250299 10/07/15 �' wF CITY OF CARMEL, INDIANA VENDOR: 355078
ONE CIVIC SQUARE RYAN JELLISON CHECK AMOUNT: $"""*291.84`
f. r CARMEL, INDIANA 46032
CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 291.84 TRAINING SEMINARS
,4\N OF CANuz
H,1jF!
CITY OF CARMEL Expense Report (required for all travel expenses)
.NDIANa'
EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 8/14/2015 TIME: 15:30 AM / PM
DEPARTMENT: CPD RETURN DATE: 8/16/2015 TIME: 22:00 AM / PM
REASON FOR TRAVEL: Training DESTINATION CITY: Pittsburg, PA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
8/14/15 $145.92 $145.92
8/15/15 $145.92 $145.92
$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 $0.00 $291.84 $0.00 . $0.00 $0.00 $0.00 $0.00 $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.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 9/28/2015 Page 1
09/28/2015 10:39 FAXC7{j0001/0001
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8/14/2015 1514858 GUEST ROOM $128.00
8/14/2015 1514858 COUNTY TAX $8.96
8/14/2015 1514858 STATE TAX $8.96
8/15/2015 1515116 GUEST ROOM $128.00
8/15/2015 1515116 COUNTY TAX $8.96
8/15/2015 1515116 STATE TAX $8.96
8/16/2015 1515189 ($291.84)
"*BALANCE"" $0.00
for reservations. : li . on
account no. date of charge folio/check no.
VS *6784 8/14/15 519418 A
card member name authorization initial
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establishment no.and location establishment agrees to transmit to urd holder for payment purchases&services
THANK YOU FOR CHOOSING THE HAMPTON INN taxes
MONROEVILLE.PLEASE CONSIDER GOING ONTO THE
WESSITE,WWW.SERVICECOUNTS.ORG.TAKING A tips&mist.
SMALL SURVEY AND LETTING US KNOW HOW WE ARE
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total amount -291.84
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September 2015 Statement 08/04,'2015 . 091:01.!2015
R",W] D JELLISOI-,j pa(jo 3 Of 3
Cardmember Service
Transactions C1 0 i-234-16m
Purchases and Other Debits
Post Trans
Date Date Ref N Transaction Description
aft*, canAmount
MEDIUM ENREN..ftm�
8 o,&-t HAMPTON.INNS m -JFIOEVILLE
6 PA
FOLIO,:6100051-94
TOTAL THIS PERIOD
Interest Charged
P00
Uate Transaction Description
Amoimt
AMR
TOTAL INTEREST THIS PERIOD
2015 Totals Year-to-Wite
Tolal Fees Charged in 2615
Total Interest Charged in 2015
'Interest Charge Caldul6tion
Your Annual Percentage Rate,(APR)is the annual interest rate on Your account,
APR for current and futme-Vansactions.
Balance Balance Annual Expires
Balance Type 13Y Type Sijbi,6cl tio, Interest Percentage
lntemit Rate Variable will)
Char Statement
MEW AM161
ME.
'MOW
Conta& Us
Phone 7Questions
Mail payment COLIP01)
willi a check
Caidnieinber Service Cardmernber Service
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End of
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))
09/28/15 lodging $291.84
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
Ryan D. Jellison
IN SUM OF $
$291.84
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 I $291.84
I hereby certify that the attached invoice(s), or
I 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
Wednes ay, September 30, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund