242375 02/17/15 r Coq -
"° CITY OF CARMEL, INDIANA VENDOR: 242250
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® tl ONE CIVIC SQUARE SCOTT PILKINGTON CHECK AMOUNT: $""*""13.00"
i° CARMEL, INDIANA 46032 309 MAY APPLE CIRCLE CHECK NUMBER: 242375
MiF6w Eo, WESTFIELD IN 46074 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 13.00 SPECIAL INVESTIGATION
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Scott Pilkington DEPARTURE DATE: 2/11/2015 TIME: 10:15 A'J'/ PM
DEPARTMENT: Carmel Police Dept RETURN DATE: 2/11/2015 TIME: 4:48 AM /(EE�)
REASON FOR TRAVEL: Testify in Federal Court DESTINATION CITY: Indianapolis
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN !` TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
2/11/15 $13.00 $13.00
$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
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $13.00 $0.0011 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 11
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.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 2/12/2015 Page 1
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))
02/11/15 parking $13.00
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.
ALLOWED 20
Scott Pilkington
IN SUM OF $
418 Elnora Lane
Westfield, IN 46074
$13.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1110 43-582.00 $13.00 I 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
Thursday, February 12, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund