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HomeMy WebLinkAbout327279 07/10/18 y yl.CAq� �;/ CITY OF CARMEL, INDIANA VENDOR: 365288 «*;** w .{'s, ,• ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: $ 50.00 s' ;?� CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 327279 94j��iori��°' WESTFIELD IN 46074 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 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# 365288 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Baumgartner,Kurtis Payee 16930 Kingsbridge Blvd Westfield, IN 46074 In Sum of$ Purchase Order# 365288 Baumgartner, Kurtis Terms $ 50.00 16930 Kingsbridge Blvd Date Due Westfield, IN 46074 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1091 Reimb 4344100 $ 50.00 Board Members 7/2/18 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 July 3,2018 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 Carmel * Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 7/13/2018 AT&TJune Cell Phone V 1091 4344100 Cellular Fees $ 50.00 Reimbursement F eipts should be attached in the same order as listed above. les tax will be reimbursed. -OT TQ�L:� _ $50:00 Employee Name(print) rKZHJs_.Baurnga_rtner_ r__' Address16_9_30 Kingsbridg_e_:Blvd. Check payable to: City, St, Zip /_—Westf1dd:' l 46O 4-2 i" Signature: ! Approved by:. ` Date: fZ! "—'7 Date: Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request F, rue rJUL022010 ��