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185819 05/26/2010
CITY OF CARMEL, INDIANA VENDOR: 355078 Page 1 of 1 ONE CIVIC SQUARE RYAN JELLISON CHECK AMOUNT: $150.00 io CARMEL, INDIANA 46032 CHECK NUMBER: 185819 CHECK DATE: 5!26!2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 150.00 'T'RAINING SEMINARS s 1 CITY OF CARMEL Expense Report (required for all travel expenses) -�NDI A%P� EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 5112/2010 TIME: $am AM PM DEPARTMENT: Police Department RETURN DATE: 5/1412010 TIME: 5pm AM/PM REASON FOR TRAVEL: CQB School DESTINATION CITY: Muscatatuck Urban Training Center EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals e Date Lodging Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem a 3 5/12/10 $50.00___$5.000 5113/10 $50.00F a $50: ©Q 5/14/10 $50.00 4 $50:00 k x$000 x`$0:00 j _.$0:00 $0;0:0 $W 0 $0`00 u;$o.00 .$000 :$0.00 $0:00 '$0:00 x $o:`oo "$0.0:0 t 0 ti 0.00 n =.t 0.00. 000' 0 00 0:00` e',. 0:00 150 00 0:00 Total...,$p.d0 $0 .,:$Q .0:.. ..u.fi$ _A.;$. DIRECTOR'S STATEMENT: I he by affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: `S City of Carmel Forrn ER06 Revision Date 5/17/2010 Page 1 l ti f. 1; �509 C/ VIKING TICS r1 O �i I l� Jellis Ryan 1 m e rs _l, Te .'e. s MUTC, Indiana 12-14 May, 20 10 V K E. Lamb, President 1 v r Prescribed by State Hoard of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Ryan D. Jellison Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/1.4/10 reimburse Sgt. Ryan Jellison for meals while attending 150.00 CQB training on May 12 14, 2001 in Butlerville, IN Total 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 Rjan D. Jellison IN SUM OF 150-on ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 21 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 18 20 10 oe Signature Assistant Chief of Poli Title Cost distribution ledger classification if claim paid motor vehicle highway fund