189871 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351404 Page 1 of 1
ONE CIVIC SQUARE MARC KLEIN CHECK AMOUNT: $162.50
CARMEL, INDIANA 46032
CHECK NUMBER: 189871
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 162.50 SPECIAL INVESTIGATION
of CAq'-
CITY OF CARMEL Expense Report (required for all travel expenses)
\NOfANa
EMPLOYEE NAME: MARC A. KLEIN DEPARTURE DATE: 9/7/2010 TIME: 2:00 AM P'
DEPARTMENT: CARMEL POLICE RETURN DATE. 9/9/2010 TIME: 4:30 AM PM
REASON FOR TRAVEL: EVENT RESEARCH, PLANNING, NE DESTINATION CITY: LEMONT, IL
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM XX
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/7110 $32.50 $32.50
9/8/10 $65.00 $65.00
9/9/10 1 $65.00 $65.00
$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 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $162.50 $0.00
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 Carmel Form ER06 Revision Date 9/10/2010 Page 1
11
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
Marc A. Klein Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/ 13/10 reimburse Sgt. Marc Klein for meals while preparina 162.50
for security for golf outin
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
M arc A. Klein IN SUM OF
162.50
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 582 162.50 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
September 13 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund