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Home My WebLink About178883 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1 i ONE CIVIC SQUARE BROOKE TAFLINGER CARMEL, INDIANA 46032 11008 BROADWAY ST CHECK AMOUNT: $311.68 INDPLS IN 46280 CHECK NUMBER: 178883 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMB AMOUNT DESCRIPTION 1047 4343002 REIMB 311.68 EXTERNAL TRAINING TRA 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 �I�y3oa 9/22/2009 Burger King 47 100-100-434301 Travel Per Diem 6.94 Conference Food 9/23/2009 Buffalo Wil Wings 47 100 -100 -43430 Travel Per Diem 14.00 Conference Food 9/24/2009 Bennigans 47 100 -100 -43430 Travel Per Diem 10.00 Conference Food 9/25/2009 University Cup Coffee 47 100 100 -43430 Travel Per Diem 13.00 Conference Food ,v Ks e (C E- 9/25/2009 Blodgett Oil 47 00- 100 434300 Training Travel Lodginng 26.00 Gas 9/25/2009 Comfort inn Suits University Park 47 00 -100- 434300 Training Travel Lodginng 241.74 Conference Hotel All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: 311.68 Employee Name (print) Brooke Taflinger Address 11008 Broadway Ave. OCT T 2 0 2009 Check payable to: City, St, Zip Indianapolis, In 46280 Signature: Approved by: f Date: Vb r Date: b(xLO Business Services Division, Revised 7 -7 -08 FILE- Shared \Administrative\Formslstaff Forms\Employee Exp Reimb Request Michigan Recreation and Park fissociation Michigan Recreation and Park Association Therapeutic Recreation Institute September 23 -25, 2009 Mt. Pleasant, MI CEU Farm Nam A 4 Certification Numbe ess State Zip jV Phone email NC "hRC does not pre- approve any continuing education. NCTRC has not revie�Ncd or approved the contents of these ni ate rials. and does not endorse or sponsor any of the activities of the Michigan Recreation and Park Association. If you wish to receive Cl_ U's for the sessions which YOU attend. please he sure to turn this torrn in to the moderator at the start of the session. If ou leave the session ror any reason or arrive laic, you will lint receive CE is Be sure to pick up this 'for"' from the moderator at the close of each session Retain this form for your records. MRPA no longer keeps cop of CFLJ lbrnls Thursda September 24, 2009 Moderator's signature CTRS CPRP Opening Session: On Your Mark, Get Set, .15 .1 Goal! Keynote: Pearls ,1 1 Back to Basics: Writing Behavioral Goals and 15 .1 Ob ectives Adult Day Service: lt's So Much More Than 15 1 Ri„Qn Weaving People into Their Communit .15 .1 Pediatrics: Transitioning from Rehab to .15 Communit Adapted Cycling: Recreation for All Been There, Doing That, Now What? TR in .15 .1 Mental Health All Conference Session: Follow the Leader .15 l was so Elementary School. Or was it? C?�S r Se tember 25, 2009 Services Associated with Therapeutic 5 .15 �G tion .15 .1 Non Alzheimer's Dementias: How to .15 I Recognize and Accommodate Cognitive Changes Part 1 Effective Leadership in the 21 Cent 0 t .1 Non Alzheimer's Dementias: How to .15 .1 Recognize And Accommodate Cognitive Chan es fart 2 Disability Awareness Benefits Eve one .15 .1 Closing Session: Permission to S reed .15 .1 Total CEU's Michigan Recreation and Park Association 2465 Woodlake Circle, Suite 180 Okemos, Michigan 48864 (517) 485 -9888 Fax: (517) 485 -7932 info r mr aoniine.o� www_tnmaonline.ota Michigan. Recreation and. Park Association Michigan Recreation Continuing Education U nit Certification Forme rvWW.nzr aonline.or a Park fissociation P qnd g 0 0 0 NATIONAL. C1= R r JCATION Participant's Infarinaton BOAR0 Conies: Wltite to Attendee Pink to ilIRPA `Faj ingf zy G J Last Name, rst :kame, Nliddle Initial Certification Number affioalyku Address, City, Zip Area Code l Phone Number Email Program Information Title Location a Date dumber of C.E.U.'s In order to receive CLU's, you must be present for the duration of the Program and verify attendance by: 1. Complete the information (above) upon arrival. 2. The monitor will sign and collect the form(s) and 55,00 payment. 1 3. If there are breaks, you must check in and check out with the monitor. X 4. At the program's conclusion, you must check out with the monitor-' lIo or'S Signature 5. Please submit payment (55.00 tee) with signed form. OE Purchase Description P.O.