HomeMy WebLinkAbout303194 09/22/16 0�;, 4• CITY OF CARMEL, INDIANA VENDOR: 365288
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ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********50.00*
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CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 303194
=9M�rod"�°' WESTFIELD IN 46074 CHECK DATE: 09/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 090716 50.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 50.00 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
September 14, 2016
Signature
$ 50.00 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.
365288 Baumgartner, Kurtis Terms
16930 Kingsbridge Blvd
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/15/16 Reimb Cell Phone Reimbursement Aug'16 $ 50.00
Total $ 50.00
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
Warks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
9/15/2016 AT&T 1091 1434,4100 Cellular Fees $ k5U 00/!August Cell Reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name(print) _Kurds Baumgartner
Address 1E930 Kingsbrid�e._Blvd.
Check
payable to: City, St, Zip
Signature: Approved by:
IV—
Date: 9/ / ` 6} w~- Date: I"f 2.,e
Business Services Division,Revised 7-7-48
FILE: Shared\Forms\Business Setvices\Empioyee Exp Reimb Request