HomeMy WebLinkAbout258839 05/26/16 CITY OF CARMEL, INDIANA VENDOR: 363024
,/ \1 ONE CIVIC SQUARE BLAKE LYTLE CHECK AMOUNT: $*******390.00*
CARMEL, INDIANA 46032
CHECK DATE: 05/26/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 051616 390.00 TRAVEL & LODGING
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
BLAKE LYTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$390.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
'U 43-430.03 $390.00 1 hereby certify that the attached invoice(s),or 5/23/16 0 per diem for Police Memorial $390.00
1110 101 1110 101
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, May 24,2016
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Blake Lytle DEPARTURE DATE: 5/11/2016 TIME: 5:00 AM/PM
DEPARTMENT: Police RETURN DATE: 5/16/2016 TIME: 16:00 AM/PM
REASON FOR TRAVEL: Police Memorial Week Honor Guard DESTINATION CITY: Washington D.C.
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/11/16 $65.00 $65.00
5/12/16 $65.00 $65.00
5/13/16 1 $65.00 $65.00
5/14/16 $65.00 $65.00
5/15/16 $65.00 $65.00
5/16/16 $65.00 $65.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
WOO
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total 1 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 . $0.00 $0.00 $390.00 $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 5/18/2016 Page 1