# For F Budget Line DesCt Purchaser BKC Appal BK 10627 X765,), 9984549 26 MICNCLE Chk.,380 Sep22'09 06,45PM To Go 1 'Value Meal 6,49 XT StkhS Mshrm Sm Van nran ZhL- 6,94 'Subtotal,: 6,49 Tax; 0.45 Tote l 6.99 C' a c OFFER Purchase f' Oescriptl0fl2a P.O. P or F �q su" t 'T�� JiL Una escr., v Purchaser Oate Approv Bt," MTPLEASANT 30.49 1904 SOUTH MISSION STREET MT. PLEASANT, MI 48858 989- 772 -9464 272795.1 APRIL L Table 145 8WW— MTPLEASANT 3049 Wed 09/23/09 7;35 PM Guests 4 1,904 SOUTH MISSION STREET Guest Num; 1 hIT. PLEASANT, MI 48858 1 APP SAMPLER 3.66 989 -772 -9464 1 MEDIUM 0.00 VISA 1 W /LAST ORDER 0.00 EMP: APRIL L Time 19:38 1 CAESAR SALAD 7.29 Date 09/23/69 1 [BLACKEND CHX 0.00 Table 145 272795.1 SubTotal 10.95 Taxes... 0.66 Card Holder TAFLINGER /BROOKE xx /xx Card Number xxxxxxxxx Ctrl; 20799 Please Pay this amount Auth Code 023540 Total 11.61 11.61 Amount.. 2 Thank you for dining with us! T i P Any comments or suggestions, q please visit our website: Total www.buffalowildwings.com V Or Write to us: X Cardmember agrees to tal in Buffalo Wild Wings, Inc. accordance with agree ent governing 1600 Utica Avenue South use of such card. Minr;apolis, MN 55415 Customer Copy i 0303 Server: KANDIS C Rec:124 Purchase 09/24/09 20:30, Swiped T: 15 Term: 5 Description r P.O. O P orF BENNIGAN'S GRILL TAVERN Q,L 2400 S.MISSION ST. .IDU_" �3�1�(,�Q MT.PLEASANT, MI.48658 eudget (989)772 -5002 un® sect MERCHANT Purchaser Date,L�7 Approv Date.�OQ CARD TYPE ACCOUNT NUMBER. XXXXXXXXX;X, name: BROOKE TAFLINGER 00 TRANSACTION APPROVED AUTHORIZATION 0: 024762 Reference: AUIB581124 TRANS TYPE: Credit Card SALE CHECK: J 3 47 T I P -L— 53 TOTAL-: Co PHONE, M Pt....LA:�ANT *DLIP] i carte Copy 9- 89 1 _72 -5Ci02 CARDHOLDER WILL PAY CARD ISSUER ABOVE 0308 TABLE 15 #Party 0 AMOUNT PURSUANT TO CARDHOLDER AGREEMENT KANDIS C SvrCk: 21 19:31 09/24/09 BOTTOM CUPY FOR THE BENNIGAN S GUEST DIN I N G R M Separate checks: 4 -of -4 1 CHIX QUESADILLA 7.99 Sub Total: 7.99 Tax: 0.48 Sufi Total: 8.47 09/24 20:21 TOTAL_ E3.47 I`� UNIVERSITY CUP COFFEE CO 1027 S FRANKLIN STRE.EI MT PLEASANI, NI 48858 Purdhow 389-772-7701 Des&ptIQ11 Merchant ID: 010128933970 P.O.I P or Ref W: 0627 S ale and at XXXXXXXXX; PuMh L/— —d9 ntry �1�thod: SuipEd lob E hount: tip: total 3 v� �MM9 12. 06 Inv MIT2 Wr rode: NT0 Wrvd: Onliu h tcO M VT Customer Cory Des n PA# ag o WELGC'Mf T4 Une BLODGETT 01L'S U r� M46 TRAVEL CENTER owa SAFES RECEIPT 52 101 1100D34 :;HELL 2400 MOINIKE RD ALMA IV1I 48801 I`a TE a9:'2 U9 2 31 PIll INVOICE# IW510 RUTH# 025788 F JNT NUMBER TAFL I NGER: BROOK PUMP PRODUCT 'G 07 REGf l $2.429 GALLONS FUEL. TOTAL 10.704 26.00 THAPJI: 'YOU Comfort Inn Suites University A ccount: 138236641 Park (M1069) Date: 9/25/09 2424 S. Mission St, Room: 281 GROUP- a a Mount Pleasant, MI 48858 Arrival Date: 9/22/09 (989) 772 -4000 Departure Date: 9/25109 By r C H O K E HOTELS GM.M1069 @choicehotefs.com Check In Time: 9122/09 10:14 PM Check Out Time: 9/25/09 11:32 AM Frequent Traveler ID: TAFLINGER, BROOKE You were checked out by: rsharp.mi069 MI RECREATION AND PARKS ASSN (6385) You were checked in by: ksmith.mi069 1235 CENTRAL PARK DR Total Balance Due: 0.00 CARMEL, IN 46032 r t v� s s:.� f s t� t i„ &s�_.w�d sr'�... r Post Date Descnption Comment��_ r rte.. Amount` 9/22/09 Room Charge #281 TAFLINGER, BROOKE 79.00 9/22/09 Occupancy Tax 1.58 9123/09 Room Charge #281 TAFLINGER, BROOKE 79.00 9/23/09 Occupancy Tax 1.58 9/24/09 Room Charge #281 TAFLINGER, BROOKE 79.00 9/24/09 Occupancy Tax 1 58 9125109 ayment (241.74) xxxxxxxxxxxx a 9!25109; Room Charge 237.00 C:.cupenCy Tax 4.74 ?ayment (241.74) This rate is not eligible for partner rewards. Balance Due: 0.00 If payment by credit card, I agree to pay the above total charge amount according to the card issuer agreement. x S Purchase Description. P.O.# PorF O.L. r 40 Z Budget Une Desol fi At Purchas Date l U C)" d Approval Date /b9 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 10/7/09 Reimb. MRPA conference expenses 311.68 Total 311.68 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 311.68 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members Dept 1047 Reimb. 4343002 311.68 t 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 22 -Oct 2009 Signature 311.68 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund