HomeMy WebLinkAbout303914 10/10/16 %'��p''F. . CITY OF CARMEL, INDIANA VENDOR: 368259
'1.: CHECK AMOUNT: $******"*23.03'
.�i \, ONE CIVIC SQUARE SHAUNA LEWALLEN
a9` a�: CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 303914
M_�oN,�o'� NOBLESVILLE IN 46062 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 093016 23.03 CELLULAR PHONE FEES
Voucher No. Warrant No.
368259 Lewallen, Shauna Allowed 20
15066 Redcliff Drive
Noblesville, IN 46062
In Sum of$
$ 23.03
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Deptept# INVOICE NO. ACCT#/TITLE AMOUNT
1091 Reimb 4344100 $ 23.03 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
October 4, 2016
Signature
$ 23.03 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
9/30/16 Reimb Cell Phone Reimbursement Sep'16 $ 23.03
Total $ 23.03
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
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line.# Budget Description Amount Purpose of Expense
9/25/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $23.03 Cell phone charges for September
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $23:
Employee Name(print) Stiauni- ewallen
7BY:
TVED
Address 15066 Redcliff Drive
OCT3 2016
Check
payable to: City, St, Zip Noblesville, IN 46062
Signature: %UAA" LQ Approved by: zx'�"/_' —
Date: t __ 9/30%2016 . Date:
Business Services Division,Revised 7-7-08
Print Orders &Payments I Republic Wireless Page 1-of I
Sep 25, 2016 3:00 AM Rer)Ljbli(., Refund Invoice Total
Invoice $-4.55 $23.03
..........
Phone Service #INVO9235509
(317) 427-5511 Republic Refund Base Plan $12.58
Moto X(White)(1st 6en.1 IN Universal Service Charge-State $0.05
99000293972511
E911(Wireless'-State
$1.00
Telecom RelaV Surcharge.. State $0.03
Sales Tax-State $0.75
Fed USF Cellular-Federal $0.67
Federal Compliance Fee-Federal $0.08
Republic Refund TM $-4.55
Half Gigabyte of Cellular Data $15.00
Sub Total $23.03
Grand Total $23.03
Billing Address: Credit Card:
Shauna Lewallen '**"*****"6334
15066 Redcliff Dr,Noblesville IN 46062-7107 Visa
republic"
,, I R E L E S S
republicwireless.coni
help-g-rePUblicwireless.com
Verlkll'0 Center III
Suite 500
900 Main Campus Drive
Raleigh,NC-27606
https://republicwireless.com/account/invoices/Print/?invoice=2c92aO985759069001576066le8d3c3e 9/30/201(