HomeMy WebLinkAbout300805 07/21/16 CITY OF CARMEL, INDIANA VENDOR: 365288
.,; ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECKAMOUNT: $********50.00*
CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 300805
WESTFIELD IN 46074 CHECK DATE: 07/21/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 070716 50.00 CELLULAR. PHONE FEES
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 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
07 6-2 t(, 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
July 12, 2016
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
DUE.BY: Ju1 15, 2016 $202.19
Past Due Charges-$98.51-Please Pay Immediately KURTIS BAUMGARTNER
Account Number 243007377604 ES IELD, N 4607IDGE BLVD
r� a}p_} WESTFIELD,IN 46074-7800
`�C` Please include account number on.your check.
Make checks payable to:
CHECK FOR AUTO PAY AT&T MOBILITY
(SEE REVERSE) PO BOX 6416
CAROL STREAM IL 60197-6416
974002430073776040000000001036800000020219006
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
7/15/2016 AT&T 1091 434`4100 Cellular Fees $ 50.00 June Cell Reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(print) Kurtis Baumgartner
Address 16930 Kingsbridge Blvd
Check
payable to: City, St, Zip Westfield, IN 46074
Signature: .� Approved by:
Date: 7/8/2016 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb RequestCE�
3 F k
JUL 11 2016
BY: