HomeMy WebLinkAbout324916 05/09/18 4�u,Cqy*f
?i CITY OF CARMEL, INDIANA VENDOR: 368259 CHECK AMOUNT: $********23.42*
ONE CIVIC SQUARE SHAUNA LEWALLEN
f � CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 324916
NOBLESVILLE IN 46062 CHECK DATE: 05/09/18
v IfUN�0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 23.42 CELLULAR PHONE FEES
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 368259 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lewallen,Shauna Payee
15066 Redcliff Drive
Noblesville, IN 46062 In Sum of$ Purchase Order#
368259 Lewallen,Shauna Terms
$ 23.42 15066 Redcliff Drive Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 23.42 Board Members 4/26/18 Reimb Cell Phone Reimbursement A r'18 $ 23.42
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
$ 23.42 Total $ 23.42
May 1,2018
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 'PAWONX&V
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Carmel e Clay
Paries&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
4/25/2018 Republic Wireless 1091 4344100 Cellular Phone Fees $23.42 Cell phone charges April
All receipts should be attached in the same order as listed above. /
No sales tax will be reimbursed. , TOTAL: $23.42
Employee Name(print) Shauna Lewallen
Address 15066 Redcliff Drive
Check
payable to: City, St, Zip Noblesville, IN 46062
Signature: 9��4 LQUIT� Approved by:
Date: 4/26/2018 Date:
Business Services Division,Revised 7-7-08 j°_*;`7-" " 'AM
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request "P H 3 ® 2018
BY: