334292 01/10/19 f
a`/ �� CITY OF CARMEL, INDIANA VENDOR: 369473
® ONE CIVIC SQUARE MICHAEL ALLEN CHECK AMOUNT: $********50.00*
as ,?�; CARMEL, INDIANA 46032 15122 PORCHESTER DRIVE CHECK NUMBER: 334292
�'��rdii'�°'9 NOBLESVILLE IN 46062 CHECK DATE: 01110/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 REIMB 50.00 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369473 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit;etc.
Allen, Michael Payee
15122 Porchester Drive
Noblesville, IN 46062 In Sum of$ Purchase Order#
369473 Allen, Michael Terms
$ 50.00 15122 Porchester Drive Date Due
Noblesville, IN 46062
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or Invoice Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 Reimb 4344100 $ 50.00 Board Members 12/27/18 Reimb Cell Phone Reimbursement Nov'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
January 3,2019
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
'RECE}MD
Carmel • Clay DEC 2 7 2010
Parks&Recreation
BY:..............................
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Cell phone charges
11/16/2018 Verizon 1125-1-13 4344100 Cellular Phone Fees $ 50.00 November 2018
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(print) Michael Allen
Address 15122 Porchester Drive
Check
payable ��-
to: City, St, Zip Noblesvil IN 46062
Signature:. Approved by: //W7
Date: 12/27/2018 Date:
Business Services Division,Revised 7-7-08 `�
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
JAIV022019
BY: