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-
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: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 .