HomeMy WebLinkAbout333712 12/19/18 �%��,q,,f. CITY OF CARMEL, INDIANA VENDOR: 372207
°; ONE CIVIC SQUARE FREDDY DELFIN CHECK AMOUNT: $********25.00*
?�: CARMEL, INDIANA 46032 5447 DRUM RD CHECK NUMBER: 333712
9�,,, . INDIANAPOLIS IN 46216 CHECK DATE: 12/19/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE' FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372207 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Delfin, Freddy Payee
5447 Drum Road
Indianapolis, IN 46216 In sum of$ 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#ornvoice Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 25.00 Board Members 12/7/18 Reimb Cell Phone Reimbursement Nov'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
December 11,2018
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
Parks&Recreatioh
Employee Expense Reimbursement Request
Date of Fund Account Account
R ce' p�)t Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
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
Address 5447 Drum Road
Check
payable to: City, St, Zip Indi a ' , IN 46216
r'
Signature: ! Approved by:
Date: 12/7/2018 Date: fly 7�j,
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request