198767 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 00350336 Page 1 of 1
ONE CIVIC SQUARE AMY J. STEIN
CARMEL, INDIANA 46032 10160 GLEN ABBEY LANE CHECK AMOUNT: $354.92
FISHERS IN 46038 CHECK NUMBER: 198767
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 TRAVEL 94.92 GASOLINE
210 4357000 TRAVEL 260.00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Amy Stein DEPARTURE DATE: 6/12/2011 TIME: 12:00 AM PM
DEPARTMENT: Police RETURN DATE: 6/15/2011 TIME: 19:00 AM/PM
REASON FOR TRAVEL: Class /Conference DESTINATION CITY: Rapid City, Iowa
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total,
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
6 -12 -11 $50.00 $65.00 $115.00
6/13/11 $65.00 $65.00
6/14/11 $65.00 $65.00
6/15/11 $44.92 $65.00 $409.92
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Total $0.00 $0.00 $0.00 394.92 sp. $0.00 $0.00 $0.00 $0.00 $260.00 .$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: e#R C-- Date:
City of Carmel Form Revision Date 6/1612011 Page 1
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/17/11 reimburse Sgt. Stein for meals while training $260.00
1 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
Amy J. Stein
IN SUM OF
10160 Glenn Abbey Lane
Fishers, IN 46038
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
&WA
PO# Dept. INVOICE NO. ACCT /TI LE AMOUNT Board Members
210 570.00 $260.00 I 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
Friday, June 17, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund