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
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