HomeMy WebLinkAbout301531 08/04/16 %'��p''F� CITY OF CARMEL, INDIANA VENDOR: 368259
® „ ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $"""'""**20.19*
?a CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 301531
�'��iori�°' NOBLESVILLE IN 46062 CHECK DATE: 08/04/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100, 08022016 20.19 CELLULAR PHONE FEES
Voucher No. Warrant No.
368259 Lewallen, Shauna Allowed 20
15066 Redcliff Drive
Noblesville, IN 46062
In Sum of$
$ 20.19
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Deptept#
1091 Reimb 4344100 $ 20.19 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
July 28, 2016
Signature
$ 20.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
368259 Lewallen, Shauna Terms
15066 Redcliff Drive
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/27/16 Reimb Cell Phone Reimbursement Jul'16 $ 20.19
Total $ 20.19
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
With IC 5-11-10-1.6
, 20_
Clerk-Treasurer
Carmel e Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
7/25/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $20.19 Cell phone charges for4une—
&d
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $20.19
Employee Name (print) Shauna Lewallen
JUL 2 7 2016
Address 15066 Redcliff Drive
Check BY:
payable to: City, St, Zip Noblesville, IN 46062
�yti�Signature: C�(/(jZ�i�,Qjy� Approved by:
Date: 7/27/2016 Date: 7 �I to
Business Services Division,Revised 7-7-08
Print Orders & Payments I Republic Wireless Page I of I
All 25, 2016 3:00 MA Republic Refund Invoice Total
Invoice $-7.38 $20.19
Phone Service #INV08604902
(317) 427-5511 Republic Refund TM $-7.38
; i
o X OA!21;�t,,ils!GE)n.)
Half Gigabyte of Cellular Data $15.00
9900029:3972,5111
Republic Refund Base Plan $12.57
IN Universal Se ice Charge-State $0.04
E911(Wireless)-S'-ate $1.00
Telecom Relay SUrcharge-State
$0.03
Sales Tax-State $0.75
Fed USF C(--IILI!iar- Federal $0.677
Federal(Compliance Fee-Federai! $0.07
Sub Total $20.19
Grand Total $20.19
Billing Address: Credit Card:
Shauna Lewallen -*`***—*-6334
15066 Redcliff Dr,Noblesville IN 46062-7107 Visa
reDu b I i C-
I W I R E L E S S
repUblimireiess.com
help4republicwireless.com
Venture Center III
SURE'; Z500
900 Main CanipLls Drive
Raleiah, M-- �7C�0b'1
https://republicwireless.com/account/invoices/Print/?invoice=2c92aO9a5614143eO1562ll7c7f84de5 7/27/201(