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CITY OF CARMEL, INDIANA VENDOR: 125550
® it ONE CIVIC SQUARE BRADLEY HEDRICK CHECK AMOUNT: $ *"**"337.00'
CARMEL, INDIANA 46032
CHECK DATE: 12/02/15
ETON C
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 REIMB 337.00 TRAINING SEMINARS
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expenses
CITY OF CARMEL Expense Report (required for all travel )
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EMPLOYEE NAME: Brad Hedrick DEPARTURE DATE: 11/16/2015 TIME: 10:00 AM / PM
DEPARTMENT: Police RETURN DATE: 11/20.2015 TIME: AM / PM
REASON FOR TRAVEL: Training DESTINATION CITY: Rosemont, IL (Chicago)
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air-fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
11/16/15 $6.00 $65.00 $71.00
11/17/15 $65.00 $65.00
11/18/15 1 1 $65.00 $65.00
11/19/15 $65.00 $65.00
11/20/15 $6.00 $65.00 $71.00
$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 1 $0.00 $0.00 $0.00 $12.001 $0.00 $0.001 $0.001 $0.001 $0.001 $325.00 $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 11/23/2015 Page 1
•
IA
AFFIDAVIT FOR EXPENSES
mr
I, Brad Hedrick, incurred expenses purchasing t9e : cessary Illinois State Road Toll
while travelling to Chicago for training. It was an u anned toll booth that accepted
cash only and did not provide receipts.
1 @ $1.50 on 11/16/15
Brad Hedrick
Carmel Police Department
November 23, 2015
Account: 425102171
Comfort Suites O'Hare Arprt (IL14.6) Date: 11/20/15
4200 N. River Road Room: 522 BAR
Schiller Park, IL 60176 Arrival Date: 11/16/15
(847) 233-9000 Departure Date: 11/20/15
4 CHoice
GM.IL146@choicehotels.com Check In Time: 11/16/15 1:57 PM
Check Out Time:
HEDRICK, BRAD
Rewards Program ID: GP-BXH33286
4 Municipal Drive
You were checked out by:
Fishers, IN 46038
You were checked in by: jjacks
Total Balance Due: 0.00
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Post`.Date ���_°;Descriptlon, !Comment,.,,,=
i
11/16/15 Room Charge #522 HEDRICK, BRAD 149.00
11/16/15 State Tax 8.94
11/16/15 Occupancy Tax 8.94
11/16/15 Other Tax 8.94
11/16/15 Safe w/Itd Warranty 1.00
11/17/15 Room Charge #522 HEDRICK, BRAD 119.00
11,117/15 Occupancy Tax 7.14
11/17/15 State Tax 7.14
11/17/15 Other Tax 7.14
11/17/15 Safe w/Itd Warranty 1.00
11/18/15 Room Charge #522 HEDRICK, BRAD 99.00
11/18/15 Occupancy Tax 5.94
11/18/15 State Tax 5.94
11/18/15 Other Tax 5.94
11/18/15 Safe w/Itd Warranty 1.00
11/19/15 Room Charge #522 HEDRICK, BRAD 99.00
11/19/15 Other Tax 5.94
11/19/15 State Tax 5.94
11/19/15 Occupancy Tax 5.94
11/19/15 Safe w/Itd Warranty 1.00
11/20/15 (553.88)
XXXXXXXXXXXX6591
Folio Summary 11/16/1`5` 117105 .
Room Charge 466.00
State Tax 27.96
Occupancy Tax 27.96
Other Tax 27.96
Safe w/Itd Warranty 4.00
(553.88)
Balance Due: 0.00
From the desk of Sgt. Scott Wilcox, Training
Date: 11/9/2015 FPD Course# F15-169
Notify: Kehl,Thompson, Calandrelli, Dietz, Ellison, Hedrick
School: EnCase Computer Forensics II
Location: Rosemont, IL
Lodging: Comfort Suites O'Hare Airport/Schiller Park, IL
Dates: 11/16/15- 11/20/15
ATTENDING: Hedrick
Message:
Training registration and hotel reservation are complete. Please pick up credit card #5.
Training Location:
Guidance Software
Columbia Centre II
9450 W Bryn Mawr Avenue, Suite 200
Rosemont, IL 60018
Hotel Location:
Comfort Suites O'Hare Airport
4200 N River Road
Schiller Park, IL 60176
Paperwork Needed (Reciepts, Certificate & Hotel receipts need turned in to me first day back
to work)
Certificate, Roster, Hotel receipts
Cost: Course
Fuel
$549.88 Lodging
Travel
Car
Per-diem
Total: $549.88
Budget: ICAC State Grant
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 d Number (or note attached invoice(s)or bill(s))
11/215 Hedrick travel reimbursement $337.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brad A. Hedrick
IN SUM OF $
$337.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 Hedrick -570.00 $337.00
I hereby certify that the attached invoice(s), or
I 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
Tuesday, November 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund