334395 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 372207
ONE CIVIC SQUARE FREDDY DELFIN CHECK AMOUNT: $********25.00*
CARMEL, INDIANA 46032 5447 DRUM RD CHECK iNUMBER: 334395
INDIANAPOLIS IN 46216 CHECK,DATE: 01/18/19
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES -
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372207 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Delfin, Freddy Payee
5447 Drum Road
Indianapolis-, In Sum of$ - urc ase r er
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 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 1/8/19 Reimb Cell Phone Reimbursement Dec"8 $ 25.00
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
$ 25.00 Total $ 25.00
January 8,2019
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
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Carmel I@ Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Dec. 14 2018 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 0 22019
Checkpayable to: City, St,Zip a olis, IN 46216 rJAN
..............................
Signature: Approved by:
Date: Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request