172988 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 354306 Page 1 of 1
G 0 ONE CIVIC SQUARE MICHAEL PITMAN
CARMEL, INDIANA 46032
CHECK NUMBER: 172988
CHECK DATE: 5/2712009
DEPAR AC COUNT P O N UMB ER INVOICE N UMBER AMOUNT DESCRIPTION
1110 4343002 75.00 EXTERNAL TRAINING TRA
4 -,'A OF CAP 41,
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CITY OF CARMEL Expense Report (required for all travel expenses)
NOIANA
EMPLOYEE NAME: Michael Pitman DEPARTURE DATE: 5/11/2009 TIME: 6:00 AM
DEPARTMENT: Carmel Police Department RETURN DATE: 5/13/2009 TIME: 3:00 PM
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Edinburgh, IN (Camp Atterbury)
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas /Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/11/09 $25.00 $25.00
5/12/09 $25.00 $25.00
5/13/09 $25.00 $25.00
$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 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $75 $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:
r City of Carmel Fdrm ERn6 Revision Date 5/1 612 00 9 Page 1
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.
3 Payee
Michael A. Pitman Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
reimburse Officer Mike Pitman_'.for meals while attendin 75.00
SWAT training on May 11 13 2009 in Edinburgh, I
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
M ichael A. Pitman IN SUM OF
75.00
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
1110 430 -02 75.00 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
May 19 2009
&"'e'e h
Signature
llief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund