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HomeMy WebLinkAbout328946 08/17/18 ��p''F� CITY OF CARMEL, INDIANA VENDOR: 372207 ® ONE CIVIC SQUARE FREDDY DELFIN CHECK AMOUNT: $********25.00* ?� CARMEL, INDIANA 46032 5447 DRUM RD CHECK NUMBER: 328946 y,�roN�°. INDIANAPOLIS IN 46216 CHECK DATE: 08/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344100 REIMB 25.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 372207 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Delfin, Freddy Payee 5447 Drum Road Indianapolis, IN 46216 In Sum of$ Purchase Order# 372207 Delfin, Freddy Terms $ 25.00 5447 Drum Road Date Due Indianapolis, IN 46216 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or Invoice Description Dept# INVOICE NO. ACCT#IrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1091 Reimb 4344100 $ 25.00 Board Members 8/14/18 Reimb Cell Phone Reimbursement JUI'18 $ 25.00 1 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 $ 25.00 Total 1 $ 25.00 August 15,2018 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 0 Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account eceipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 13, z©/g T-Mobil 1091 4344100 Cellular Phone Fees $ 25.00 Cell Phone Charges for All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $25.00 Employee Name(print) Freddy Delfin °a e, D Address 5447 Drum Road AUG 1 0 2018 Check payable to: City, St, Zip d i_pAW oli , 46216 Y: Signature: Approved by: L' Date: $ Date: d 'e Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request