HomeMy WebLinkAbout178412 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
ONE CIVIC SQUARE BROOKE TAFLINGER
CHECK AMOUNT: $18.98
CARfNEL, INDIANA 46032 11008 BROADWAY ST
�..oe.. INDPI.S IN 46280 CHECK NUMBER: 178412
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 REIMB 18.98 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
9/15/2009 Target 47 400 700 -42390 Program Supplies 2"1 Program Cost
t �3. G 8
C;OYZ-n�
All receipts should be attached in the same order as listed above. i 8. 8 PC-
No sales tax will be reimbursed. TOTAL: Mal-
Employee Name (print) Brooke Taflinger a�
jt� S t P 2 8 2009
Address 11008 Broadway Ave.
Check
payable to: City, St, Zip Indianapolis, In 46280
Signature: Approved by:
Date: Date: L --LO
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
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
9115109 Reimb. Program supplies 18.98
Total 18.98
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
18.98
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# cr INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1047 Reimb. 4239039 18.98 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 -Oct 2009
Signature
18.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund