HomeMy WebLinkAbout330380 09/25/18 �%� "f� CITY OF CARMEL, INDIANA VENDOR: 372207
( ® ONE CIVIC SQUARE FREDDY DELFIN CHECK AMOUNT: $********25.00*
:9 jr? CARMEL, INDIANA 46032 5447 DRUM RD CHECK NUMBER: 330380
M�?.6N�, INDIANAPOLIS IN 46216 CHECK DATE: 09/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372207 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Delfin, Freddy Payee
5447 Drum Road
Indianapolis, IN 46216 In Sum of$ 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 NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 25.00 Board Members 9/11/18 Reimb Cell Phone Reimbursement Aug'18 $ 25.00
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
$ 25.00 Total $ 25.00
September 20,2018
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 -P—bwlimm�1 iJ
claim paid motor vehicle highway fund Signature ,20
Accounts Payable Coordinator Clerk-Treasurer
Title
V7 r
Carmel S Clay SEP I 12018
Parks&Recreation
By..............
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
8/13/2018 T-Mobil 1091 4344100 Cellular Phone Fees $ 25.00 Cell Phone Charges for
August
All receipts should be attached in the same order as listed above. :, _
No sales tax will be reimbursed. .
: x$25 00'
Employee Name(print) Freddy Delfn' -`l
�.
Address 5447 Driarn
Check a =qq
payable to: City, St, Zip di' poi , IN 46216
Signature: ~ Approved by:
9V /
Date: r/rj
_ -- _- •r . .._ _ -- Y - s ---
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request