HomeMy WebLinkAbout320842 01/17/18 1 ,,Cggf
CITY OF CARMEL, INDIANA VENDOR: 368259
HAUN CHECK AMOUNT: $""""23.41;
ONE CIVIC SQUARE SHAUNA LEWALLEN
CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 320842
vM, NOBLESVILLEIN 46062 CHECK DATE: 01/17/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 23.41 CELLULAR PHONE FEES
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 368259 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lewallen,Shauna Payee
15066 Redcliff Drive
Noblesville, IN 46062 In Sum of$ Purchase Order#
368259 Lewallen,Shauna Terms
$ 23.41 15066 Redcliff Drive Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#ITITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 23.41 Board Members 1/2/18 Reimb Cell Phone Reimbursement Dec'17 $ 23.41
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
$ 23.41 Total $ 23.41
January 9,2018
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
Cost distribution ledger classification if 1PA0AAhLW
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Carmel GCIy
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
12/25/2017 Republic Wireless 1091 4344100 Cellular Phone Fees $23.41 Cell phone charges December
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $23.41
Employee Name(print) Shauna Lewallen
Address 15066 Redcliff Drive
Check
payable to: City, St, Zip Noblesville, IN 46062
Signature: 9UOL { a LQJ(NTl ,yn Approved by:
r
Date: 1/2/2018 Date:T/1 a
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request