HomeMy WebLinkAbout198468 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 00351097 Page 1 of 1
q ONE CIVIC SQUARE TODD C CLARK CHECK AMOUNT: $357.50
CARMEL, INDIANA 46032
CHECK NUMBER: 198468
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 357.50 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
_�NDIAN?�
EMPLOYEE NAME: Todd Clark DEPARTURE DATE: 3/22/2011 TIME: 1700 AM PM
DEPARTMENT: Carmel Police RETURN DATE: 3/27/2011 TIME: 2000 AM/PM
REASON FOR TRAVEL: SWAT DESTINATION CITY: Fort Knox, KY
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
3/22/11 $32.50 $32:50
3/23/11 $65.00 _$65;00
3/24/11 $65.00 $65:00
3/25/11 $65.00 $65:W
3/26/11 $65.00 $65:00
3/27/11 $65.00 $65.00
$U.OU
$0:00
$0.00
,$0:00
$0:00
$000
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$0 00 $0:00,; 0
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 R06 Revision Date 6/4/2011 Page 1
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CERTIFICATE OF v
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Fort Knox, KY
May 23-27, 2011
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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 Officer Clark for meals while training $357.50
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
Todd C. Clark
IN SUM OF
$357.50
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
210 570.00 $357.50 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