HomeMy WebLinkAbout321078 01/26/18 1 Gqq*
^' CITY OF CARMEL, INDIANA VENDOR: 372207
ONE CIVIC SQUARE FREDDY DELFIN CHECK AMOUNT: $********25.00*
f a4 CARMEL, INDIANA 46032 5447 DRUM RD CHECK NUMBER: 321078
•'M�oN. INDIANAPOLIS IN 46216 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Delfin, Freddy 3 9a.10--7 Payee
5447 Drum Road
Indianapolis, IN 46216 In Sum of$ Purchase Order#
Delfin, Freddy Terms
$ 25.00 5447 Drum Road Date Due
Indianapolis, IN 46216
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#ornvolce Description
Dept# INVOICE N0. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 25.00 Board Members 1/11/18 Reimb Cell Phone Reimbursement Dec'17 $ 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
$ 25.00 Total $ 25.00
January 16,2018
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
claim paid motor vehicle highway fund Signature —,20—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
Title
Cartmel Clay
Parks Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of.Expense
t'2, 1091 4344100 Cellular Phone Fees $ 25.00 Cell Phone Charges for
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $25.00
Employee Name(print) Freddy Delfin }.
Check
Address 5447 Drum Road [ JAN 1 5 2018
payable to: City, St, Zip ndianap N 46216
..............
Signature: / Approved by:
Date: Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request