HomeMy WebLinkAbout328448 08/08/18 r°�'COHb
�?�/ \ CITY OF CARMEL, INDIANA VENDOR: 355319
; t ..»...».
.;. ® il• ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $ 50.00
s. roN �? CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK CHECK NUMBER: 32 448
9�y•_._..`` BROWNSBURG IN 46112DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 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# 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 NO. ACCT#(rITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 Reimb 4344100 $ 50.00 Board Members 8/1/18 Reimb Cell Phone Reimbursement Jul'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
August 2,2018
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 . .
Par,k%§Rib.creation,.
Employee-:ExpenS&.Reimbursement Request:.
Date of. : Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount.: Purpose of Expense:
Reimbursement for use.of
7/12/2018 Verizon Wireless 1011 112571-00-4344100 Cellular Phone Fees.: $50.00personal phone for Department:
business_July
All receipts should be attached in the same.order as listed above. n
No sales tax will,be reimbursed.. TOTAL: $50 O,Q
Employee:Naa*ib
me(print)' M 14litzinJ. RE' .0 S M
Address (1`550.Fedsu per; AUG :0 2.2018
Check : . .. J . . : . . . .
payable to: City,•St,.Zip Brownsbur IN46 - Y.
Signature:_ APRroVed by`
Date:
Date:., 8/4J2�1`8
Business Services.Division,Revised 7-7=08
FILE: Shared\Ndministrative\Forms\staff Forms\Employee Exp Reimb Request _ .