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Home My WebLink About256217 03/15/16 ^/ \ CITY OF CARMEL, INDIANA VENDOR: 369473 J,® t, ONE CIVIC SQUARE MICHAEL ALLEN CHECK AMOUNT: $*******144.82* s CARMEL, INDIANA 46032 5744 E FALL CREEK PKWY CHECK NUMBER: 256217 9�..__.��_� INDIANAPOLIS IN 46226 CHECK DATE: 03/15/16 �roN�°' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 031416 44.82 TRAVEL FEES & EXPENSE 1125 4344100 031416 100.00 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. 369473 Allen, Michael Terms 5744 E Fall Creek Pkwy N Dr Indianapolis, IN 46226 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 3/7/16 Reimb Cell Phone Reimbursement Jan,Feb'16 $ 100.00 3/7/16 Reimb Mileage 3/2- 3/3/16 $ 44.82 Total $ 144.82 1 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. 369473 Allen, Michael Allowed 20 5744 E Fall Creek Pkwy N Dr Indianapolis, IN 46226 t In Sum of$ $ 144.82 I ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# I 1125 Reimb 4344100 $ 100.00 1 hereby certify that the attached invoice(s), or 1125 Reimb 4343000 $ 44.82 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 i March 10, 2016 1 Signature $ 144.82 Accounts Payable Coordinator Cost distribution ledger classification if I Title claim paid motor vehicle highway fund Carmel - Clay Parks&Recreation Employee Expense Reimbursement ,Request, Date ofFund Account Account Receipt Vendor listed on receipt. # Line# Budget Description Amount Purpose,of Expense Cell phone charges January 1/16/2016 Verizon 1125-1-13 4344100 Cellular Phone Fees $ 50.00V 2016 Cell phone charges 2/16/2016 . Verizon 1125-1-13 4344100 Cellular Phone Fees $ 50.00L February 2016 All receipts should be attached in the same order as listed above. 1 / No sales tax will be reimbursed. TOTAL: $100.00 V Employee-Name(print) Michael Allen v El Address RE � Check payable to: City, St, Zip MAR 1 0 2016 Signature: .�2z-/`' �" Approved by: ': - Date: 3 l l Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee'Exp Reimb Request verizon✓ - Manage Your Account Account Number Date Due P.O.BOX 4002 ACWORTH,GA 30101 ' Change your address at Invoice Number 7306556260 vzw.com/changeaddress Quick Bill Summary Dec 17—Jan 16 - KEYLINE III�ILILII �I�IIIIIILLILII MICHAEL ALLEN Previous Balance (see back for details) $91.01 15122 PORCHESTER DR Payment—Thank You -$91.01 NOBLESVILLE,IN 46062-8205 Balance Forward $.00 Monthly Charges $82.50 Verizon Wireless'Surcharges and Other Charges&Credits $3.77 Taxes,Governmental Surcharges.&Fees $4.85 Total Current Charges $91.12 Verizon.wireless News Total Charges Due by February 11,2016 $91.12 See Where You Use Data The Most .We know it's important to have tools to help monitor your usage.That's why we've created the new Data Utilization tool in My Verizon.Now you can easily view your data usage by category.Visit vzw.com/datautilization. . Pay from phone.. Pay on the Web .. Questions: #PMT(#768) My Verizon at www.vzw.com 1.800.922.0204 or*611 from your phone ■ Verizon✓ Bill Date an 1A;2Q,, . Account Number 24,8�740 80000 Invoice Number 7306556260 MICHAEL ALLEN 15122 PORCHESTER DR Total:AmountDue NOBLESVILLE,IN 46062-8205 will be submitted to credit card on 02/05/16 DO NOT MAIL PAYMENT $91.12 PO BOX 660108 DALLAS, TX 75266-0108 IIIIIIIIIIRid 111II[11II11II1111Rill IIII[IIIII1I.I.I 73065562600107248740580000100000009112000000091128 verizonv/ Manage Your Account. Account Number Date Due P.O.BOX 4002 ACWORTH,GA 30101 www.vzw.com724874058-00001 0 ' Change your address at Invoice Number 7320198926 vzw.com/changeaddress Quick Bill Summary Jan 17—Feb 16 KEYLINE I�I �I�II��II ��II � I�II��I�� I�III ��I�I�I �II MICHAEL ALLEN Previous Balance (see back for details) $91.12 15122 PORCHESTER DR Payment—Thank You —$91.12 NOBLESVILLE,IN 46062-8205 Balance Forward $.00 Monthly Charges. $82.50 Verizon Wireless'Surcharges and Other Charges&Credits $3.77 Taxes,Governmental Surcharges&Fees $4.85. Total Current Charges $91.12 Verizon Wireless News Total Charges Due by March 11,2016 $91.12 Important Notice For Customers With A 317 Area Code Start using an area code for all calls.See last page of bill for more details. Pay from phone. Pay on the Web Questions: #PMT(#768) My Verizon at www.vzw.com 1.800.922.0204 or*611 from your phone verizon✓ Bill Date Februa 16, 01E-- Account Number 7248740587-00001 Invoice Number 7320198926 MICHAEL ALLEN 15122.PORCHESTER DR Total Amount Due NOBLESVILLE,IN 46062-8205 will be submitted to credit card on 03/05/16 DO NOT MAIL PAYMENT $91.12 - PO 9 1.12 -PO BOX 660108 DALLAS, TX 75266-0108 111111 1111 1111 11H111111111didl111111 73201989260107248740580000100000009112000000091128 •PRESCRIBED BY STATE BOARD OF ACCOUNTS' .. GENERAL FORM NO.101(1986) MILEAGE CLAM ` 9 (GOVFANMENTALMNIT) b (gh� ON ACCOUNT OF APPROPRIATION NO. FOR "( (OFFICE,BOARD,DEPARTbM.FT OR-1NSnmUr10N) TE FROM' TO SPEEDOMETER AUTO MILE GE DATE rr�n NATURE OF BUSINESS S READWG POINT POINT START FINISH PER MILE —Q ct�n eta i5 e o w C4;35; l�ou� lNtzrrddwt CL Z iM P( Gl,r kAC M-i Jdl-_SI 6-g �Zo r r. sjw G S (oS <J o lG� 6a (G r o6_44 SG AUTO LICENSE NO. TOTALS + SPEEDOMETER READING columns-are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the.provisions and'penalties of Chapter-155,Acts'1953;.Ihereby certify that the foregoing account is•just and correct,that the amount claimed is legally due,after•alIowing all,just credits, and-tIia o- argot the same has been paid. Date � 1" L+--6 Oce FtE C VE D MAR 10 2016