244900 05/05/15 aa:�.&Qq,Mf
CITY OF CARMEL, INDIANA VENDOR: 369334
ONE CIVIC SQUARE TIM COFFEY CHECK AMOUNT: $**'***""3.80•
=Q CARMEL, INDIANA 46032 C/O STREET DEPT CHECK NUMBER: 244900
'+%ro„-� CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 3.80 EXTERNAL TRAINING TRA
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Ty
1 ID
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIAN�`-
EMPLOYEE NAME: l i` DEPARTURE DATE: 1/-�7—/S� TIME: 2;,o M PM
-DEPARTMENT: ��� �� 5���� RETURN DATE: y 2 7 ' ��� TIME: ,yS- AM-/
REASON FOR TRAVEL: 66bw� 1���5 S1 L��I�IS DESTINATION CITY: ion pM�[
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT I/ PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem o/
$0.00
5
$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 r $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 4/29/2015 Page 1
i
VOUCHER NO. WARRANT NO.
Tim Coffey
ALLOWED 20
`
IN SUM OF$
C/O Street Department
$3.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members '
2201 I I 43-430.021 $3.80 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the I
materials or services itemized thereon for
which charge is made were ordered and
received except
Thus ay,M30, 0
St �cc��t��1�F�er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/27/15 $3.80
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