HomeMy WebLinkAbout200132 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
F ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 11008 BROADWAY ST
INDPLS IN 46280 CHECK NUMBER: 200132
CHECK DATE: 8/312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4358300 REIMB 80.00 OTHER FEES LICENSES
F-D
E
Care e Clad/ JUL 5 2011
Parks &Recreation BY:
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
6/24/2011 NCTRC �1�1' "a `�GJ,�. �'(w }rat, $80.00 Annual Certification
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $80.00 ✓J
Employee Name (print) Brooke Taflinger
Address 11008 Broadway St.
Check
payable to: City, St, Zip Indianapolis, In 46280
l
Signature: o Approved b fr.
Date: 7/11/2011 Date: 5I l l
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
Page 1 of 1
Chase Online
Activity for 1 cKl_l.11 c
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Posted Activity
Trans Date Post Date Type Description Transaction Number Amount
06/24/2011 06/26/2011 Sale NCTRC (Other) 24755411176731762888265 $80.00
Last Statement Balance
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2011 JPMorgan Chase Co.
https: cards. chase. com Account /AccountAetivity.aspx ?AI= 303626417 7/1/2011.
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.
Terms
362215 Taflinger, Brooke
11008 Broadway Ave
Indianapolis, IN 46280
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
80.00
6124111 Reimb. Annual Cerfitication
Mileage 4/18/11
Total 80.00
1 hereby certify that the attached invoice(s), or bi11(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
80.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb. 4358300 80.00 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
26 -Jul 2011
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund