190391 09/29/2010DEPARTMENT
CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 212690
SCOTT MOORE
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
Page 1 of 1
CHECK AMOUNT: $250.00
CHECK NUMBER: 190391
CHECK DATE: 9/29/2010
210 4357000 250.00 TRAINING SEMINARS
Date
Transportation
Gas/Tolls/
Parking
Lodging
Meals
Misc.
Tot
Air -fare
Car Rental
Other
Breakfast
Lunch
Dinner
Snacks
Per Diem
9/13/10
$50.00
150.00
9/14/10
$50.00
$50.00
9/15/10
$50.00
$50.00
9/16/10
$50.00
$50.00
9/17/10
$50.00
450.00
$0.00
`:$0'.00
$0.00
,r t$0:00
$o O0
$0•00
$0.00
,$0.00
N ,$0.00
s'.$0 00
$0.00
$0.00
',..$0.00
$0.00
$0.00
Total
$0
$000
X z. .$0.00
f:$0'.00
.'4 '$0,
...r. "v$0.'
3.$000
,:..50.00
,.Y:.; $0.00;
$250 00
50:.00
$0.0.0
s 7§114.0
EMPLOYEE NAME: Scott Moore
DEPARTMENT: Police
REASON FOR TRAVEL:
Director Signature:
City of Carmel Form ER06
CITY OF CARMEL Expense Report (required for all travel expenses)
K9 Seminar
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE
DEPARTURE DATE: Sept.f2,2010
Revision Date 9/21 /2010
RETURN DATE: Sept. 17,2010
DESTINATION CITY: Lawrenceburg Indiana
TRAVEL REIMBURSEMEN
TIME: 7:00 'PM
TIME: 2:35 AMA PM
TRAVEL PER DIEM
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.
Date:
Page 1
k o roams Thro u9hO� t hew
h as achieved thehigh standards set:forthby acid to :-th
satisfaction of,' the No Work Dog
Association This 'accred tatio'n is onl v alid when t his
Fglice K9. Team is being i t i'zed through< direct assignrne
fr om their law enforc employer
:Let it be known ithat on the:
13 day of SEPT 2010
Master ,Trainer President
Void' if membershupnotcurrent Expires 1 yr,•from accreditationfdate. N,- 29,024
m a Nye do approve accreditation: for
,;NARCOTIC D MARIJUANA, COCAINE; HERO;IN,'METHAMPHETAMINE
'Po ice: `TNor
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®1998 GOES 34625
LITHO. IN U.S.A.
NAME:
HOME ADDRESS:
CITY: STATE-) ZIP CODE
E Mail ,cfn66A e C c,,„At i t j o V
AGENCY Crihr j Pa) i c-C
AGENCY ADDRESS 3 C I
v 1 c s
CITY (vo STATE ___J ZIP CODE V6
WORK PHONE (317 37/ 2COO HOME PHONE (
CURRENT NAPWDA Member? Yes No.
K9 BREED (.5 K9 NAME K9 AGE 3
TYPE OF K9:
PATROL NARCOTICS DUAL PURPOSE
EXPLOSIVES SAR
K9'S WORKING ABILITY:
BEGINNER INTERMEDIATE k ADVANCED
HANDLER'S ABILITY:
BEGINNER INTERMEDIATE ADVANCED ik
PURPOSE Or ATTENDING WORKSHOP:
TRAINING
CERTIFICATION (NEW) CERTIFICATION (RENEWAL)
If Certifying: areas of certification you will be
attempting: d`rCAlLS
T -SHIRT SIZE:
2010 INDIANA NAPWDA STATE WORKSHOP
September 13 17, 2010
REGISTRATION FORM (PLEASE PRINT LEGIBLE)
Sc,y &�trQ-
(Additional Shirts will be for sale at workshop)
Will you be attending the Hog Roast Sept. 16 If so, how many will be
attending, including yourself?
Payee
Scott L. Moore
Purchase Order No.
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
9/23/10
reimburse Officer Scott Moore for meals while
250.00
attending K9 training in Lawrenceburg, IN on September
13 17, 2010
Total
Prescribed by State Board of Accounts
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.
City Form No. 201 (Rev. 1995)
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.
Scott L. Moore
250.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
INVOICE NO.
ACCT #/TITLE
570
210
PO# or
DEPT.
Cost distribution ledger classification if
claim paid motor vehicle highway fund
AMOUNT
250.00
ALLOWED 20
IN SUM OF
hereby certify that the attached invoice(s), or
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 23 20 10
Signature
Chief of Police
Title
Board Members