334327 01/10/19 �� *p''° CITY OF CARMEL, INDIANA VENDOR: 355319
J� �
® ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $********50.00*
s =� CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 334327
9�,�_l,.'� BROWNSBURG IN 46112 CHECK DATE: 01/10/19
ETON L,p.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4344100 REIMB 50.00 CELLULAR PHONE FEES
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355319 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Klitzing, Michael -Payee
1550 Redsunset Dr
Brownsburg, IN 46112 In Sum of$ Purchase Order#
355319 Klitzing,Michael Terms
$ 50.00 1550 Redsunset Dr Date Due
Brownsburg,IN 46112
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PD#ornvolce Description
Dept# INVOICE NO. ACCT#ffITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 Reimb 4344100 $ 50.00 Board Members 1/2/19 Reimb Cell Phone Reimbursement Dec'18 $ 50.00
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
$ 50.00 Total $ 50.00
January 3,2019
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
Cost distribution ledger classification if
Y with IC 5-11-10-1.6
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Carmel Clay
Parks&Recreation: :
Em � :lo ee :Ex ens. ' Reimbursement Re W .
p Y . . p q
Fund Account Account. : :. .
Receipt Vendor listed on receipt,'. # Line:# Budget Desceiption Amount.. Purpose of Expense:
. Reimbursement for use.of
12/12/2018 Verizon Wireless • 101.: 11251-00-4344100 .: Cellular Phone Fees. $50.00. personal phone,for Department.
business
b.
All receipts should.be attached.in the same order as listed above.
No sales tax will,be reimb.ursed.: TOTAL:: $507T77
A0 . .
Employee:Name'(print) Michael:Klitzing
Address: 1550:Redsunset Dr::
Check . . .
payable to: Ciiy,.St;:Zi. . Brownsbur ; IN 46'11-2
Signature: -Approved by:.
Date::, 1:%2/20.19 Date
Business Services.Division,Revised 7-7=08
FILE: Shared\Administratiye\Forms\Staff Forms\Employee Exp Reimb Request
AN 0
By: . . . ...:.: . . . . . . . . . . . . . .