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HomeMy WebLinkAbout260431 07/07/16 CITY OF CARMEL, INDIANA VENDOR: 370746 \. CHECK AMOUNT: $*****""390.00' ONE CIVIC SQUARE ZACHERY HASTY s ?� CARMEL, INDIANA 46032 CHECK DATE: 07/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 060516 390.00 TRAINING SEMINARS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ZACHERY HASTY 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 Hasty 43-570.00 $390.00 1 hereby certify that the attached invoice(s),or 7/1/16 Hasty Radar Instructor training school per diem $390.00 1110 210 1110 210 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,July 06,2016 Tim Green Chief of Police 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer �RM`!\ •' �at,R FFRs'ipe .. i CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Zach Hasty DEPARTURE DATE: 6/5/2016 TIME: noon AM/PM DEPARTMENT: CPD RETURN DATE: 6/10/2016 TIME: 6:00 A /PM REASON FOR TRAVEL: Training/Radar Instructor DESTINATION CITY: Chicago, IL EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 6/5/16 $65.00 $6570' 6/6/16 $65.00 $65.00 6/7/16 $65.00 $65.00 6/8/16 $65.00 $65.00 6/9/16 $65.00 $65.00 6/10/16 $65.00 $65.00 $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 $0.00 $0.00 $0.001 $0.001 $0.00 $0.001 $390.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 6/15/2016 Page 1 pattb Its lni tro i �Ql- tntff for Vublit 6 1 tbi!g io to ra* that Zar Pry aqt � Ciao our refsoMp rompleteb Tracffir RZ(MZR/13JMZ[R 3nc;trurtar Tra t'ni rg June 6 - 10, 2016 W NORTHWESTERN UNIVERSITYa-f-� °�p�L�G� EXECUTIVE DIRECTOP,CENTER FOP6UBLIC SAFETY ��TERN Uhl Northwestern University Center for Public Safety © S Registration Form PUB��G Rank/Title First Name M.I. Last Name PERSONAL INFORMATION Please provide your contact information: ❑Home Lj Wbrk :3 CII/+6 5�G�,�r� Street Address Apt/Suite# �N/D%,f�� y&031 '6's* City State Zip Country 3/ 7/-,,�-0 a Phone ` �I /! 'j' /� Fax /1f�.S� 1 C f�W-0�_ A •U��. Gender: Male Female Email Address BILLING INFORMATION Please indicate where we may,send billing inquiries. ❑use address above J /�iQ/j?e �� /C� ,l el • .�.V 9; /N Agency/Business C Agency Contact � ��U�c J�jGLflle Street AddressApt/Suite# Wpie/ --:o7—W a3,.I, City State Zip Country -S93/ ?-S2r-�sr� Phone Fax Esr�el. r� s . Email Address COURSE INFORMATION T-a`fP(, LTA AC-.6 J-0I (,P Course Title Course Starting Date PAYMENT,INFORMATION Selectone Check or Money Orders ❑Check or money order made payable to Northwestern University Center for Public Safety. (Please include student name on check or money order.) Credit Card ❑I hereby authorize Northwestern University to charge$ to my ❑American Express ❑Discover ❑Master Card ❑Visa Card Number Expiration Date Cardholder's Signature Cancellation Policy I acknowledge that I may make changes to my registration up to 30 calendar days before the first day of class without incurring additional fees,and that any cancellations must be made in writing using the cancellation form and submitted to the NUCPS Registrar.I have read the refund provisions on the NUCPS website at nucps.northwestem.edu/rcpolicy and acknowledge that I may not receive 000%refund if I cancel my registration,as set forth in the P01icy. ' a- 2- Student Student or Agency Contact Signatu a Date IN PERSON BY MAIL BY FAX 1801 Maple Avenue NUCPS Registrar (Credit Card Payment Only) Evanston,Illinois 60208 1801 Maple Avenue 847-467-0540 Evanston,Illinois 60208 ,v„