HomeMy WebLinkAbout326258 06/12/18 `+V'�,,,� CITY OF CARMEL, INDIANA VENDOR: 368259
ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $********23.42*
=9, ,�; CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 326258
.y,«oN�. NOBLESVILLE IN 46062 CHECK DATE: 06/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 23.42 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 368259 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lewallen,Shauna Payee
15066 Redcliff Drive
Noblesville, IN 46062 In Sum of$ 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#ornvolce 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 5/30/18 Reimb Cell Phone Reimbursement Ma '18 $ 23.42
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
$ 23.42 Total $ 23.42
June 6,2018
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
Title
` F.MA
D
12010
r el 1Parks&Recreabon .: ............
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
5/25/2018 Republic Wireless 1091 4344100 Cellular Phone Fees $23.42 Cell phone charges May
All receipts should be attached in the same order as listed above. z
No sales tax will be reimbursed. 3 `'
Employee Name(print) r�Shat[na Lewallen
Address ; 1.506RRedcl)ff Dr ve :`
Check
payable to: City, St, ZipblesutlleIN 46062 a
Signature: �Q,u(�� Approved by:
Dat y5/3
Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
JUN 12 2018
