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CITY OF CARMEL, INDIANA VENDOR: 355319 *tONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $ 50.00CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 305787
BROWNSBURG IN 46112 CHECK DATE: 12/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 REIMB 50.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 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 22, 2016
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Carmel Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Reimbursement for use of
11/12/2016 .Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone.for Department
busin�
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50'0.0
Employee Name(print) id6aeLKlifzing� `�
AddressC
550JRedsur setDr-
FIT�
Check NOV 2 1 2016
payable to: City,.St, Zip rownsburga1N-4:6ti12 "
Sign Approved by: BY:
Date: 1.1•/21:/201..6x Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
verizon�
Manage Your Account Account Number Date:Due
P.O.BOX 4002
ACWORTH,GA 30101 www.vzw.com 480873963-00001 0
Change your address at Invoice Number 3488407167
vzw.com/chafigeaddrL-
Quick Bill Summary Oct 13—Nov 12
IEYLINE
MICHAEL W KLITZING Previous Balance(see back for details) $152.16
1550 REDSONSEf DR- Payment—Thank You -$8.11
BROWNSBURG,IN 46112-7734 Adjustments —$148.82
Credit Balance X4,77
Monthly Charges $94.99
Usage and Purchase Charges
Voice $5.39
Messaging $.00
Data $.00 .
Surcharges
Veriion Wireless News : and Other Charges&Credits $5.14
w Change To Your Service Taxes,Governmental Surcharges&Fees $5A4
Thank you for your wireless business, Total Current Charges $110.56 .
You recently made a change to your
service. Your.new bill will reflect usage .
from your last bill and service- Total Charges Due b December 07,2016 $105.79
adjustments resulting from the 9 Y
plan/feature change.
Pay from phone Pay on the Web. Questions:
FIVIT(#768) My Verizon at www.vzw.com 1.800.922.0204 or*611 from your phone
■
vermins/ Bill Date November 12,2016
Account Number 480873963-00001
Invoice Number 3.488407167
MICHAEL W KLITZING
1550REDSUNSE7DR Total Amount Due
BROWNSBURG,IN 46112-7734
Will be submitted to credit card on 12/06/16 105,79
DO NOT MAIL PAYMENT
P.O.BOX 25505
LEHIGH VALLEY, PA 18002-5505
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34884071670104808739630000100000011056000000105798