HomeMy WebLinkAbout196569 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
0 ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $26.00
CARMEL, INDIANA 46032 11008 BROADWAY ST
y oh,�o MKS IN 46280 CHECK NUMBER: 196569
CHECK DATE: 411312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 26.00 GENERAL PROGRAM SUPPL
Carmel Clay
'arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor fisted on receipt Line Budget Description Amount Purpose of Expense
3/15/2011 Dollar Tree Stores, Inc 1096 -70 4239039 General Program Supplies $26.00 Supplies for St. Pat's Dance
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $26.00
Employee Name (print) Brooke Taflinger
Address 11008 Broadway St.
Check
payable to: City, St, Zip Indianapolis, In 46280
Signature: Approved by:
Date: /16/201 Date: ZZ
Business Services Division, Revised 7 -7 -08 e
FILE: SharedlAdministrative %Forms\Staff FormslEmployee Exp Reimb Request MAR 2 2 2011
l/
a
Y
®oRAR TREE STORES, INC,,
Store# 2315 (317) 577 -8121
7325 East 96th Street
Suite B
Indianapolis IN 46250
DESCRIPTION OTY PRICE TOTAL
PARTY CUPS 1 1.00 1.00N
PARTY CUPS 1 1.00 LOON
ST PAT LEI 1 1.00 1.00N Purchase
ST PAT LEI 1 1.00 LOON
ST PAT LEI 1 1.00 I. OON S
ST PAT LEI 1 1.00 1.00N P.O. �Lb p y
ST PAT LEI 1 1.00 LOON GAL# No'
-p�F
ST PAT LEI 1 1.00 L OON eud 3 Q 3
ST PAT LEI 1 1.00 L OON Una
ST PAT LEI 1 1.00 1.00N Purohes�S
ST PAT LEI 1 1.00 I. OON
ST PAT LEI 1 1.00 1.0ON Approve'"
ST PAT LEI 1 1.00 1.00N beta
ST PAT LEI 1 1 00 1 00N
ST PAT'S HAT 1 1.00 1.00N
ST PAT'S HAT 1 100 1.00N
ST PAT'S HAT 1 1 1.00N
ST PAT'S HAT
ST PAT PARTY DECOR 1 1.00 L OON
ST PAT PARTY DECOR 1 1.00 LOON
ST PAT WEIGHT 1 1.00 J OON
OON
ST PAT WEIGHT 1 1.00 L
1.00 1.O0N
ST PAT WEIGHT 1
ST PAT WEIGHT 1 1'00 1.00 1.00N
ST PAT WEIGHT 1 LOON
ST PAT WEIGHT 1 1.00
Sub Total $26.00
SALES TAX $0.00 .F
Total $26.00
Debit Card
$26 MA K 2 101 I D�
*x* *x% *47
xxxn Tax Exempt
ID 0119683083
Thank You for Shopping at Dollar Tree
Where Everything $1.00.
Now Shop on-Line at Dol•lartree_com
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002115 G�1 ij i i;
Sale .ASS C l c.t 1,E
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
362215 Taflinger, Brooke Purchase Order No.
11008 Broadway Ave Terms
Indianapolis, IN 46280
Invoice Invoice
Date Number Description
(or note attached invoice(s) or bill(s))
3/15/11 Reimb. Supplies for St. Pat's Day dance PO Amount
26.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accords Total
with IC 5 11- 10 -1.6 nc
,20
Clerk- Treasurer
Voucher No. Warrant No.
362215 Taflinger, Brooke Allowed 20
11008 Broadway Ave
Indianapolis, IN 46280
In Sum of
26.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -70 Reimb. 4239039 26.00 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
7 -Apr 2011
Signature
26.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund