HomeMy WebLinkAbout191856 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
j ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032 110 RN 46 AY ST
CHECK NUMBER: 191856
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 REIMB 10.00 GENERAL PROGRAM SUPPL
Carmel Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: f �.co .4
Employee Name (print)
2010
Address
Check
payable to: city, St, zip l L)l�� 1� llT���
Signature: Approved by:
Date: 1 Date: (2-0 �a
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative\Forms \Staff Forms \Employee Exp Reimb Request
Sheila's Pumpkins Date: October 16, 2010
3240 S. 400 W.
Kokomo, In 46901
765 438 -5097
Item Price Amount Total Paid
Small Pumpkins $1.00 /each 10 $10.00
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Purchaser �6�
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Date
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
362215 Taflinger, Brooke Terms
11008 Broadway Ave
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10116/10 Reimb. Program supplies 10.00
Mileage 8110 9/14/10
Total 10.00
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
20,
Clerk Treasurer
Voucher No. Warrant No,
362215 Taflinger, Brooke Allowed 20
11008 Broadway Ave
Indianapolis, IN 46280
In Sum of
10.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -70 Reimb. 4239039 10.00 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
4 -Nov 2010
Signature
Is 10.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund