252167 12/02/15 y�,.C�qM
?�' CITY OF CARMEL, INDIANA VENDOR: 368345
® ONE CIVIC SQUARE CHAD WIEGMAN CHECK AMOUNT: $*****...56.25*
}•. a CARMEL, INDIANA 46032
CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 W065636 56.25 TRAINING SEMINARS
6
t CITY OF CARMEL Expense Report (required for all travel expenses)
es)�` NpIANPi•,
EMPLOYEE NAME: Chad Wiegman
DEPARTMENT: Police Department DEPARTURE DATE: 11/3/2015 TIME: 730 AM/PM
RETURN DATE: 11/4/2015 TIME: 1800 AM / PM
REASON FOR TRAVEL: K9 Recertification DESTINATION CITY: Denver, Indiana
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE ^TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Date Transportation Gas/Tolls/
Lodging Meals
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem Misc. Total°
11/3/15 $31.25
11/4/15 $25.00 ;..,$31:25
;;$21'
04 0,0
'00
0':00
00
_ •V:000
?$040
_$0;00
000
_ �• ;$0:00 x:',$0:00 ` `$56`25 • 000
0 $0:00 0:00,.
:F.,,
:h J$.....
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.
9
Director Signature:
Date:
City of Carmel Form#ER06
Revision Date 11/5/2015
Page 1
WELCOME
8473746
GALLAHAN KWIK MART
US31 & 850 S
BUNKER HILL IN
DATE 11/03/15 16 : 24
PUMP # 01
PRODUCT: REG
GALLONS: 13. 028
PRICE/G: $ 2. 399
FUEL SALE $ 31 . 25
MASTERCARD
XXXXXXXXXXXX0142
Auth #: B52370
Ref : 70602044
Resp Code: 000
Term ID: 0000
Stan: 06601034530
SITE ID: 8473746
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THANK YOU
HAVE A NICE DAY
WELCOME
8473746
GALLAHAN KWIK MART
US31 & 850 S
BUNKER HILL IN
DATE 11/04/15 16 : 08
PUMP # 08
PRODUCT: REG
GALLONS: 10 .423
PRICE/G: $ 2. 399
FUEL SALE $ 25. 00
MASTERCARD
XXXXXXXXXXXX0142
Auth #: B50788
Ref : 88612001
Resp Code: 000
Term ID: 00008
Stan: 06611036158
SITE ID: 8473746
Earn rebates
with BP Visa
Take application
and Apply Today
THANK YOU
HAVE A NICE DAY
I
C
�
` a c-:g Y=ea. ` .�'!3 � '%�-� ���_'`- ''*.ti.��..t�' c,,/ —�. •, /
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ThIs certifies that.
havensuccessfLo98yc®mp9eted r
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n rs 0- f p, I `
u:ut! u aLP urnos
�er Re - Icertuflocat dn -
Itectm# -B
De
=faro M _N ovorn�be:rS,
Certaf6.ed,,Bio,In,djaIna.-La-,Efforcemiht Training Acade v - Provider; 5,000-80
7=1 ..,
Dan Parker Kenn th Lickli er Gary Martens R
Director°df Law Owner Trainer
Enforcement Operations
fir.
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))
11/25/15 Wiegman travel expenses $56.25
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
Chad Weigman
IN SUM OF $
$56.25
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 Wiegman -570.00 $56.25
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, November 25, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund