215193 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $42.00
CARMEL, INDIANA 46032 11008 BROADWAY ST
INDPLS IN 46280 CHECK NUMBER: 215193
CHECK DATE: 12/412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 42 . 00 TRAVEL FEES & EXPENSE
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
v �
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: ��.� PFCE' TVFD
�^ —Na Nov � � ao�a
Employee Name(print) �!J
Address -- --
Check
payable to: City, St, Zip 4MPIQ%16�
Signature: Approved by:
Date: \\— Q Date:
Business Services Division, Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
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Vill,
BROOKE 11 IRFL111GER
CURCHER CRY
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
11/9/12 Reimb. Conference parking $ 42.00
Mileage 4/18/11
,Total $ 42.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
362215 Taflinger, Brooke Allowed 20
11008 Broadway Ave
Indianapolis, IN 46280
In Sum of$
$ 42.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Reimb. 4343000 $ 42.00 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
29-Nov 2012
Signature
$ 42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund