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256417 03/15/16
+ui.C�F'y vY CITY OF CARMEL, INDIANA VENDOR: 368259 ;;R R R R R R ; `• ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $ 25.00 �� CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 256417 <�;iTON/` NOBLESVILLE IN 46062 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 031416 25.00 CELLULAR PHONE FEES i Voucher No. Warrant No. 368259 Lewallen, Shauna ! Allowed 20 15066 Redcliff Drive Noblesville, IN 46062 I' In Sum of$ 1i $ 25.00 I i ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE 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 materials or services itemized thereon for which charge is made were ordered and received except March 10, 2016 Signature $ 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I . 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 2/25/16 Reimb Cell Phone Reimbursement Feb'16 $ 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 J with IC 5-11-10-1.6 , 20 Clerk-Treasurer MAR Q � 2816 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 2/25/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $25 Cell phone charges for February All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Shauna Lewallen V Address 15066_Redcliff Drive Check payable to: City, St, Zip Noblesville, IN 46062 Signature: OV MAAA 1,Q,AA,Wac Approved by: Date: 2/29/2016 Date: 3 Business Services Division,Revised 7-7-08 Republic Wireless Page 1 of 1 _ ..........__...._._. .. Hi there.We wanted to let you know that we have a new account portal in the works!It has a limited feature Check it out(/acc?ount/pho set right now,but we would love if you took a sneak peak.You can change basic account settings,view orders and invoices,and cancel service. i Invoice INVO716437o7BY: }l� Billing Address February 25,2o16 Y Shauna Lewallen Account:Aooi18873 2016 15o66 REDCLIFF DR NOBLESVILLE,IN 46062-7107 Summary Description Total Monthly Total: $25-001 One-Time Total: $0.001 Taxes: $5,29 Invoice Total: $30.29 }Payment:(Includes any available account credits) ($30.29) Balance Due: $0.00 Monthly Charges Charge Detail '(317)427-5511-Moto X Wi-Fi+Cell+3G $25.00 Service Plan Sales Tax-State(7.005%) $1,88 Fed USF Cellular-Federal(18.20%) $1,70 FCC Regulatory Fee(Wireless)-Federal $0.01: (1.42%) - ....._._ _ ..._....... .. Federal Compliance Fee-Federal(i.6401b) $0.15 IN Universal Service Charge-State(o.62%) $0.10 E911(Wireless)-State(ioo.00%) $1.00': Telecom Relay Surcharge-State(3.00%) $0,03 _. Statutory Gross Receipts-State(1.40010 $0,38 P.U.C.Fee-State(0.1590 $0.04 Monthly Subtotal: $25.00 Monthly Taxes: $5.29 ©2014,Republic Wireless,a division of Bandwidth.com,Inc. Motorola,MotoX,Moto C andtheStylimdM Lago am mgistered nvdemarks of Motorola7}adamark Holdings,UG.SOI.REPUUUGisa rtgimm dtmdrmarkofSOL REPUBLM Gruen,C—Mateand{bu Support are amdem H of their rospertiar owners. https://republiewireless.com/myaccount/invoices/invoice_details/2c92aOac5317022a015317b00f0... 2/29/2016