HomeMy WebLinkAbout259761 06/16/16 �! ,'�- CITY OF CARMEL, INDIANA VENDOR: 365288
.I ® "i;• ONE CIVIC SQUARE KURTIS BAUMGARTNER
CHECK AMOUNT: $********50.00*
:9 ,a CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 259761
y��TON�. WESTFIELD IN 46074 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 060316 50.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 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
June 8, 2016
IpAdi'tm��
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
uut tsr: jun 13;zuln tots i
KURTIS BAUMGARTNER
Account Number 243007377604 16930 KINGSBRIDGE BLVD
�}�} WESTFIELD,IN 46074-7800 -I
` ` Please include account number on your check.
Make checks payable to:
E] CHECK FOR AUTO PAY AT&T MOBILITY
(SEE REVERSE) PO BOX 6416
CAROL STREAM IL 60197-6416 .
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974002430073776040000000000985100000009851000
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
6/15/2016 AT&T 1091 y3LM00 Cellular Fees $ 50.00 May cell reimbursement
-T
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: :
Employee Name(print) �- ^KurfisyBaumgarfner
Check
Address C771-6930'Kings`b�dge 6_Lvd`
to: v
payable City, St, Zip 1Nestfield,IN 46074
Signature: 44 Approved by:
Date: Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
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JUIN - 6 2016