HomeMy WebLinkAbout257547 04/13/16 a"r.t�xM
��/ k� CITY OF CARMEL, INDIANA VENDOR: 365288
ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********50.00*
;>.. ���; CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 257547
9.J���TON�� WESTFIELD IN 46074 CHECK DATE: 04/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 041216 50.00 CELLULAR PHONE FEES
t
Voucher No. Warrant No. j
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1091 Reimb 4344100 $ 50.00 1 hereby certify that the attached invoice(s), or
blill(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
April 6, 2016
Signature
is 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
I
I
I
Carmel * Clay
Parks&Recreatidh
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
4/15/2016 AT&T 1091 4344100 Cellular Fees $ 50.00 March cell reimbursement
All
All sales
should be attached in the same order as listed above.
c
No
No ss tax will be reimbursed. TOTAL: $50.001
Employee Name,(print) Kurtis Baumgartner
Address 16930 Kingsbridge Blvd
Check
payable to: City, St, Zip Westfield, IN 46074
Signature: Approved by:
Date: 4/4/2016 Date:
RECEMED
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request APR - 6 2016
BY: I