HomeMy WebLinkAbout305016 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 365288
® 4�I ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********50.00*
CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 305016
WESTFIELD IN 46074 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 243007377604 50.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
365288 Baumgartner, Kurtis Allowed 20
16930 Kingsbridge Blvd
Westfield, IN 46074
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
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
November 10, 2016
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
DUE BY: Nov 15, 2016 $98.64
KURTIS BAUMGARTNER
Account Number 243007377604 16930 KINGSBRIDGE BLVD
}�} WESTFIELD,IN 46074-7800
` ` Please include account number on your check.
Make checks payable to:
CHECK FOR AUTO PAY AT&T MOBILITY
(SEE REVERSE) PO BOX 6416
« CAROL STREAM IL 60197-6416
1Illil1111Jill 11111111111
974002430073776040000000000986400000009864008
Carmel ► Clay
Parks&Recreat'on
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
✓
11/15/2016 AT&T 1091 4344100 Cellular Fees October Cell
$ 50.00 Reimbursement
r
receipts should be attached in the same order as listed above. � /sales tax will be reimbursed. TOTAL: 5D.DII V�
Employee Name(print) ; urfis:B-aumgartner
Check Address � M-Kingsbridge-Blvd
payable to: City, St, Zip 1LILestfield;..W_46.Q7_4 -
Signature: Approved by:
Date: :1,117/2.016`� Date: I-Yf 2J�
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request