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: .