304851 11/03/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 365175
ONE CIVIC SQUARE CODY BARLOW CHECK AMOUNT: $*******200.00*
CARMEL, INDIANA 46032 4918 ESSEX DRIVE CHECK NUMBER: 304851
CARMEL IN 46033 CHECK DATE: 11/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 101716 200.00 TRAINING SEMINARS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CODY BARLOW ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4918 ESSEX DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$200.00 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 43-570.00 $200.00 1 hereby certify that the attached invoice(s),or 10/26/16 0 per diem $200.00
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
Tuesday, November 01,2016
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
t(OF Cflq�
/G� illeRy9��\
H CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Cody Barlow DEPARTURE DATE: 10/17/2016 TIME: 6:00 (A-R PM
DEPARTMENT: Police Dept RETURN DATE: 10/21/2016 TIME: 12:00 AM
REASON FOR TRAVEL: Training DESTINATION CITY: Muscatatuck, Ind
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
10/17/16 $50.00 $50.00
10/18/16 $50.00 $50.00
10/19/16 $50.00 $50.00
10/20/16 $50.00 $50.00
$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 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 $0.00 $0.001 $0.001 $200.001 $0.00 MWIT11IT11
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 10/26/2016 Page 1
CERTIFICATE OF TRAINING
This is to certify that
Cody ¢Barlow
j
Has successfully completed the,:Eergreen Mountain five (5) day,
Advanced Principles -of Urban Conflict;Tactics Course
Location
Muscatatuck, IN
Date Robert A. Trivino
October 17-21, 2016
EGM Owner/President EGM
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