181664 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 363777 Page 1 of 1
l.: Q e. ONE CIVIC SQUARE RICHARD THOMAS
1 CARMEL, INDIANA 46032
CHECK NUMBER: 181664
CHECK DATE: 1/20(2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 REIMB 53.56 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
lNOIANA�
EMPLOYEE NAME: Richard Thomas DEPARTURE DATE: 1/11/2010 TIME: AM PM
DEPARTMENT: Carmel Police Department RETURN DATE: 1/14/2010 TIME: AM PM
REASON FOR TRAVEL: Indiana Law Enforcement Academy DESTINATION CITY: Plainfield, IN
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc.
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
1/11/10 $16.00 $16:00
1/12/10 $16.00 $16;00
1/13/10 $13.06 :$.1
1/14/10 $8.50
$000
$0;00
$0.00
$0:00
'$000
$000
$0:00
$0:00
$0:00
$0'00
$0':00
$000
$0
Total msq$0.0o 0:..f4;$11,00' .'<;$O.OQ x$0.00 ,0 R 1 ..$0 00 $0:00 $0 00 $53:56 1 `..'.$0.0U
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: &Alta 774,A4 Date: i! 1
City of Carmel Form ER06 Revision Date 1/15/2010 Page 1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Richard E. Thomas Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/15/+10 reimburse Officer Richard Thomas for meals while at 53.56
the academy
Total
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
Richard E. Thomas IN SUM OF
53.56
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
/INIXXXXVIIINIXIM1111
Board Members
Po# rt INVOICE NO. ACCT #!TITLE AMOUNT hereby certify invoice( s), DEPT. I hereb certi that the attached invoices or
210 570 53.56 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
January 15 20 10
k,f;iltetzi -ZrA,1"
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund