186193 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 022400 Page 1 of 1
ONE CIVIC SQUARE JAMES BARLOW
0 CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032
CHECK NUMBER: 186193
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 200.00 AUTO REPAIR MAINTEN
210 4357000 50.00 TRAINING SEMINARS
OF CAgM
CITY OF CARMEL Expense Report (required for all travel expenses)
VIrypIANA�"�
EMPLOYEE NAME: James Barlow DEPARTURE DATE: 5/13/2010 TIME: 3 AM M�
DEPARTMENT: Carmel Police Department RETURN DATE: 5/14/2010 TIME: 6 AM P�I
REASON FOR TRAVEL: Training DESTINATION CITY. Muscatatuck training facility
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas /Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/14/10 $50.00 $50.00
$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
$0.00
$0.00
0.00
Total $0.001 $0.00 !q,00L $0.001 $0.001 $0.00 $0.00 $o.00 $0.00 $50.001 $0.00 1
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 CarmEi Form ER06 Revision Date 5/28/2010 Page 1
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
James C. Barlow Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/14110 reimburse Major Jim Barlow for meals while assisting 50.00
with C B training on May 13 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.
2Q
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jars C. Barlow IN SUM OF
50,0Q
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 50.00 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
Tim 3 20 10
C'
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
What drives you?
BAN YOUN
GMC. K' r�ONTIAC. .f CNN
State Road 28 (P.O. Box 398) TIPTON, IN 46072 •765- 675 -7491 765 675 -3737' 1 -800- 489 -.USA 1
(872 1
SOLD TO r PHONE DAT
BU51NES J
ADD RES art f� zlP�oor/ 22 saLES AN��
NEW DEMO EXEC. RENTAL USED LEASED OTHER
,MAKE YEAR MODEL NO. BODY STYLE LINE OR SERIES DELIVERY DATE STOCK NUMBER
IDENT. NO. COLOR TRIM MILES AT TIME OF DELIVERY
This vehicle is equipped with a General Motors engine produced in a General Motors plant operated by the Division.
SYM FACTORY OPTIONS FACTORY OPTIONS
PRICE OF CAR
FREIGHT
TOTAL CAR PRICE
ALLOWANCE ON TRADE -IN
TRADING DIFFERENCE
RUSTPROOF
BODY GLO
BODY GLO INTERIOR r Q
OTHER
TAX
TIRE TAX
EXTENDED SERVICE PL C'
TRADE IN INF ORMATION TOTAL CASH DIFFERENCE
YEiR MAKE MooEL SERIAL NO. PAYOFF ON TRADE -IN
A.G.V.$ LICENSE No. CASH BALANCE
CASH DEPOSIT.
The information you see on the window form for this vehicle is AMOUNT FINANCED
part of this contract. Information on the window form overrides CASH ON DELIVERY
any contrary provisions in the contract of sale. TOTAL DUE r ®tJ
(Federal regulations require you to state the odometer mileage upon transfer of ownership, An inaccurate or untruthful statement may make you liable for damages to your transferee, and for civil or criminal
penalties, pursuant to sections 409, 412, and 4f3 of the Motor Information and Cost Savings Act of 1972 (Pub. L.. 92 -513, as amended by Pub. L.. 94 -154).
A. I state that the odometer mileage indicated on the vehicle described on this Buyer's Ordei as (Check either box)
being traded to DAN YOUNG, Inc.. is ,miles. 1 hereby certify that the odometer of said vehicle was not altered, set back, or disconnected while
(Check one box only) in my.possession and have no knowledge of anyone else doing so.
1 hereby certify that to the best of my knowledge the odometer reading as stated above
reflects the actual mileage of the vehicle described below. 1 hereby certify that the odometer was altered for repair or replacement purposes while in my-
I hereby certify that to the best of my knowledge the odometer reading reflects the amount possession and that the mileage registered on the repaired or replacement odometer is identical to
of mileage in excess of designed Mechanical odometer limit of 99,999 miles of the vehicle that before such service. I further certify that if the repaired or replacement odometer was incapable
described below.
1 hereby certify that to the best of my knowledge the odometer reading as stated above is of registering the same mileage, that. it was reset to zero, and that the mileage on the original
NOT the actual mileage of vehicle described below, and should not be relied upon. odometer or the odometer before repair was miles.
X
—FISFEROR'S SIGNATURE: DATE OF THIS STATEMENT
B. I acknowledge t he-odometer m ge�indica�ted�o�n the vehicle described on this Buyer's Order being purchased by me' is miles.
Bu� Date:
APPROVED SIGNED 'PURCHASER-
THIS ORDER NOT VALID UNLESS SIGNED AND ACCEPTED BY DEALER
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
James C. Barlow
��a1a�ax Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/7/10 reimburse Major Jim Barlow for wheels for car 19 200:00
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
James C. Barlow.;
IN SUM OF
200.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 510 200.00 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
June 7 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund