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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