HomeMy WebLinkAbout332963 12/06/18 +ur Coq*
CITY OF CARMEL, INDIANA VENDOR: 368259
ONE CIVIC SQUARE SHAUNA LEWALLEN CHECK AMOUNT: $********23.63*
CARMEL, INDIANA 46032 15066 REDCLIFF DRIVE CHECK NUMBER: 332963
Mi�;ori moo• NOBLESVILLE IN 46062 CHECK DATE: 12/06/18
DEPliRTMENT ACCOUNT PO NUMBER INVOfCE'NUNIBER AMOUNT DESCRIPTION`
1091 4344100 REIMB 23.63 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor* 368259 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Lewallen, Shauna Payee
15066 Redcliff Drive
Noblesville, IN 46062 In Sum of$ Purchase Order#
368259 Lewallen, Shauna Terms
$ 23.63 15066 Redcliff Drive Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE NO. ACCT#IfITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 23.63 Board Members 11/27/18 Reimb Cell Phone Reimbursement Nov'18 $ 23.63
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
$ 23.63 Total $ 23.63
November 30,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
t n � with IC 5-11-10-1.6
Cost distribution ledger classification if yPf"/ Y
claim paid motor vehicle highway fund Signature —,20—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
Title
r el 0 Clay
cif S&ReG('eatioh
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
11/25/2018 Republic Wireless 1091 4344100 Cellular Phone Fees $23.63 Cell phone charges November
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $23.63
Employee Name(print) Shauna Lewallen
Address 15066 Redcliff Drive
Check
payable to: City, St, Zip Noblesville, IN 46062
Signature: Approved by: �
Date: 11/27/2018 Date: /
Business Services Division,Revised 7-7-08 ;v 7-1
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request 1 r t
NOV 19 2018
BY: