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HomeMy WebLinkAbout326515 06/20/18 1 CAAb q` :� CITY OF CARMEL, INDIANA VENDOR: 355319 ® tl ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $*******100.00* ;� CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 326515 ;ETON BROWNSBURG IN 46112 CHECK DATE: 06/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4344100 REIMB 100.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355319 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Klitzing, Michael Payee 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ 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#ornvolce Description Dept# INVOICE NO. ACCT#ffITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1125 Reimb 4344100 $ 100.00 Board Members 6/7/18 Reimb Cell Phone Reimbursement Apr/Ma '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 June 12,2018 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 CLa . Y Pay ks&Rib.cre-atron: Employee Expens 'Reimbursement Request Date of Fund Account . : : Account. : Receipt . Vendor listed on receipt #_ Line# Budget Description: Amount Purpose of Expense Reimbursement for use.of 4/.12/2018 Veriion Wireless 101.: 11254-00.4344100 .: Cellular Phone Fees.: $50.00.' personal phone for,Depaitment.: . business AFr Reimbursement for use of _ 5/12/2018.: Verizon-Wireless.: 101 .1125-1700,4344100 Cellular Phone Fees $50:00 . personal#bnefor Department :business Ma� All teceipts should be,attached,in the same order as listed above. No,sales;tax will be reimbursed.; : TOTAL:: -$100.00 . Em to ee.Nam`e'(pr�ntj ' ' Michael:Klitzin /. � D P Y g V : : : : , . Address 1550:Redsunset Dr.: : Check . . .payable to: City,.8t, Zip Brownsbur ; IN 4611.2: Y:. Signature:; APProved by` Date::. ISM20.1$ Date: Business Services Division,Revised 7-7=08 FILE: :Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request V '.