159831 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00351097 Page 1 of 1
`i. ONE CIVIC SQUARE TODD C CLARK
CARMEL, INDIANA 46032
CHECK NUMBER: 159831
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUM AMOUNT DESCRIPTION
1110 4231400 13.05 GASOLINE
1110 4343002 100.00 EXTERNAL TRAINING TRA
,I
e
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Todd Clark DEPARTURE DATE: 5/5/2008 TIME: 6:00 AA'! PM
DEPARTMENT: Carmel Police Dept RETURN DATE: 5/8/2008 TIME: 1:00 AM P
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Edinburgh, IN
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
5/5108 $25.00
516/08 $25:0.0
5/7/08 $2&00
5/8/08 $13.05 $38.05
:$0;00
$o.00
$0.00
$000
$o.00
`$000
$OoO
Woo
$0.00
$000
WN
.$000
$0:0 =0
:$0':00.
$000
0'o0
Total $O OO $0.00 $0 00 $13:.05 $9:00 $0:00' $0.00 $0.00,
:`x$0.00` $0'$0.00 .001;
r
DIRECTOR'S STATEMENT: I hereby affirm that all expenses fisted conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
"City of Carmel Form ER06 Revision Date 5/8/2008 Page i
Prescribed by State Board of Accounts City Form No. 261 (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, nurnber of units, price per unit, etc.
Payee
Todd C. Clark Purchase Order No.
.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/19/08 reibmurse Officer Todd Clark for meals and gasoline 113.05
while attending SWAT training at Camp Atterbury in
Edinburgh, IN on May 5 8, 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
Todd C. Clark IN SUM OF
113.05_
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
314 13.05 bill(s) is (are) true and correct and that the
430 -02 100.00 materials or services itemized thereon for
which charge is made were ordered and
received except
May 19 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund