HomeMy WebLinkAbout202778 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
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E' ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $139.02
CARMEL, INDIANA 46032 11008 BROADWAY ST
INDPLS IN 46280 CHECK NUMBER: 202778
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 66.02 TRAVEL FEES EXPENSE
1096 4239039 REIMB 73.00 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
9/18/2011 Denison Parkin 47 D C 1 k Training Travel- &:L -od inn 14.00 Conference Parkin Fee
9/19/2011 Denison Parking 47 i Trainin Travel- -L -od g inra 4.00 Conference Parking Fee
9/20/2011 Denison Parkin 47 h'c�� T
l rainin T L
ravel- &.od 4.00 Conference Parking Fee
9/20/2011 Denison Parking 47 j Training Travel L-od ina 4.00 Conference Parkin Fee
9/21/2011 Denison Parking 47 Tr.ain_n Travel: &.L -odgin 4.00 Conference Parkin Fee
I
9/18/2011 Circle K Indian olis 47 Trainin Travel L-odginng 36.02 Gas RP. CCPR VeWcie-
I
Travel- e lem ood I
o
3t.00 E SN►, ca 7x
9/23/2011 Dollar Tree Stores 1096 -70 4239039 General Program Su lies -3a-63 Program Supplies
9/20/2011 American TR Association 1096 -70 4239039 General Program Supplies 42.00 Program Supplies
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
139.02 r
Employee Name (print) Brooke Taflinger
Address 11008 Broadway Ave. OCT 2011 J
Check
payable to: City, St, Zip IndianapQ In 46280
Signature: Approved byc
Date: 1 Date:
Business Services Division, Revised 7 -7 -08 l
FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request
ON -SITE CONFERENCE -STORE ORDER FORM
ATRA 1 629 N. Main Street I Hattiesburg, MS 39401
o Phone: 601 450 -ATRA (2872) Fax: 601 582 -3354
www.atra-online.com
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Name: 1 Organizatio
Mailing Address: E
City: l�Jw. State: �'l Zip:
ma
Phone: Fax: f S�\ il \�,r cC-�'
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Qty Title Retail Onsite Price TOTAL
A Private Practice in Therapeutic Recreation 35 25
Annual in TR Volume 19 (2011) 50 25
Annual in TR Volume 20 (2012) Pre -Sale ONLY 50 25
Coverage of Recreational Therapy: Rules Regulations, 2 Ed. 40 25
Dementia Practice Guideline for Recreational Therapy 75 60
Diversity Case Studies in Healthcare 21 14
Finding the Path Ethics in Action 32 20
Guidelines for Competency Assessment (Revised 2008) 45 35
Guidelines for Internships in TR, 2 nd Ed. 25 15
Leftovers: The Ups and Downs of a Compulsive Eater 1.20 99
RT: A Viable Option 7.50 5
Research Monograph Efficacy of Prescribed TR Protocols on Falls 16 $10
RT in the Nursing Home 30 20
Simple Pleasures: A Multi -Level Sensorimotor Intervention 25 15
Standards for the Practice of TR (Revised 2000) 40 28
Therapeutic Recreation Intern Evaluation (TRIE) 10 5
TR in Special Education 55 42
Therapeutic Thematic Arts Programming (TTAP) for Older Adults 50 38
The TTAP Method Workbook 70 50
Welcome to My Town 20 10
The What, Who, and How of Recreational Therapy (pkg. 20) 20 10
Koozies Coasters Luggage Tags Bumper Sticker $1 $1
Bottle opener key chains Cups Pens Notepads $1 $1
Lanyards Shopping Bags $5 $5
Umbrellas $18 $12
Backpacks $20 $15
Fleece Vests $35 $30
Windbreaker Polo Shirt $30 $25
Sweatshirt Attache $25 $20
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TOTAL AMOUNT PAID: l
Method of Payment:
CASH Check /MO (Payable to ATRA in USD) Check /MO Purchase Order
Credit Card: Visa O MasterCard Discover American Express
Received by: Date: 091 C;Z 12011
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
9/28/11 Reimb. Conference fees 66.02
9/28/11 Reimb. Supplies 73.00
Mileage 4/18/11
Total 139.02
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
139.02
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 Reimb. 4343000 66.02 1 hereby certify that the attached invoice(s), or
1096 -70 Reimb. 4239039 73.00 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
6 -Oct 2011
Signature
139.02 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund