HomeMy WebLinkAbout201363 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 363329 Page 1 of 1
ONE CIVIC SQUARE KENT PAULIN
!s CHECK AMOUNT: $12.51
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CARMEL, INDIANA 46032 C/0 COMM CENTER
CHECK NUMBER: 201363
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 12.51 EXTERNAL TRAINING TRA
Sep. 12. 2011,_ 9 :53AM INDIANA STATE POLICE No. 0$47 P. 2 of
Class Roster
Course Name: Operator Refresher Course
Class: August 31, 20119. 0 0 AM
Class Location: public safety Building 17535 aartown Road Westfield, In 45074
Instructor: Linda Gabbard
Students URI Completed
CASE, DARCY INO29010 I
PAULIN, KENT INO29011N
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Kent Paulin DEPARTURE DATE: 8/31/2011 TIME: 8:00 AM AM PM
DEPARTMENT: Communications RETURN DATE: 8/31/2011 TIME: 3:00 PM AM/PM
REASON FOR TRAVEL: IDACS Training DESTINATION CITY: Westfield, IN
EXPENSES ARE FOR (check all that apply). TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
8/31/11 $6.52 $6.52
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
...$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00' $0.00 $0.00 $6.52 $0.00 $0.00 $0.00 $0.00
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:
i
city of Carmel Form ER06 I Revision Date 9/6!2011 Page 1
I
Prescribed -"u,Sfate Beard ofkccounis General Farr.; No. 1,^,1 (1955)
MILEAGE GG..AIM
TO i�� DR.
{Governmentai unit)
U- CL 1 WS On Account of Appropriation No. e• n for
c--, Board, Department or Institution)
DATE FROM TO c
ODOMETER READING" NATURE OF BUSINESS AUTO MILES I M1ILEAGE J�
20 Point Point Start Finish TRAVELED PER MILE
`6 3 1 16 ,0C) l5v o 3 O
II i 11 II I
i
i
4
i
Auto License No. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally ue, after
allowing all just credits, apd that n part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
That it is duiy atuthenticated cis required
by law;
That it is based upon statutory authority;
That it is apposently correct
incorrect
On Account of Appropriation No. for
Dislwssing Officer
o &a
Allowed 20 C D r7- o
in the sum of o
y
m
o a Q D
A
Fn'
(D cD
m
o R
(Board or C:ommmiari) O
{gy
FILM)
A m m
o
A.
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CD
(Official Title) 'C N
r r�D 0
co A-
VOUCHER N WARRANT NO.
ALLOWED 20
Kent Paulin
IN SUM OF
1300 Woodpond Roundabout
Carmel, In 46033
$12.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 43- 430.02 $12.51
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, September 08, 2011
Director
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))
09/07/11 $12.51
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