334432 01/18/19 (9,
CITY OF CARMEL, INDIANA VENDOR: 365465
ONE CIVIC SQUARE JAMES RANSFORD CHECK AMOUNT: $********25.00*
CARMEL, INDIANA 46032 C/O PARKS DEPARTMENTS CHECK NUMBER: 334432
CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT IDESCRIPTION
1091 4344100 REIMB 25.00 CELLULAR PHONE FEES
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 365465 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Ransford,James Payee
2203 W 186th St
Westfield, IN 46074 In Sum of$ — —Purchase Order# -- --
365465 Ransford,James Terms
$ 25.00 2203 W 186th St Date Due
Westfield,IN 46074
ON ACCOUNT OF APPROPRIATION FOR
109-Morton 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 1/4/19 Reimb Cell Phone Reimbursement Dec'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
January 9,2019
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
Carme . w: clay
Parks&Recreaton COPY
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Cell Phone Fees
12/20/2018 AT&T 1091 4344100 Cellular Phone Fees $ 25.00 forDecember
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $25.00
Employee Name(print) Jim Ransford
Address 2203 W. 186th St.
Check
payable to: City, St, Zip Westfield, I 6074
Signature: A Approved by:
Date: 1/4/2019 Date: / Y
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request _
JAN092019
BY: ..