HomeMy WebLinkAbout303101 09/15/16 CITY OF CARMEL, INDIANA VENDOR: 368259
ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $********19.65*
CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 303101
NOBLESVILLE IN 46062 CHECK DATE: 09/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 082616 19.65 CELLULAR PHONE FEES
Voucher No. Warrant No.
368259 Lewallen, Shauna Allowed 20
15066 Redcliff Drive
Noblesville, IN 46062
In Sum of$
$ 19.65
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 19.65 1 hereby certify that the attached invoice(s), or
d� 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
September 8, 2016
Signature
$ 19.65 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
8/26/16 Reimb Cell Phone Reimbursement Aug'16 $ 19.65
Total $ 19.65
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 0 clay AUGU9G 2 9 2016
Parks&Recreation Y!
BY-
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
8126/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $19.65 Cell phone charges for August
All receipts should be attached in the same order as listed above. ------
No sales tax will be reimbursed.
1
Employee Name(print) �n-a-, .va
Le -16.6
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Address IZO66Addi liffDrive--,
Check
payable to: City, St,ZipW68VH[6�"JU-46062-3
Signature: Approved by:
=812612016Date:
Business Services Division,Revised 7-7-08
Print Orders &Payments I Republic Wireless Page 1 of I
ALJg 25, 2016 3:00 AM Republic Refund Invoice Total
Invoice $-7.93 $19.65
'!INV08935403
Phone Service
(317) 427-5511 Half Gigabyte of Cellular Data $15.00
Moto X(Wiiite)(Ist Gen,) Republic Refund Base Plan $12.58
99000293D-72511 IN Universal Seivice Charge-State $0.05
E911(Wireless': ..State $1.00
Telecom I elay SUrChal'Oe-State
Sales Tax-State $0 75
Fed USF Celkllal -Federal $0,67
AUG 2 Z016 Federal Compliance Fee-Federal $0.08
Republic Refund TM $-7.93
BY:
Sub Total $19.65
Grand Total $19.65
Billing Address: Credit Card:
Shauna Lewallen *-*'*-****'*6334
15066 Redcliff Dr,Noblesville IN 46062-7107 Visa
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https://republiewireless.com/account/invoices/print/?invoice=2c92aO9956cO2dd5O156cObfd68dl5ba 8/26/201(