HomeMy WebLinkAbout173564 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
0 ONE CIVIC SQUARE BROOKE TAFLINGER
CARMEL, INDIANA 46032 11008 BROADWAY ST CHECK AMOUNT: $80.00
INDPLS IN 46280
CHECK NUMBER: 173564
CHECK DATE: 611012008
DEPARTMENT ACC PO NUMBER INVOICE NUMBE AMOUNT D ESCRIP TION
1047 4358300 REIMB 80.00 OTHER FEES LICENSES
Car MCI 0 Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
es
1
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL:
Employee Name (print)
Check Address n�,l` MA Y 2 1 2009
payable to: City, St,
L.......
Signature: Approved by:
Date: Date: q
Business Services Division, Revised 7 -7 -08
FILE: Shared lAdministrativelForms\staff FormslEmployee Exp Reimb Request
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Friday, May 15, 2009
1�51-
Brooke N. Taflxx7.Rer
11008 Broadway Ave.
Indianaplois IN 46280
RECEIPT
Date of Payment .Amount of Payment Purpose of Payment
5/7/2009 $80.00 TRSRENEW
MAY 2 1 1009
B
NCTRC Staff:
Perfect Teller -Web Check Image Page I of 1
City ®f Firsts FCU
Member: 65370 BROOKE TAFLINGER
Image for Check 1042
BROOKE TAFUNGER 1 042
3240 S COUNTY ROAD 400 W
KO KOMO INDIANA 46902 ti.. y 71- 7a70127a9
765- 880�5a80 -e 073
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Dollars
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DDA '090'323520033420 Lbx 0145405 CIN Batch 0703151 Seq 000022 Date 20090507
CREDIT TO DDA BILLING ACCOUNT
ABSENT ENDORSEMENT GUARANTEED
KEYBANK LB NATIONAL ASSOCIATION
LB 0145405 >000323520033420 <CIN
MAY 2 1 1oD9'
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https:H statements- online.com/ 23012 /ptw.php ?cu= 23012 &ptReq =2bcI 6f5837 d3b96ad665... 5/13/2009
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where price performed, dates service rendered, by
whom, rates per day, number of hours, rate per
Payee Purchase Order No.
Terms
362215 Taflinger, Brooke
3240 S 400 W
Kokomo, IN 46902
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s)) 80.00
5112109 Reimb. Annual NCTRC certification
Total 80.00
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
32494490-W
In Sum of
80.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 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
4 -Jun 2009
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund