HomeMy WebLinkAbout255453 02/19/16 (' ""'"� CITY OF CARMEL, INDIANA VENDOR: 365288
ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********50.00*
�� CARMEL, INDIANA 46032 16930 KwcsBRIDGE BLVD CHECK NUMBER: 255453
'''�ruN�. WESTFIELD IN 46074 CHECK DATE: 02/19/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 021616 50.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
I
$ 50.00 i
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center l
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Dept#
1091 Reimb 4344100 $ 50.00 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
February 11, 2016
y
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund I
i
I
Carmel 0 Clay
Parks&Rec reation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
2/15/2016 AT&T 1091 4344100 Cellular Fees $ 50.00 January Cell Reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL $50.001
C P- ,
Employee Name(print) Kurtis Baumgartner FEB 1CO 7,
FE1 2016
Address 1600 Kingsbridge Blvd
Check
payable to: City, St,Zip Westfie
A IN 46074
Signature: Approved by:
Date: 2/9/2016 Date: f Z--O/
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
Caramel Clay
Parks&Reereatroh
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
2/15/2016 AT&T 1091 4344100 Cellular Fees $ 50.00 January Cell Reimbursement
All receipts should be attached in the same:order as listed above.
No sates tax will be reimbursed. TOTAL:
�1 HCl a.�.a i
Employee Name(print) Kurtis Baumgartner FEB 11 2015
Address 16930 Kingsbridge Blvd 1
BY:—
payable to: City, St, Zip estfieA IN 46074
— —
Signature: Approved by:
Date: 2/9/2016 Date: °/��tP
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Emp(oyee Exp Reimb Request