HomeMy WebLinkAbout257222 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 355319
J ® 4��• ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $********50.00*
,_� CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 257222
M1roN moo, BROWNSBURG IN 46112 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 REIM 50.00 CELLULAR PHONE FEES
i
Voucher No. Warrant No. a
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 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
March 30, 2016
Signature
Is 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
i
1
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
3/12/16 Reimb Cell Phone Reimbursement Mar'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
verizon '
Invoice Number Account Number Date Due Page
_ 3380689393 480873963 00001' 04107/16 2 of 4 �[
Get Minutes Used Get Data Used Get Balance
1 1A1 :A1
Payments
Previous Balance $82.26
Payment—Thank You
Payment Received 03/07/16 —82.26
Total Payments —$82.26
Balance Forward $.00
Written Iiotatloris"ilicllided wltfi or no yauf payment velli not be reVfewed or honored Please sentl correspondence to
` Verizon Wireless Attn Correspontlence_Team P0,Box 5029 Wallingford,`CT 06492_ �_ _ ___�_�_,__Y____„,_, ____
Automatic Payment Enrollment for Account:480873963-00001 MICHAEL W KLITZING - - - - -
By signing below,you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account.The check you send will be used to
setup Automatic Payment.You will be noted each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these terms. This
agreement does not alter the terms of your existing Customer Agreement.I agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account.To
withdraw your authorization you must call Verizon Wireless.Check with your bank for any charges.
1.Check this box. 2.Sign name in box below,as shown on the bill and date. 3.Return this slip with your payment Do not send a voided check.
0090189-0343777-0000002 of0000004-C07-LT-3912-90279
verizonNI
Manage Your Account Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101
480873963-00001 04/07/16
Change your address at Invoice Number 3380689393
vzw.com/changeaddress
0090189 01 AV 0.388 '"AUTO T2 2 3912 46112-773450 -007-1`90279-1 Quick Bill Summary Feb 13-Mar 12
III11111111111111111IlIlllI11111I111111�IlIIll�II�IIII11111111111 .
MICHAEL W KLITZING Previous Balance(see back for details) $82.26
1550 REDSUNSET DR i Payment—Thank You —$82.26
BROWNSBURG,IN 46112-7734
Balance Forward $.00
Monthly Charges $73.99
Usage and Purchase Charges
Voice $.00
Messaging $.00
- - — Data - - $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $3.98
_ VerizohVir_eless Nevl s _ Taxes,Governmental Surcharges&Fees $4.29
Important Notice For Customers Total Current Charges $82.26
With A 31.7 Area Code
Start using an area code for all calls.See
last page of bill for more details. Total Charges Due by April 07, 2016 $82.26
Pay from phone Pay on the Web Questions:
.: om 1.800,922.0204 or*611 fropi yourphone
verizonv/ Bill Date March 12,2016
Account Number 480873963-00001
Invoice Number 3380689393
MICHAEL W KLITZING
1550 REDSUNSET DR Total Amount Due by April 07, 2016
BROWNSBURG,IN 46112-7734
Make check payable to Verizon Wireless.
Please return this remit slip with payment. $82■26
❑ ■ ❑❑
is P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
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Carmel o Clay
Parks&Reereation
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
x3/12%2016= Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department
nbuusinersws
r un
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name (print) ` rChael Khtzin �- —
g _ C.�-'::
Address1550 Redsunset Dr.
Check
payable t City, St, Zip Brownsburg, IN 46112 ;
Signature: Approved by:
Date: 3/29/2016 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request