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
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