HomeMy WebLinkAbout196252 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365175 Page 1 of 1
ONE CIVIC SQUARE CODY BARLOW CHECK AMOUNT: $69.98
CARMEL, INDIANA 46032
CHECK NUMBER: 196252
CHECK DATE: 4113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 69.98 TRAINING SEMINARS
CITY OF CARMEL Expense Report (required for all travel expenses)
NOIRNP
EMPLOYEE NAME: Cody Barlow DEPARTURE DATE: 3/28/2011 TIME: AM PM
DEPARTMENT: Police Department RETURN DATE: 4/7/2011 TIME: AM/PM
REASON FOR TRAVEL: Academy DESTINATION CITY_
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIM TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking B reakfast Lunch Dinner Snacks Per Diem
3/28/11 $6.86 $6.86
3129/11 $17.75 $17.75
3/30/11 1 $13.25 $13.25
414111 $8.48 $8.48
415/11 $12.03 $12.03
4/6/11 $11.61 $11.61
$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
Totall $0.00 $0.001 $0.001 $0.00 $0.00 $0.001 $0.001 $69.981 $0.001 $0.001 $0.00
DIRECTOR'S STATEMENT: e by affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
I ff
City of Carmel Form ER06 Revision Date 4/8/2011 Page 1
8 i
424349850885
424349850885
OUIZNOS SUB n2469
5971 CAMBRIDGE NAY Buffalo Wild Wings store 3095 5971 C S SUB N2469
IELD� IN 45168 5971 CAMBRIDGE WAY
PLAINF
31 IELD, 7433 2683 Fast Ha l n Street PLAINFIELD, IN 46168
Plainfield, IN 46168 317 -838 -7433
Merchant ID: 300000035000 317) 8'37-2770
Term ID: 001 Ref n: Oil Call ahead for takeout Merchant ID: 300000035000
Term ID: 091 Ref n: 040
Date: Mar29'1 06:50PM
S a le Card Type: lM Sale
Acct XXXXXXXXXX xw
Exp KXX�XXXX Date:
AuthCode 920297 X�XX�XX
Entry Method: Sw i ped Check: 1237 7 r E ntry Method; Sniped
Table: 54/1
43/30/11 46:14:11 Server-: 240 Carly H
03�28�11 86,14:31;
Inv a: 040011 W Code: 004968 Subtotal: 1
Inv 040439 4pr Code: U2
4prvd: Online htchg: 044314 1 P Z 1� J W rvd: Online BatcW fl00M
E�aount: 13,29 Tc)t -i
Tl Signature lip:
Customer Copy
Customer Copy
THANK YOU! Customer COPY
THANK YOU!
i
Ticket re- routed from rcpt2
r
1
I s Panda Express
h mPony Plainfield, IN.
(317)838 -9101
FRESH SAUTE L GRILL
Noodles 8 Company 4/5/2011 7;16:13 PM
190 S PERRY RD Order: 241618 Server: HONGWU L
PLAINFIELD, IN 46168 1 2- ENTREE PLATE 5.99
317 839 -8600 FRIED RICE
Host: P.H.2 04/06/2011 ORANGE CKN
5 6:22 PH MANDRIN CKN
20156 1 XTRA ENTREE 1.25
CKN EGG RLS
Nantucket 2.15 1 LARGE SODA 1.85
Fountain Drink 1.50 i 1 GTRD L/L 1.95
Buftered Noodles U/ Porn 4 175 SubTot "al
Chicken Breast 2.25 Tax 0.99
Subtotal 10.65. Total I2 03
Tax 0.96, Iota]
HERE Total 11.61 f 12,03
Acct :XXXXXX)t1W
11.61 AuthCode:08431B
Auth:06729B
Questions or Comments?
Try a net) tuist on pandaexpress.com or (800) 877 -8988
an old classic.
Limited tine only
Mac n Cheeses lk EPEE ENTREE IIN
Call OOt)f
Ce 866-95 NOODLE WE ALUE YOUR OPINION!
l ll 866- 95
Call 1- 888- 51- PANDA(72.632) or
Visit pandaexpress.com /guest
Complete of Survey for
y a FREE entree Item wfth the
purchase of any 2- Entree Plate
Survey Code: 1918- 0407 7305 -2416
TO GO
Customer Copy w
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
Cod J. Barlow O
Y Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/8/1.1 reimburse Officer Barlow for meals while 69.98
attending academ
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
Cody J. Barlow
69.98
ON ACCOUNT OF APPROPRIATION FOR
Continuing Ed fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 69.98 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
�ApKij 8, 2011
Signature
(thief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund