HomeMy WebLinkAbout260417 07/07/16 i
/ �. . CITY OF CARMEL, INDIANA VENDOR: 075010
® =1. CHECKAMOUNT: $*********8.00*
ONE CIVIC SQUARE MICHAEL DIXON
CARMEL, INDIANA 46032 359 W BUCKEYE STREET CHECK NUMBER: 260417
CICERI IN 46034 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 062716 8.00 TRAVEL & LODGING
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
MICHEAL DIXON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
359 W BUCKEYE STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CICERO, IN 46034 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$8.00 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
0 43-430.03 $8.00 1 hereby certify that the attached invoice(s),or 6/27/16 0 airport parking-accreditation $8.00
1110 � llfJ 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
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
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Mike Dixon DEPARTURE DATE: 6/27/2016 TIME: /OSS (9/PM
DEPARTMENT: Police Departmnent RETURN DATE: 6/27/2016 TIME: 17 [ A PM
REASON FOR TRAVEL: DESTINATION CITY: Indianapolis
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
6/27/16 $8.00 $8.00
$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
$0.00
$0.00
$0.00
0.00
Total
$0.001 $0.001 $0.001 $8.001 $0.00 $0.00 $0.00 $0.001 $0.001. $0.00 $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 6/29/2016 Page 1