186024 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 354119 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY ZELLERS
0 CHECK AMOUNT: $557.00
CARMEL, INDIANA 46032 10030 WYNHAM COURT
FISHERS IN 46037 CHECK NUMBER: 186024
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 557.00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: T.V. Zellers DEPARTURE DATE: 5/15/2010 TIME: 645 AM PM
DEPARTMENT: Police RETURN DATE: 5/20/2010 TIME: 717 AM/PM
REASON FOR TRAVEL: NWS Conference DESTINATION CITY: San Diego, CA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN �C TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
5115110 $20.00 $65.00 'rte 1 Bag $85.00
5/15/10 $45.00 Shuttle $45.00
5/16/10 $65.00 $65.00
5/17/10 $65.00 $65.00
5/18110 $65.00 $65.00
5/19/10 $65.00 $65.00
5/20/10 $20.00 $65.00 1 Bag $85.00
5/20/10 $28.00 Taxi $28.00
5120/10 $54.00 $54.00
$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 $0.00 $0.00 $'113.00 $54.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 $0.00 f
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: A a, A C o o4 Date: "2 J P5
City of Carmel Form ER06 Revision Date 5/24/2010 Page 1
Prescribed by State Board 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
Timothy V. Zellers Purchase Order No.
10030 Wynham Court Terms
Fishers, IN 46037 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/21/10 reimbursement, Tim Zellers 557.00
meals, parking, bagage fees, cab
New World conference.
San Diego, CA May 15 -20, 2010
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
4with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Timo.thyV. Zellers IN SUM OF
10030 Wynham Court
Fishers, IN 46037
557.00
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
210 570 557.00 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 21 20 10
Signature
Chief -of gc✓
Cost distribution ledger classification If Title
claim paid motor vehicle highway fund