HomeMy WebLinkAbout196308 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365232 Page 1 of 1
ONE CIVIC SQUARE CRISTHIAN RODRIGUEZ
CARMEL, INDIANA 46032
CHECK NUMBER: 196308
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356003 100.00 SAFETY ACCESSORIES
210 4357000 102.48 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Cy i'S+IirlaO.v-t �(`X1Y�I�i tJQ Z DEPARTURE DATE: 3)2- TIME. AM PM
DEPARTMENT: CGyr e-k RETURN DATE: f 1 TIME: AM PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
1( $0.00'
$0.00
27 $0.00
$0.00
2 5 $0.00
�A.40 r $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.o0
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 e
DIRECTOR'S STATEMENT: �Ieaffirm, that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. to2"Aq11
Director Signature: Date:
City of Carmel Form tt ER06 Revision Date 4/8/2011 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
Cristhian Rodriquez Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/11/11 reimburse Officer Rodriguez for meals while attending 102.48
police adademy
4/11/11 reimburse Officer Rodriques for shoes 100.00
Total
l 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
cristhian Rodriguez IN SUM OF
202.48
ON ACCOUNT OF APPROPRIATION FOR
Cont. Ed f6nd /Police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
210 570 102.48 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 560 -03 100.00 which charge is made were ordered and
received except
Arin, 2011
i
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund