233083 05/28/14 .kAq,M
�T`Y` CITY OF CARMEL, INDIANA VENDOR: 363024
® ONE CIVIC SQUARE BLAKE LYTLE CHECK AMOUNT: $*******325.00*
d CARMEL, INDIANA 46032
CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 325.00 TRAVEL & LODGING
I
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Blake.Lytle DEPARTURE DATE: 5/12/2014 TIME: 4:00 CA)M)y PM
DEPARTMENT: Police RETURN DATE: 5/16/2014 TIME: 4:00 AM PM
REASON FOR TRAVEL: Honor Guard Police Memorial DESTINATION CITY: Washington, DC
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/12/14 65.00 $65.00
5/13/14 $65.00 $65.00
5/14/14 $65.00 $65.00
5/15/14 $65.00 $65.00
5/16/14 $65.00 $65.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Totall $0.00 $0.00 $0.001 $0.00 $0.00 $0.001 $0.001 $0.001 $0.001 $325.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
tY
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 5/22/2014 Page 1
VOUCHER NO. WARRANT NO.
Blake A Lytle ALLOWED 20
IN SUM OF$
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I I 43-430.03 I $325.00 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
Friday, ay 23, 2014
4�z' Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/22/14 Police Memorial,Washington DC $325.00
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