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183937 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 361936 Page 1 of 1 ONE CIVIC SQUARE LARRY SCHIMMEL CHECK AMOUNT: $37.15 ra CARMEL, INDIANA 46032 852 N AND 650 W ANDERSON IN 46011 CHECK NUMBER: 183937 CHECK DATE: 3/2912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 37.15 OTHER EXPENSES CITY OF CARMEL Expense Report (required for all travel expenses) 2008 mileage reim bursement rate is 58.5 cents /mile EMPLOYEE NAME: Larry Schimmel DEPARTURE DATE: 3/22/2010 TIME: 5:00am DEPARTMENT: Utilities /Sewer RETURN DATE: 3/22/2010 TIME: 7:30pm REASON FOR TRAVEL: NFPA 70E Elec. Safe work Practices Training DESTINATION CITY: Springboro, OH EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3122/10 $9.35 $6.62 $21.18 $37.15 $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 $0.0a o.0a Totall $0.00 $0.00 $0.001 $0.001 $0.001 $9.35 $6.62 $21.181 $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 3/2312010 Page 1 MERV NFPA 70E ELECTRICAL SAFE WORK PRACTICES TRAINING This is to certify that Larry Schimmel Was present on March 22, 2010 and oft received 7 hrs of NFPA 70E Training. E.D.S. Card #1795 Training provided by Electrical Diagnostic Surveys, LLC bruggles @arcflashtraining.net VOUCHER 105157 WARRANT ALLOWED T1051 IN SUM OF SCHIMMEL, LARRY WASTEWATER PLANT Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code SCHIMMEL 01- 7042 -06 $37.15 l r w' l~� Voucher Total $37.15 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1051 SCHIMMEL, LARRY Purchase Order No. WASTEWATER PLANT Terms Due Date 3/23/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/23/2010 SCHIMMEL $37.15 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 Date fficer