HomeMy WebLinkAbout305030 11/14/16 a�}..kAA,y
�/ CITY OF CARMEL, INDIANA VENDOR; 368259
tl ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $"""'"'25.00•
r• ?� CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 305030
9y.,.._,,o NOBLESVILLE IN 46062 CHECK DATE: 11/14/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 110416 25.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
368259 Lewallen, Shauna Allowed 20
15066 Redcliff Drive
Noblesville, IN 46062
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
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
,I
November 10, 2016
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Carmel e Clay ORIGINAL
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
10/16/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $7.50 Cell phone charges for October
10/25/2016 Republic Wireless 1091 4344100 Cellular Phone Fees $19.52 Cell phone charges for October
All receipts should be attached in the same order as listed above. t G.� K
No sales tax will be reimbursed. TOTALS,_;. _ ��_ t. $2v}OOa r `j�e'm&U
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Employee Name(print) Shauna Lewal.len-- NOV 0 8 2016
Address 1.5,0 1
Check
Pa fr
Yable to: City, St, Zip , Noblesville .INs46Q62
Signature:_ %A"4-LA LWMVtkt, Approved by:
Date: 1'1 X4720'16`' - Date: t I N I!b
Business Services Division,Revised 7-7-08
Print Orders &Payments I Republic Wireless Page 1 of l
Oct 25, 2016 3:00 AM Republic Refund Invoice Total
Invoice $-8.04 $19.52
Phone Service #INVO9527771
(317) 427-5511 Half Gigabyte of Cellular Data $15.00
wIllotox(lVh1te)(1stGen) Republic Refund Base Plan $12.56
99000293972511
IN Universal Service Charge-State $0.05
E911(Wireless)-State $1.00
Telecom Relay Surcharge-State $0.03
Sales Tax-State $0.75
Fed USF Cellular-Federal $0.65
Federal Compliance Fee-Federal $0.08
Republic Refund TM $-8.04
Sub Total $19.52
Grand Total $19.52
Billing Address: Credit Card:
Shauna Lewallen ***"********6334
15066 Redcliff Dr,Noblesville IN 46062-7107 Visa
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I R E L E S S
reOublimireless.com
helparepublimireless.com
Venture Center III
Suite 500
900 Main Campus Drive
Raleigh,NC 27606
https://republiewireless.com/account/invoices/print/?invoice=2c92aO9957f5dO700157fae5518f47eb 11/4/201(
Print Orders &Payments I Republic Wireless Page 1 of I
Oct.16, 201612:37 PM Invoice Total
°® Invoice
$7.50
Phone Service #INV09449032
(317) 427-5511 Half Gigabyte of Cellular Data $7.50
Moto X(%, i fte)(ist Gen.)
9900029397,2511
Grand Total $7.50
Billing Address: Credit Card:
Shauna Lewallen ************6334
15066 Redcliff Dr,Noblesville IN 46062-7107 Visa
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republicwireless.corn
helpCcin,ep).iblicwireless.corn
Venture Center III
Suite 500
900 Main Campus Drive
Raleigh,NC:27606
https://republiewireless.com/account/invoices/print/?invoice=2c92aOff57b746fbO157ce5addb76lf4 11/4/201(