HomeMy WebLinkAbout322985 03/21/18 i
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CITY OF CARMEL, INDIANA VENDOR: 365288
® ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $********50.00*
CARMEL, INDIANA 46032 76930 KING$BRIDGE BLVD CHECK NUMBER: 322985
9.. WESTFIELD_IN 46074 CHECK DATE: 03/21/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER ' AMOUNT I DESCRIPTION
1091 4344100 REIMB 50.00 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# 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$ Purchase Order#
365288 Baumgartner, Kurtis Terms
$ 50.00 16930 Kingsbridge Blvd Date Due
Westfield, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#ornvoice Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 50.00 Board Members 3/15/18 Reimb Cell Phone Reimbursement FeW18 $ 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
March 16,2018
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
-ride
Carmel 0 Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
February Cell
3/13/2018 AT&T 1091 4344100 Cellular Fees $ 50.00 Reimbursement
All receipts should be attached in the same order as listed above. -T-
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(print) Kurtis Baumgartner
Address 16930 Kingsbridge Blvd.
Check
payable to: City, St, Zip estfield, IN 46074
Signature: Approved by:
Date: 3/15/2018Date: 6to 10 it
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request