320174 01/04/18 YCITY OF CARMEL, INDIANA VENDOR: 365288 �,***** *
i'. ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $ 50.00
?� CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 320174
v WESTFIELD.IN 46074 CHECK DATE: 01/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 365288 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Baumgartner,Kurtis Payee
16930 Kingsbridge Blvd
Westfield, IN 46074 In Sum of$ 365288 Purchase Order#
Baumgartner, Kurtis Terms
$ 50.00 16930 Kingsbridge Blvd Date Due
Westfield, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#ffITLE AMOUNT Invoice Invoice Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 50.00 Board Members 12/20/17 Reimb Cell Phone Reimbursement Nov'17 $ 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
$ 50.00 Total $ 50.00
December 27,2017
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
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
November cell
12/15/2017 AT&T 1091 4344100 Cellular Fees $ 50.00 reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(Print) Kurtis Baumgartner
Address 16930 Kingsbridge Blvd.
Check
payable to: City, St, Zip 00/soie#00/iVILP74
Signature: Approved by:
Date: 12/20/2017 Date:
Business Services Division,Revised 7-7-08