HomeMy WebLinkAbout192263 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
ONE CIVIC SQUARE BROOKE TAFLINGER
CHECK AMOUNT: $11.00
s�+ CARMEL, INDIANA 46032 11008 BROADWAY ST
INDPLS IN 46280 CHECK NUMBER: 192263
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 11.00 GENERAL PROGRAM SUPPL
Carrel e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
All receipts should be attached in the same order as listed above. I
No sales tax will be reimbursed. TOTAL:
Employee Name (print)
Address
Check
payable to: City,
Signature: Approved by:
Date: r t k—j Date: A q
Business Services Division, Revised 7 -7 -08 M FI I W If!
FILE: SharedlAdministrative \Forms\Staff Forms\Employee Exp Reimb Request l�
NOV 1 0 2410 �l
BY:
DORAR TREE STORES INC.,
Store# 2092 (317) 255 -8611
7225 North Keysione Ave
Suite D
Indianapolis IN 46240
DESCRIPTION OTY PRICE _TOTAL �S
1.00 LOOT PWF
LOOT BAGS 1 FA.O Chf h(� \??1�
HALLOWEEN DECOR 1 1.00 1 OOT
HALLOWEEN DECOR 1 1.00 L OOT
a.L 1i
,]OINTED CUTOUT 1 1.00 1.00T ��d�tet
TREAT BAGS 1 1.00 1,00T
UesoP
CRASHING WITCH 1 1.00 1.00T Purchaser
HALLOWEEN MURAL 1 1.00 1.00T
HALLOWEEN TABLECVT 1 1,00 1.00T Approval,.
HALLOWEEN TABLECVT 1 1.00 1.00T j p
HALLOWEEN TABLECVT 1 1.00 1.00T
HALLOWEE TBLECOVER 1 1.00 1.00T
Sub Total $11.00
SALES TAX $0.77
Total $11.77
$11.77
Thank You for Shopping at Dollar Tree
Where Everything's $1.00
`y Now Shop On-Line at Dollartree com
002121 2092 05 00051 26396 10/22/10 12:36
Sal
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
10122/10 Reimb. Program supplies 11.00
Total 11.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
362215 Taflinger, Brooke Allowed 20
11008 Broadway Ave
Indianapolis, IN 46280
In Sum of
11.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -70 Reimb. 4239039 11.00 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
18 -Nov 2010
Ajd�iyt
Signature
I s 11.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund