164806 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 180860 Page 1 of 1
ONE CIVIC SQUARE JEFFREY W LAKER CPD CHECK AMOUNT: $68.87
CARMEL, INDIANA 46032 19551 DIAMOND WAY
NOBLESVILLE IN 460eo CHECK NUMBER: 164806
CHECK DATE: 10/16/2008
DEPART ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1.110 4343002 68.87 EXTERNAL TRAINING TRA
+RTtiEgS
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Jeff Laker DEPARTURE DATE: 9/22/2008 TIME: AM PM
DEPARTMENT: Police Department RETURN DATE: 9/25/2008 TIME: AM/PM
REASON FOR TRAVEL: EVO Training DESTINATION CITY: Plainfield, IN
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Totat
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/22/08 $9.03 $9.69. $18:22
9/23/08 $7.36
shared
9/24/08 $11.99 $21.99 appetizer $33;98
9125/09 $8.81
"$0':00
$0.00
$0`00
0.1
$0:00
=.$01.00
$0'00
$0:00
�$000
$0
n 4`
r $0.00
$0:00
01.00
Tota[ F, $a 00..,0.0 x`$0'00 $0 00 $0 Al $0:00 ;$28:38: :$40 49 ..$0:00 $0'0 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: hlw a-4 Date: ej
City'of Carmel Form ER06 Revision Date 3/3012008 Page 1
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
Jeffrey W. Laker Purchase Order No.
18829 Shady Nook Road Terms
Noblesville, IN 46062 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/9/08 reimburse Officer Jeff Laker for meals while instructing 68.87
EVO on September 22 25, 2008 in Plainfield, IN
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
Jeffrey W. Laker IN SUM OF
11829 Shady Nook Road
Noblesville, IN 46062
68.87
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. !f I hereby certify that the attached invoice(s), or
1110 430 -02 68.87 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
October 9 2 0 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund