HomeMy WebLinkAbout327656 07/20/18 a`! ; - CITY OF CARMEL, INDIANA VENDOR: 368259
ONE CIVIC SQUARE SHAUNA LEWALLEN
/ ® 1. CHECK AMOUNT: $********23.42*
:q� ?� CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 327656
ydTON�°. NOBLESVILLE IN 46062 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 23.42 CELLULAR PHONE FEES
ACCOUNTS PAYABLE-VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 368259 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lewallen,Shauna Payee
15066 Reddiff Drive
Noblesville, IN 46062 In Sum of$ Purchase Order#
368259 Lewallen,Shauna Terms
$ 23.42 15066 Redcliff Drive Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE N0. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 23.42 Board Members 7/11/18 Reimb Cell Phone Reimbursement Jun'18 $ 23.42
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
$ 23.42 Total $ 23.42
July 18,2018
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
arrI clay
JUL 17 2018
Pal*S&Reoreatooh
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
6/25/2018 Republic Wireless 1091 4344100 Cellular Phone Fees $23.42 Cell phone charges June
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. rA
sT
Employee Name(print) :Sh`auna'Lewa lCn—V_
Check
Addressx 15066 Redehff Drie
payable to: City, St, Zip No{blesVille�1N;`4-KQ2
Signature: Q(�(/WlA Approved by:
Date �/r 7�`
Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request