HomeMy WebLinkAbout324321 04/25/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 372207
ONE CIVIC SQUARE FREDDY DELFIN CHECKAMOUNT: $********25.00*CARMEL, INDIANA 46032 5447 DRUM RD CHECK NUMBER: 324321
INDIANAPOLIS IN 46216 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES-,,
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372207 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Delfin, Freddy Payee
5447 Drum Road
Indianapolis, IN 46216 In Sum of$ Purchase Order#
372207 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 NO. ACCT#frITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 25.00 Board Members 4/17/18 Reimb Cell Phone Reimbursement Mar'18 $ 25.00
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
$ 25.00 Total $ 25.00
April 18,2018
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
Carmel Clay-
Par ks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Recei t Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
f T-Mobil 1091 4344100 Cellular Phone Fees $ 25.00 Cell Phone Charges for
G'�
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
Address 5447 Drum Road A P R 1 7 2010
Check
payable to: City, St, Zip Indianapolis, I 4- 16 P •
. ..............................
Signature: l Approved by:
Date: Date: i
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request