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HomeMy WebLinkAbout321090 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 355319 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $►►►►►►►100.00► ?� CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 321090 BROWNSBURG IN 46112 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4344100 REIMB 100.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355319 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Klitzing, Michael Payee 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ Purchase Order# 355319 Klitzing,Michael Terms $ 100.00 1550 Redsunset Dr Date Due Brownsburg,IN 46112 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO#or Invoice Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1125 Reimb 4344100 $ 100.00 Board Members 1/15/18 Reimb Cell Phone Reimbursement Dec'17/Jan'18 $ 100.00 I 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 $ 100.00 Total $ 100.00 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 Payable Coordinator Clerk-Treasurer Title Oa- - .Car . � Cla . y :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 12/12/2017 Veriion Wireless 101.: 1125-1-00=4344100 .• Cellular Phone Fees.: $50.00 personal phone.for,oepaitment. business _ Reimbursement for use of .1/12/2018.: Verizon Wireless : 101 11254-:0074344100 Cellular Phone.Fees $50:00 .. personal phone for.oepartment . :business All receipts should.be•attached.in,the same order as listed.above. .: No.sales tax will,be reim.bursed.. : TOTAL: $100.00 Employee:Name'(print) MichaelKlitzing Address: 1550:Redsunset Dr:: Check payable to: City,.St;:Zip Brownsbur' ; IN 46 Signature:. :Approved by`. Date::. 1115/2 018 Date: Business Services.Division,Revised 7-7=08 , FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request '' �'�= ' SAN 1 5 2010 .