250202 10/07/15 Cqq
CITY OF CARMEL, INDIANA VENDOR: 083900
b ONE CIVIC SQUARE JOHN R. ELLIOTT CHECK AMOUNT: $*******203.89
CARMEL, INDIANA 46032 3041 E CURRY LANE CHECK NUMBER: 250202
CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 203.89 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: John Elliott DEPARTURE DATE: 9/20/2015 TIME: 1615 AM / PM
DEPARTMENT: Carmel Police Dept. RETURN DATE: 9/23/2015 TIME: 1630 AM / PM
REASON FOR TRAVEL: Indiana Division IAI DESTINATION CITY: South Bend
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
9/20/15 $9.63 $25.00 $34.63
9/21/15 $9.63 $50.00 $59.63
9/22/15 $9.63 $50.00 $59.63
9/23/15 $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
Total $0.00 $0.00 $0.00 $28.89 $0.00 $0.00 $0.00 $0.00 $0.00 $175.00 $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 9/25/2015 Page 1
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DIANA D I VI S ,A,;
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CERTIFICATE OF ATTAINMENT ON l
� KNOW ALL BY THESE PRESENT, THAT
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John Elliott {
has successfully attended the Twenty-Second Annual Educational Conference and received
instruction in various aspects of Forensic Investigations, Examinations, and : '
Identification.
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,i � Indiana Law Enforcement
Training Board Certified Training �P ��
�,,�•� j � Wally Liresident
Provider Number: 35-1934954 . �
(� Lewis,
Course Number: 15-01
In-Service Credit: 18.0 hours 'n Q= G✓� � �/
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September 21- 23, 2015 �p \GQ� Ro 'ey Vawter, Board Chair
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4!)
123 North Saint Joseph St.•South Bend,IN 46601
Phone(574)234-2000 • Fax(574)234-2252
DOUBLETREE For reservations across the nation
Name&Address wNvw.doubletree.com or 1-800-222-TREE
BY HILTON-
SOUTH BEND
ELLIOTT,JOHN Room 634/ND2
Arrival Date 9/20/2015 6:54:00 PM
3 CIVIC SO Departure Date 9/23/2015
CARMEL IN 46032 Adult/Child 1/0
UNITED STATES OF AMERICA Room Rate 89.99
Rate Plan: IAI
HH# G Z G
AL:
Car:
Confirmation Number:85119923
9/23/2015 �. H H O N O R S
HILTON WORLDWIDE
DATE REFERENCE DESCRIPTION AMOUNT
9/20/2015 766576 PARKING $9.00
9/20/2015 766576 MISC-STATE TAX $0.63 WALDORF
9/21/2015 767153 PARKING $9.00 ASTORIA
9/21/2015 767153 MISC-STATE TAX $0.63
9/22/2015 767794 PARKING $9.00
9/22/2015 767794 MISC-STATE TAX $0.63
."BALANCE" $28.89 C O N R A D
Hilton
AMEN
DOUBLETREE 0ar
Garden Inn'
CTI�P�U
ACCOUNT N0, DATE OF CHARGE FOLIO NO/CHECK NO
217298 A
CARD MEMBER NAME AUTHORIZATION INITIAL
HOMEWOOD
SURES
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ESTABLISHMENT NO.&LOCATION ESTABIJSIIM&T AGREES 10 TRANSMITTO-1)1101.1)LR FOR PAYMENT PURCHASES&SERVICES
THANK YOU FOR CHOOSING DOUBLETREE SOUTH BEND.
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CARD MEMBER'S SIGNATURE
TOTALAMOUNT Hilton
X Grand Vacations
MERCHANDISE ANDOR SERVICES PURCHASED ON TIDS CARD SHALL NOT BE RESOLD OR BEiTURNED FOR A CASII REFUND PAYMENT DUE UPON RECEIPT
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 per diem/parking $203.89
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 Elliott
IN SUM OF $
3041 E. Curry Lane
Carmel, IN 46033
$203.89
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $203.89
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
Wednesday, Sep tuber 30, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund