HomeMy WebLinkAbout302379 08/25/16 y�r_4AAM
��/ ��� CITY OF CARMEL, INDIANA VENDOR: 367745
3. ONE CIVIC SQUARE MICHAEL KILPATRICK CHECK AMOUNT: $********25.00*
a CARMEL, INDIANA 46032 C/O ESE CHECK NUMBER: 302379
`�;roN CHECK DATE: 08/25/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 080516 25.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
367745 Kilpatrick, Michael Allowed 20
2335 West 236 St
Sheridan, IN 46069
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 25.00 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 13, 2016
Signature
$ 25.00 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.
367745 Kilpatrick, Michael Terms
2335 West 236 St
Sheridan, IN 46069
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/5/16 Reimb Cell Phone Jun'16 $ 25.00
Total 1 $ 25.00
1 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
8/3/2016 Version 071 143 ADO cell phone reimbursement $ 25.00 cell phone reimbursement
dun 'I6
rNo
receipts should be attached in the same order as listed above.
sales tax will be reimbursed. TOTAL: 25'c00'
Employee Name(print) 'MiSe <ilpatCick ED
�-�--��-~ AUG 1 2016
Address 233W-__est-236t
Check
payable to: City, St, Zip CS ridan l`n: 46069 ' iBY:
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s
Signature: G°' � �� ,�j _ Approved by:
Date: 875/201'6 Date: g 1 D 0)—o
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
menzon�
[Manage Your Account Account Number Date Due
P.O.Bax 4002
ACWORTH,GA30101 a t044854-M001, 08/15/16
Change your address at invoice Number 3438595333
vzw.com/changea�ddress
0021147 01 AT 0.396 "AUTO 770432046069-872535 -C11-P21168-1 Quick Dill Summary Jun 21 —Jul 20
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RENEE KILPATRICK Previous Balance(see back for details) $222.50
2335 W 236TH ST Payment—Thank You —$222.50
SHERIDAN,IN 46069.8725
Balance Forward $AO
Monthly Charges $175.00
Equipment Charges $31.24
Surcharges
and Other Charges&Credits $7.90
Taxes;Governmental Surcharges&Fees $8.39
Total Current Charges $222.53
Verizon iMretess News
Get Ready For Your Now Total Charges Due by August 15,2016 $222.53
Paper—Free.0611
Your account is being enrolled in
paper-free billing.Soon you'll enjoy an
easy,clutter-free way to manage and
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Pay from phone Pay on the web Questions:
-------------------------------------------------------------------------------- --- ---- x-------- ----------------------------------
verRizonl Bill Date July 20,2016
Account Number 481004485-00001
Invoice Number 3438595333
RENEE KILPATRICK
2335 W 236THST
Total Amount Due by August 15, 2016
SHERIDAN,IN 466069-8725
Make check payable to Verizon Wireless. �f
Please return this remit slip with payment. $222.53
1
1 P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
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34385953330104810044850000100000022253000000222533
n1nT1r.F:Rank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401.
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verizonit Invoice Number Account Number Date Due Page
595338,,`,",:481004485-00001:':b6/j6/ 6_ -2,
�3438
G I et Minutes,Used Get Data Used Get Balance ---I
WIN+.SEND, :#DATA,4-8END #BA'L+SEND
Payments
Previous Balance $222.50
Payment—Thank You
Payment Received 07/12/16 —222;50
Total Payments —$222.50
Balance Forward $.00
Account Charges and Credits
Account Monthly Charges
The Verizon Plan)0(Large 1 BGB 07/21 —08/20 100.00
15%Access Discount 07/21 —08120 —15.00
Subtotal
$85.00
Total Account Charges and Credits $85.00
1tUrttten notations included wtth rjowyour,-payment,.wIl
Verizon
we correspondence
WHO-
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Automatic Payment Enrollment for Account:481004485-00001 RENEE KILPATRICK
By signing below,you authorize Verizon Wireless to electronically debit your bankccount 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 after 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 i I n box below,as shown on the bill and date. 3.Return this slip with your payment Do not send a voided check.
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