges&Fees $10.65
Total Current Charges $151.77
Verizon ews.,;,
Gifts For Everyone On Your List Total Charges Due by January 15,2016 $151.97
This year win at gifting.Find the best
holiday deals at go.vzw.com/holiday.
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Bill Date December 20,-2015
Account Number 48,1004485—'00001
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RENEE KILPATRICK Invoice umber 3343980583
2335 W 236TH ST
SHERIDAN,IN 46069-8725 Total Amount Due by,January 15 -2016, ..
Make check payable to Verizon Wireless.
Please return this remit slip with payment. $151.97
Scan To Pay Or Go,Paperless
Pay your bill online,or enroll in Paperiess,Billing P.O.BOX 25505
or Auto Pay.Simply scan the OR code with your LEHIGH VALLEY, PA 18002-5505
mobile device or Visit vzw.com/myverizon.
❑ Check here and fill out the back of this slip if your billing address
has changed or you are adding or changing your email address.
33439805830104810044850000100000015177000000151973
NnTIPP Rank ar.r.mint and roullno numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401.
Carmel a clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
1/2/2016 Verizon d! J' r' Y> cellular phone fees $ 25.00 Cell Phone Reimbursement
lAll receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $25.00 ✓
Employee Name(print) Michael Kilpatrick
EIl.. T
Address 2335 West 236th St. JAN 11 2016
Check
payable to: City, St,Zip Sheridian In. 46069 BY:
Signature: ZIWX Approved by:
Date: 1/6/2016 Date: /fib
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request