160120 05/28/2008 p Cqq
CITY OF CARMEL, INDIANA VENDOR: 318025 Page 1 of 1
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ONE CIVIC SQUARE DAVID R VANDERBECK
CARMEL, INDIANA 46032
CHECK NUMBER: 160120
CHECK DATE: 5/28/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 64.47 GASOLINE
1110 4343003 300.00 TRAVEL LODGING
1110 4351100 13.00 CAR CLEANING
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: DAVID VANDERBECK DEPARTURE DATE: MAY 11TH 2008 TIME: 530 AM
DEPARTMENT: CARMEL P.D. RETURN DATE: MAY 15TH 2008 TIME: 1100 PM
REASON FOR TRAVEL: POLICE MEMORIAL WEEK DESTINATION CITY: WASHINGTON D.C.
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Lodging Misc. AN Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/11/08 $20.03 $60.00
5/12/08 $60.00
5/13/08 $60.00 $13.00 7 1",&N „$75:00
5114/08 $44.44 $60.00
5/15/08 $60.00
zm$000
$0.00
0.00
$0:00
$0 ,00
$0:00
$0:00
vx $000
_$0:00
'V $0 `00
0 "s00
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Total $0 00 L $0:00 $64 47 z $0 00 $0 ;00 $0 00 w$0,00 =$O.QO ;$300 00 ,x$13' 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: IL Date: 5 2 -_0 2
City of Carmel Form ER06 Revision Date 5/19/2008 Page 1
f
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
David R. Vanderbeck Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/19/08 reimburse Officer David Vanderbeck for meals, car wash, 377.47
and gasoline while attending Police Memorial Week in
Washington, DC on May 11 15, 2008
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
D avid R. Vanderbeck IN SUM OF
377.47
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 64.47 bill(s) is (are) true and correct and that the
1110 511 13.00 materials or services itemized thereon for
1110 430 -03 300.00 which charge is made were ordered and
received except
May 19 20 08
Signature
Chief of P61ice.
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund