HomeMy WebLinkAbout302380 08/25/16 / 1y/ur C,pM`e
CITY OF CARMEL, INDIANA VENDOR: 355319
.; � I• ONE CIVIC SQUARE MICHAEL KLITZING
CHECK AMOUNT: $*******150.00*
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 302380
BROWNSBURGIN 46112 CHECK DATE: 08/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 081716 150.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 Reimb 4344100 $ 150.00 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
August 17, 2016
Signature
Is 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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.
355319 Klitzing, Michael Terms
1550 Redsunset Dr Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/17/16 Reimb Cell Phone Reimbursement Jun,Jul,Aug'16 $ 150.00
Total $ 150.00
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 • Clay
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
6/12/2016 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department
business
Reimbursement for use of
7/12/2016 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department
business
Reimbursement for use of
8/12/2016 Verizon Wireless 101 1125-1-00-4344100 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: $150.00
Employee Name(print) Michael Klitzing
Address 1550 Redsunset Dr.
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: 8/17/2016 Date:
Business Services Division,Revised .7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
verizon✓
Manage Your Account Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101 www.vzw.com480873963-00001 PastDue
Change your address at Invoice Number 3421244146
vzw.com/changeaddress
Quick Bill Summary May 13-Jun 12
KEYLINE
MICHAEL W KLITZING Previous.Balance(see back for details) $82.26
1550 REDSUNSET DR No Payment Received $.00
BROWNSBURG,IN 46112-7734 Balance Forward Due Immediately $82.26
Account Charges and Credits
Includes Late Fee of$5.00 $5.00
Monthly Charges $73.99
Usage and Purchase Charges'
voice $.00
Messaging $.00
Data $.00
Verizon Wireless News Surcharges
Save Time Go Online and Other Charges&Credits $3.98
If you have questions about your bill,or Taxes,Governmental Surcharges&Fees $4.29
need help with your devices,you can find Total Current Charges Due by July 07,2016 $87.26
answers using go.vzw.com/Support.You
can also easily access Support through
the My Verizon Mobile app.Try it today.
Total Amount Due $169.52
Our records indicate your account is past due. Please send payment now to avoid service disruption. .
Pay from phone Pay on the Web Questions:
#PMT(#768) My Verizon at www.vzw.com 1.800.922,0204 or*611 from your phone
------------------------------------------------------------------------------------------------------------------------------------------
verizon✓ Bill Date June 12,2016
Account Number 480873963-00001
Invoice Number 3421244146
MICHAEL W IO_ITZING
1550 REDSUNSET DR Total Amount Due
BROWNSBURG,IN 46112-7734
Make check payable to Verizon Wireless.
Please return this remit slip with payment. $169.52
$ 1:1F1E ■ 0E
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
L161111111Rim 1.l.l,1.J.I.I1....L .1.11
34212441460104808739630000100000008726000000169528
NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401.
verizonl
Manage Your Account Account Number Date Due
P.O.BOX 4002 480873963-0000108/07/16
ACWORTH,GA 30101
Change your address at Invoice Number 3434700259
vzw.com/changeaddress
0078040 01 AV 0.373 "AUTO T51 431248112-773450 -C07-P78118-11 Quick:Bill Summary Jun 13—Jul 12
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MICHAEL W KLITZING Previous Balance(see back for details) $169.52
1550 REDSUNSET DR Payment_Thank You —$169.52
BROWNSBURG,IN 46112-7734 Balance Forward $.00
Monthly Charges $73.99
Usage and Purchase Charges
Voice $.00
Messaging $.00
- Data $.00 -
Surcharges
and Other Charges&Credits $4.00
Verizon Wireless News Taxes,Governmental Surcharges&Fees $4.29
Introducing the New Verizon Total current charges $82.28
Plan
Get more data,more benefits and more
control.Keep unused data another Total Charges Due by August 07, 2016 $82.28
month with Carryover Data,avoid
surprise overages,and even call to and
from Mexico and Canada at no extra
charge.See back page for details.
Pay from phone Pay on the Web Questions:
.: 1.800.922.0204 phone
■
vera%j Bill Date July 12,2016
Account Number 480873963-00001
Invoice Number 3434700259
MICHAEL W KLITZING
1550 REDSUNSET DR Total.Amount Due by August 07, 2016
BROWNSBURG,IN 46112-7734
Make check payable to Verizon Wireless. v8GGpe�.e�p
L28Please return this remit slip with payment.
�� ■ ��
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
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34347002590104808739630000100000008228000000082288
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verizon)/
Invoice Number Account Number Date Due Page
x 3434700259 480873963°-00001 08/07/16 2 of,4
Get Minutes Used Get Data Used . Get Balance
1 1A 1 :A 1
Payments`
Previous Balance $169.52
Payment—Thank You
Payment Received 06/29/16 169.52
Total Payments —$169.52
Balance Forward $.00
WrltCen nofatlons Included with oran your payment wlll not',6e revre`wed or�honored Please send correspondence to
i ,ti_____�___Veriizon Wtreless_Attn Correspondence 1"eam PO�Box 5029 Watltngford,_CT U6492
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 alter 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.
■
0078040-0298842-0000002 of 0000004-C07-LTA312-78118
verizonNI
Manage Your Account Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101 www.vzw.com480873963-00001 0• 0
Change your address at Invoice Number 3448157113
vzw.com/changeaddress
Quick Bill Summary Jul 13—Aug 12
KEYLINE
I�I��I�II�����II���II��I�II � IIIIIIIIII
MICHAEL W KLITZING Previous Balance(see back for details) $82.28
1550 REDSUNSET DR Payment—Thank You —$82.28
BROWNSBURG,IN 46112-7734 Balance Forward $.00
Monthly Charges $73.99
Usage and Purchase Charges
Voice $.00
Messaging $.00
Data $.00'
Surcharges
and Other Charges&Credits $4.00
Verizon Wireless New_ s Taxes,Governmental Surcharges&Fees $4.29
Get Ready For Your New Total current charges $82.28
Paper-Free Bill
Your account is being enrolled in
paper—free billing.Soon you'll enjoy an Total Charges Due by September 07,2016 $82.28
easy,clutter—free way to manage and
pay your monthly bill.Please see
"Need—to—Know Information"on the last
page for more details.
Pay from phone Pay on the Web Questions:. .
#PMT(#768) My Verizon at www.vzw.com 1.800.922.0204 or*611 from your phone
------------------------------------------------------------------------------------------------------------------------------------------
verizon Bill Date August 12,2016
Account Number 480873963-00001
Invoice Number 3448157113
MICHAEL W KLITZING
1550 REDSUNSET DR Total Amount Due by September 07, 2016
BROWNSBURG,IN 46112-7734
Make check payable to Verizon Wireless. ��
Please.retum this remit.slip with payment. ■2p v
$ r—]F ■ F-1El
P.O.BOX 25.505
LEHIGH VALLEY, PA 18002-5505
34481571130104808739630000100000008228000000082288
NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To'opt out,call 1-866-544-0401.