252924 12/29/15 �.W CAA*F!
�;; � CITY OF CARMEL, INDIANA VENDOR: 027290
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ONE CIVIC SQUARE ORBIE BOWLES CHECK AMOUNT: $ .....124.14"
�:, CARMEL, INDIANA 46032 7615 MARY LANE CHECK NUMBER: 252924
1M�.__,_ INDIANAPOLIS IN 46217 CHECK DATE: 12/29/15
` 1�UN�.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 73.67 GASOLINE
1120 4343003 50.47 TRAVEL & LODGING
.0,4
OriCA?4f,
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANp
EMPLOYEE NAME: Orbie Bowles DEPARTURE DATE: TIME-
_j PM
DEPARTMENT: FIRE RETURN DATE: TIME: AM PM
REASON FOR TRAVEL: Pierce Manufacturing Pre-Construction Mtg DESTINATION CITY: Appleton, WI
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
12/14/15 $42.00 $42.00
12/15/15 $0.00
12/16/15 31.67 50.47 $82.14
$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 $73.67 $0.00 $0.00 $50.47 $0.00 $0.00 $0.00 $0.00
DIRECTOR'S STATEMEN : I ereby affirm t4alenses 'sted 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 12/23/2015 Page 1
CITY OF CARMEL
EIRE DEPARTMENT
DATE: December 28, 2015
TO: Cindy Sheeks
FROM: David Haboush, Fire Chief
Attached you will find a reimbursement request for Bob VanVoorst. On December 14, 2015, 1 sent Chief
VanVoorst,Chief Bowles, Chief Buttler,Captain Stindle, Lt. Osborne and Jason Force to Appleton
Wisconsin for a pre-construction meeting on our 2 new engines. I will be reimbursing actual expenses for
this and receipts will be turned in.
If you have any questions, please feel free to contact me.
Thank you.
LJ U+ pop + ++ i
Ooe 000 000
CITY OF CARMEL
JANIEs BRAINARD, MAYOR
December 22, 2015
To Whom It May Concern:
On Monday, December 14th at approximately 11:00 a.m. I purchased fuel from (I
believe) a Marathon gas station in Wisconsin in the amount of $42.00 while on
business for the Carmel Fire Department. The receipt at the pump did not print
out and the cashier was unable to provide a copy.
Please accept this letter as documentation for reimbursement. If you need
anything else, please feel free to contact me at 317-714-8949.
Sincerely,
Orbie'Bowles
Assistant Chief
Carmel Fire Department
CARMU, FIRE DEPARTMENT
STEVEN A. COUTS HEADQUARTERS
Two CIVIC SQUARE, CARh'IEI., IN 46032 OFFICE 317.571.26o0, FAx 317.771.2615
prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
%n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
tvhom, 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))
$73.67
So.v�\
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
Orbie Bowles
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 42-314.00 $73.67 1 hereby certify that the attached invoice(s), or
ao y3o-o� 50.yam 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
DEC 282015
i
C
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund