199194 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 363272 Page 1 of 1
ONE CIVIC SQUARE JAMES P SPELBRING CHECK AMOUNT: $13.00
CARMEL, INDIANA 46032 549 E PINE RIDGE DR
WESTFIELD IN 46074 CHECK NUMBER: 199194
CHECK DATE: 7/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 13.00 EXTERNAL TRAINING TRA
f CF,
CITY OF CARMEL Expense Report (required for all travel expenses)
\�CMOIANA
EMPLOYEE NAME: Jim Spelbring DEPARTURE DATE: 6/2/2011 TIME: AM PM
DEPARTMENT: Human Resources (1201) RETURN DATE: 06/02/011 TIME: AM/ PM
REASON FOR TRAVEL: Training DESTINATION CITY: Indianapolis
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT x PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
6/2/11 $13.00 $13.00
$0.00
$0.00
$0.00
.$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
_F1 Al $0.00
$0.00
$0.00
JUL U $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.001 $13.00 $0.00 $0.00. $0.001 $0.00 $0.00 $0.001 $0.00 $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:
Date: �(f
City of Carmel Form ER06 Revision Date 6/29/2011 Page 1
MERCHANTS ST
GARAGE
RECEIPT K1
ENIRY TIME:
06/02/11 02:41
EXIT TIME:
06/02/11 15:43
PARK -DUR.: HRS:MIN
0:07:02
AMOUNT:
13.00
KIND OF PAYMENT:
CREDITCARD
I
THANK YOU FCR YOUR
WTCTT
VOUCHER NO. WARRANT NO.
ALLOWED 20
James Spelbring
IN SUM OF
549 E. Pine Ridge Drive
Westfield, IN 46074
$13.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1201 i 06.02.11 Exp Rptl 43- 430.02 I $13.00 I hereby certify that the attached invoice(s), or
i 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
Thursday, June 30, 2011
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/02/11 1 06.02.11 Exp Rpt $13.00
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