168206 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $56.00
CARMEL, INDIANA 46032 32405400w
y_ KOKOMOIN 45902 CHECK NUMBER: 168206
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT P O NU INVOI NUMBER AMOUNT DESCRIPTION
7.047 4340700 56.00 MEDICAL FEES
s
Carmel clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
12/2/2008 Crown Plaza Hotel 47 300.000.43407 Parking expenses 14.00 CPI Training
12/3/2008 Crown Plaza Hotel 47 300.000.43407 Parking expenses 14.00 CPI Training
12/4/2008 Crown Plaza Hotel 47 300.000.43407 Parking expenses 14.00 CPI Training
1215/2008 Crown Plaza Hotel 47 300.000.43407 Parking expenses 14.00 CPI Training
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: T 56.00
Employee Name (print) Brooke Taflinger
Address 3240 South 400 West
Check
payable to: City, St, Zip Kokomo, IN 46902
Signature: Approved by:
C�
Date: Date:
Business Services Division, Revised 7 -7 -08 q
PY P 32008
FILE: SharedlAdministralivelFormslStaff 1= orms \Em to ee Ex Reimb Request DEC 2
0 ..F.
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�CAR RELEASED WITHOUT
THIS CLAIM CHECK \�s�� NO GAR RELEASED WITHOUT
t he management assumes no responsibility 1" THIS CLAIM CHECK
for auto accessories or articles left in vehicle. The management o responsibility
N lia ili is d by management for for auto acceso es oC hicle.
s left in ve
I a b fir theft, vandalism or No lia "ty ts�ass ed management for
Jg y
an oth u to or the vehicle while los or a by re, theft, vandalism or
in ust y o' the management.: any ot-t qr Gse or by the vehicle while
in custc y of he management.
BOB-56 THANK YOU' THANK'YOU
PARK AGAI N PARK AGAIN
j
DEC 2 3 '4008 DEC 2 3 200$
0UU1z 0 0 85' 3
vs
4
i
e
NO CAR II
IS CLAIM CHECK OUT
manage umes no responsibility NO CAR RE L �ED WITHOUT
for auto ces ries ora icles left in vehicle. THIS CL Ifs CHECK
N ability s a sumed y management for an gementa s I! Snoresponsibility
to s o d age y e, theft, vandalism or for uto accessorie orarticles left in vehicle.
any o! r cas or by the vehicle white N liability is as ed by management for
in custo of the management. to s or damage by fire, theft, vandalism or
an other_cau?? _t or by fl vehicle while
in cu oft a ma
THANK YOU' ge ent.
PARK AGAIN THANK YOU
m PARK AGAIN
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.
Taflinger, Brooke Terms
3240 S 400 W
Kokomo, IN 46902
E
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/15/08 Reimb. parking for CPI Training 56.00
Total 56.00
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.
Taflinger, Brooke Allowed 20
.3 1 240.S 400 W
Kokomo, IN 46902
In Sum of
56.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1047 Reimb. 4340700 56.00 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
2 -Jan 2009
Signature
56.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund