245798 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 365392
ONE CIVIC SQUARE ADAM M DEVENPORT CHECK AMOUNT: $*******200.00*
s. ?� CARMEL, INDIANA 46032
CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 200.00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Adam Devenport DEPARTURE DATE: 5/5/2015 TIME: 6:30 AM/PM
DEPARTMENT: Carmel Police Dept RETURN DATE: 5/8/2015 TIME: 16:30 AM/PM
REASON FOR TRAVEL: Sniper/SWAT Training DESTINATION CITY: Camp Atterbury, Indiana
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMENTRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging . Misc. . Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
5/5/15 $50.00 $50:00
5/6/15 $50.00 $50.00
5/7/15 $50.00 $50.00
5/8/15 $50.00 $50.00
$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
F-=Total 1 $0.001 $0.001 $0.00 $0.001 $0.00 $0.001 $0.00 _ $0.00 ,$0.001 $200.001 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 5/18/2015 Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Adam M. Devenport
IN SUM OF$
$200.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuin9 Ed Fund
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
210 I -570.00 I $200.00
I hereby certify that the attached invoice(s), or
I
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, May 22, 2015
Chief of Police
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))
05/20/15 swat training per diem $200.00
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