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HomeMy WebLinkAbout248982 08/26/15 (9) CITY OF CARMEL, INDIANA VENDOR: 00351648 ONE CIVIC SQUARE JOHN PIRICS CHECK AMOUNT: S*******390.00*CARMEL, INDIANA 46032 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 390.00 TRAINING SEMINARS 4`t OF CI�� CITY OF CARMEL Expense Report (required for all travel expenses) \\!ND MAP- EMPLOYEE AN-EMPLOYEE NAME: John Pirics DEPARTURE DATE: 8/9/2015 TIME: 11:47 5A PMS DEPARTMENT: Carmel Police Department RETURN DATE: 8/14/2015 TIME: 6:50 AM(P; REASON FOR TRAVEL: Crimes Against Children Training DESTINATION CITY: Dallas, Texas EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 8/9/15 $65.00 $65.00 8/10/15 $65.00 $65.00 8/11/15 $65.00 $65.00 8/12/15 $65.00 $65.00 8/13/15 $65.00 $65.00 8/14/15 $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 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.001 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 8/17/2015 Page 1 CERTIFICATE OF COMPLETION This is to certify that John Pirics Satisfactorily completed a course of � Wftmimuap 20 hours of study at the ��Jl� D 27th Annual Crimes Against F v Children Conference ` August 10-13 2015 .. 9 t --s; Course is TCOLE Approved LMFT Approved Provider #649 LMSW Approved Provider #6262 LPC Approved Provider #1322 MCLE Course #901322142, MCLE Sponsor #3566 NAADAC Approved Provider #146360 NASW Approved Provider #886499330-2926 Lynn M. Davis David O. Brown President and CEO Chief of Police NBCC ACEP #6602 Dallas Children's Advocacy Center Dallas Police Department Dallas Children's Advocacy Center 5351 samuell Blvd. I Dallas, TX 75228 1 214.818.2687 1 conference@dcac.org i Record Locator OHGZMC I • III Ifinera y Carrier Flight# Departing Arriving Fare Code © INDIANAPOLIS DALLAS FT WORTH ® 306 SUN 09AUG G 1 1:47 AM 105 PM Arnerican John Puics Seat 26E Economy DALLAS FT WORTH INDIANAPOLIS OIL. 1382 FRI14AUG G American 3.35 PM 6:50 PM John Plrics Seat 26F Econorny Recept Fare- Taxes and Ticket Passenger Ticket# USD Carrier- Total Imposed Fees ( � 0012305247486 498.60 65.60 564.20 John Pirics r� M John Pirics-Additional Fare Collection 170.00 Additional Services Date Currency Amount Ticket Charge 22 JUN 15 USD 200.00 s chahi e•Mastei`Card XXXXXXXXXXXX2338 r,n$on9t Sen-;e{brr:.:Ir,�:to vaS!r 9 1 ai-Rn`•.i.-,i tH"s'+•ti.f.U:r5.h J•11!:KIH'Se•a.`rq ttia}i~F t�:„r<-7 M.ab(.,>qr.,'c»:) 1�::.: ..•t?{iii"^.a rdnr-•. ••'MraceP. M:haus,-;,i:r-!d.,=:S a�lUM Rt:F-UYICIABLF !.,t c 1 f r, :cv.i•. n:7�t ht�ar...ryt:+:ts';...�tt:_.;,ttiete t k c>a+�,uc�h•nt>+it q1e i.rs:fs.sy;}c...71;jt:a'ite:,>.5{'r,'�4,,..,t;e H the 19'e pP,aws cF:gngea a w fniL 43�>?:=•did?Cr i:1:.ISd`Klvy ts"'20,0 � Ir I c� 1•.,.:r�rr.�ryar�`Yr_•� „Y'�ro 8c'to7o.y G.,�tu1:+:•! s,c-�:t, �trrn��1.M: ']�nkus a rri{�s ?�.Ij��lu: ;crsc+,ai�at , Ni:,uru f•ts,>are no fprFtldar n.>3;.[an1'.,;te til_=+'°r1p1 ,s'�.J.,+t133;i�cj•.j."� ::T.:' .:!�gVR C)'{t.r,f:.(� .j}},n_ _t iE,��'.1.. "Ili:. r. r.„ ., ! -.,,� � •., „.. .,, , , ( t � .. .. , L'n('f2Sr't kj�e:i 4•}-:•, r ia,�;::atJl�t.��.i� !'r �J�. .. .. � >:.- .�..t:t i!•n•e�H SyN::BI c•r<.'jq��r, ,.�,v,.:>it:p,..,, ., "- „ .... .. .,r.. . i ,, .,, ,. ,. � � , , s c'.>,!r,,,fjErL o:r,..t� u41n'.,..,i .:. ,,.. `ni u > , ...•.+rr. � v..,.u,��a:,,,,,r (.,rn; .,, ,,,,,f• r ... .,. ,, . >•.pt,1-,(li!� n-..,a,f'1: ,..- , i i •' :'S' t'.!• .J 1�r.. , ., 1., , , , .. i, t.. !.. ,. ..•I 2 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)) 08/19/15 per diem $390.00 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 John D. Pirics IN SUM OF $ $390.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 -570.00 $390.00 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 Thursd y, August 20, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund