185694 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351098 Page 1 of 1
ONE CIVIC SQUARE SHANE P COLLINS
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CHECK NUMBER: 185694
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 150.00 TRAINING SEMINARS
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CERTIFICATE OF COMPLETION AWARDED TO:
Shane Collins
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12-14 May, 2010
Kyle E. Lamb, President
Viking Tactics, Inc.
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Shane Collins DEPARTURE DATE: 5/12/2010 TIME: 8:OOAM AM I PM
DEPARTMENT: Police RETURN DATE: 5/14/2010 TIME: 5:OOPM AM/PM
REASON FOR TRAVEL: CQB training DESTINATION CITY: Butlerville, IN
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
5112110 $50.00 $50.00
5113110 $50.00 $50.00
5114110 $50.00 $50.00
$0.00
$0.00
.$0.06
$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 so-001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00. $0.001 $0.001 $150.001 $0.00
DIRECTOR'S STATEMENT: h affir at all expenses listed conform to the City's travel policy an ar within my department's appropriated budget.
Director Signature: Date: 1
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City of Carmel Form ER0 Revision Date 5/20/2010 Page 1
Prescribed by State Board of Accounts City Form No. 261 (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
Shane P. Collins Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/14/10 reimburse Sgt. Shane Collins for meals while attending 150.00
CQB training on May 12 14, 2010 in Butlerville IN
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
Shane P. Collins
IN SUM OF
150.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO4 or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
210 570 150.{ 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
May 2 0 1.0
Signature
Assistant Chief of POli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund