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Home My WebLink About185948 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 278140 Page 1 of 1 ONE CIVIC SQUARE CURTIS D. SCOTT CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 14309 NOLAN DRIVE FISHERS IN 46038 CHECK NUMBER: 185948 CHECK DATE: 5126/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 150.00 TRAINING SEMINARS t D ts CAq �Fl� CITY OF CARMEL Expense Report (required for all travel expenses) /NDlAMp� EMPLOYEE NAME: Curtis Scott DEPARTURE DATE: 5/11/2010 TIME: 1700 AM PM DEPARTMENT: Police RETURN DATE: 5/14/2010 TIME: 1800 AM/PM REASON FOR TRAVEL: Training DESTINATION CITY: Butlerville, Indiana MUTC EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM XX Transportation Gas/Tolls/ Meals Misc. Date Lodging Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 5112110 $50.00 IN I 50:`00 5/13/10 $50.00 5/14/10 $50.00 0:00 at W,40`00 0.0 x $0;00 $0 °00 $0;, 0 $0:00 $6 $,0.00 v�1 $0'.00 �$o"00 u $0. QO ma $0: "00 C3Fd ao0 kwS;,F O O T.otal 0'00 OqO 'e 0:00 0 0.0 �`rx 0:+07 $000 $0: "OO $15000 x$0:00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and a e within my department's appropriated budget. Director Signature: Date: �C7 City of Carmel f=orm ER06 Revision Date 5/17/2010 Page 1 1 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim will not be processed without the following documentation: 1) Conference or course registration form, if applicable 2) Travel itinerary or car rental agreement, if applicable 3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in -state travel and $65 for out -of -state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in -state travel and $32.50 for out -of -state travel For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $32.50 for out -of -state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in -state travel and $65 for out -of -state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen. understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk- Treasurer further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: City of Carmel Form ERO6 Revision Date 5/1712010 Page 2 00 It ;-'\q 'yz 71 F V1 K I NG`p' I CS CERTIFICATE OF COMPLETION AWARDED TO: Curtis Scott 'F-or'sucoessf4k completiAglh Z7 V-..Ikl 9-4,TY fic�"L &-cours MUTC, Indiana Sam 12-14 May, 2010 y le Lamb, President le Viking Tactics, Inc. V~v VikingTactics.com x EN ON-- 8&0 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 Curtis D. Scott Purchase Order No. 14309 Nolan Drive Terms Fishers, IN 46038 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/14/10 reimburse Officer Curits Scott for meals while 150.00 attending C B 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 C urtis D. Scott IN SUM OF 14309 Nolan Drive Fishers, IN 46038 150.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT ere certify that the attached invoices or DEPT. hereby v v invoice( s), 210 570 150.00 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,e 1 20 to Signature Assistant Chief of Poli Title Cost distribution ledger classification if claim paid motor vehicle highway fund