HomeMy WebLinkAbout259367 06/10/16 c,q
CITY OF CARMEL, INDIANA VENDOR: 022 60
® ONE CIVIC SQUARE BATTERIES PLUS BULBS CHECK AMOUNT: $*******"`9.95•
CARMEL, INDIANA 46032 Po Bok 382 CHECK NUMBER: 259367
MENTpNE IN 46539 CHECK DATE: 06/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 007703267 9.95 OTHER MAINT SUPPLIES
Carmel 0 Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
5/15/2016 AT&T 1091 4344100 Cellular Phone Fees $ 50.00 April Cell Reimbursement
fN
receipts should be attached in the same order as listed above.
o sales tax will be reimbursed. TOTAL: 5p0 z - �
Employee Name(print) Kurtis}Ba rnu gartner`���@�--;- -,
Address � �-
X693 Ai�ngsbridge,B.lvd
Check
payable to: City, St, Zip p 1N_ stfield;,LN�-4,6074�.—,,
Signature:2. �d� Approved by:
Date: 5/25%20=16Th Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Pk -,1--1
MAY 3 12016
BY:
Voucher No. Warrant No.
022560 Batteries Plus Bulbs Allowed 20
P.O. Box 382
Mentone, IN 46539
In Sum of$
$ 9.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 770326701 4238900 $ 9.95 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
ateria's_or services itemized thereon for
which charge is made were ordered and
received except
June 2, 2016
1P
Signature
$ 9.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
MAY 19 2016
BY:
RemltPa:'mentTo. a tteries Plus — &12%@32° -
y �, 67=
�.Batterles Plus�~B.ulbs
1701 E 116th St
En4bice-
armel IN 46032 Pf?one:3175758300 Date:_P' ay 1:8 201-6
Mentone;IN 46539 Fax: 58309 Station: 007-02
Sold to: CARMEL CLAY PARKS& Ship to: Monon Community Center
RECREATION
1411 E 116TH ST 1195 Central Park Dr.West
CARMEL IN 46032 Carmel IN 46032
317/848-7275
Customer#: FD3178487275 Ship date: Ship-via code: 001
Sales Rep: BAS Loci tion: 007 Terms: Net 30
Customer PO#: XX-3721
Item# _..__.,.. ..___ Description Price Unit Flag.__._.._ _ Ext Prd
5 SMC10008 3��R2032 LITHIUM 1.99 EACH 9.95
User: BEM Total Line Items: 1 Sale Subtotal: 9.95
Tax: 0.00
Total: 9.95
Te der:
Ac counts Receivable 9.95
Received ANDREW BURNETT
By:
Net�Cend�r;;r 9:95
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