Loading...
HomeMy WebLinkAbout327086 07/03/18 I CITY OF CARMEL, INDIANA VENDOR: 355319 +; a; ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $********50.00* s. aq CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 327086 '+,dTON�°.` BROWNSBURG IN 46112 CHECK DATE: 07/03/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4344100 REIM13 50.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355319 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Klitzing, Michael Payee 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ Purchase Order# 355319 Klitzing,Michael Terms $ 50.00 1550 Redsunset Dr Date Due Brownsburg,IN 46112 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund Po#ornvolce Description Dept# INVOICE ND. ACCT#(rITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1125 Reimb 4344100 $ 50.00 Board Members 6/22/18 Reimb Cell Phone Reimbursement Jun'18 $ 50.00 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 $ 50.00 Total $ 50.00 June 27,2018 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 •Car. mela: . ' . y Parks&Recreation: Employee:Expense Reimbursement Request: Date.of: : Fund Account.. Account.. : Receipt Vendor listed on receipt #_ Line:# Budget Description: Amount.. Purpose of Expense Reimbursement for use.of 6/12/2018 Vedion Wireless 101.: 1125-1-00=4344100 . Cellular Phone Fees.: $50.00. personal phone for,Department: business:June All receipts should.be attached,in the same order aslisted above. No sales:tax will be reimbursed.. TOTAL:: $50..00 Employee:Nam'e'(print) MichaefaElitzing Address 1550:Redsunset Dr.: Check payable to: City,.St,Zip . rownsbur ,' IN 46112 Signature: APProved by, Date::. 6/22/2018 Date: Business Services Division,Revised 7-7-08 RECEd„ .` � FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request JUPJ252018. BY: .