HomeMy WebLinkAbout258291 05/06/16 ,1+ut C�q�f
J/ CITY OF CARMEL, INDIANA VENDOR: 355319
ONE CIVIC SQUARE MICHAEL KLITZING
CHECK AMOUNT: $********50.00*
f� ,?� CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 258291
9.y;�TON.,E°. BROWNSBURG IN 46112 CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 042516 50.00 CELLULAR PHONE FEES
'
1421 8 RANGE LINE RD, CARMEL, IN ''' VOUCHER~~� VOUCHER-- ' (317) 841-2? '5 CITY[)FCARMEL
REG#83 TRN#2180 CSHH#139377l SlR#8671 istoh»w; kind ofservice, where
p6no/nne¢ doteaoarvioe
21,
rendered, by
Helped 6y: HALEY
ExtrmCmre Card #' ********3361
APEX ONLINE 5X7 5X7 Purchase Order No.
1 @ 9.16 9 16T -----------
� . TerrDS
APEX ON LINE 00U 8X1O
1 @ 16.96 16.96T Date Due
KDK APEX ONLINE V6
6 @ 1.74 1.71T
14 ITEMS
uumorAL 26.86
IN 7.0x TAX 1.08 Description
TOTAL 28.74 note attache inVOice(s) or bill(s))
DEBIT 28.74
PO# Amount
************4817 MS Reimbursement
CHANGE .00 150.00
— 0NNfU{�|| !U|0UN0|UQ�N8K�X�UNX|U 0N
2508 6716 1212 1800 Ju
xem�|
� W RECEIPT TKRU 07,102/2016
018
» l :38 PM
THANKYOOPEN -24 HOURS 7 UArS M NEEil
ExfrmCere Card balances as of 03/21 / Total 50.00
Year to Date Sw,/ny� �0�G7 and have audited same mac�m�noa ---------
2% of ygu?_Spr1nq 2016 Spend
'-'
' _~-__
i
I
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
$ .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
j 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
April 28, 2016
Signature
Is 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
armeay
Parks&Recreation
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
4/12/2016 Verizon Wireless 101 1125-1-00-434.4100_ Cellular Phone Fees .$50.00 personal phone for Department
business
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(print), Michael KlitZing
Address 1550 Redsunset Dr..
Check
payable to: City, St, Zip Brownsb
Signature: Approved by:
Date: 4%25/2016 Date:.
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
venzon-1
Manage Your Account Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101 www.vzw.com 480873963-00001 05/07/1'
Change your address at Invoice Number 3394249368
- vzw.com/changeaddress
0085731 01 AV 0.373 "AUTO T3 3 4012 46112-773450 -C07-P65616-I Quick Bill Summary Mar 13—Apr 12
lllllllillllllillllllllililllllllllllllllllflllliillilllliliiiili
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
Verizon Wireless News Taxes,Governmental Surcharges&Fees $4.29
Save Time Go Online Total Current Charges $82.26
If you have questions about your bill,or
need help with your devices,you can find
answers using go.vzw.com/Support.You Total Charges Due by May 07, 2016 $82.26
can also easily access Support through
the My Verizon Mobile app.Try it today.
Pay from phone Pay on the web Questions:
.. 1 :oo ' o o4/r*611 from yourphone
■
venzon / Bill Date April 12,2016
Account Number 480873963-0000.1
Invoice Number 3394249368
MICHAEL W KLITZING
1550 REDSUNSET DR Total Amount Due by May 07, 2016
BROWNSBURG,IN 46112-7734
Make check payable to Verizon Wireless.
Please return this remit slip with payment. $82■26
El EF-1 r—]
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
Illnlllllllllllllllllnllnllllllllllilnlllulliulllllnllnli
3394.2493680104808739630000100000008226000000082268
hlrtTICL•P—L,--int end midinn ni—h—will ho rof�inorl to on.hlo fid—--ntc by nhnno nr nnlino Tn not-it roll 1—ARV—CAA—nAM
verizonil � -
Invoice Number Account Number Date Due Page
3394249368 480$73963=0000y`'05/0711�f�
Get Minutes Used Get Data Used Get Balance
1 1+ + 1 :+ 1
Payments
Previous Balance $82.26
C Payment—Thank You
Payment Received 04/07/16 —82.26
Total Payments —$82.26
Balance Forward $.00
tt Written no#a[ons includedrlth or.on your paymerif will not be reviewed or'honored Please send carrespohdence to
...Verizon Wireless Attn Correspondence„Team POwBox_5029 Walljngfiord,,nCT 06492
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-notified 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 after 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.
■ ❑ ■
0085731-0328120-0000002 of 0000004-C07-LTA012-85816