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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