HomeMy WebLinkAbout170535 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00351648 Page 1 of 1
;P ONE CIVIC SQUARE JOHN PIRICS CHECK AMOUNT: $374.20
CARMEL, INDIANA 46032
CHECK NUMBER: 170535
CHECK DATE: 4/112009
DEPARTMENT ACCOUNT PO NUMBER INVO N UMBER AMOUNT DESCRIPTION
1110 4343003 3.74.20 TRAVEL LODGTNG
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: John Pirics DEPARTURE DATE: 3/16/2009 TIME: 10:00 AM
DEPARTMENT: Police Department RETURN DATE: 3/18/2009 TIME: 5:00 PM
REASON FOR TRAVEL: Arrest Warrant DESTINATION CITY: Oakbrook Terrace, IL
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
3/16/09 $65.00 $65.00
3/17109 $65.00 $65.00
3/18/09 $179.20 $65.00 $244.20
$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 $179.20 $0.00 $0.00 $0.00 $0.00 $995.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm th at all expenses listed conform to the City's travel policy and are within my department's apprdpriated budget.
it Director Signature: 1J Date: 3 •CA 7 -09
City f Carmel Form ER{ r
ty Revision Date 3/26/2009 Page 1
10 Drury Lane •Oakbrook Terrace, IL 60181
C Phone (630) 941 -0100 Fax(630)941-0299
Milton S uites Reservations
Name Address Oakbrook Terrace www.hilton.com or 1 800 HILTONS
PIRICS, JOHN Room 618 /K1RRU1
# Room Rate 80.00
RATE PLAN L -G1 f HH# 212612568 SILVER
AL:
CAR:
CONFIRMATION NUMBER: 3342547010
3/18/2009 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT TheHHOWani ly
3/16/2009 1474734 GUEST ROOM $80.00
3/16/2009 1474734 STATE TAX $4.80
3/16/2009 1474734 CITY TAX $4.80 Hilton
3117/2009 1475558 GUEST ROOM $80.00
3/17/2009 1475558 STATE TAX $4.80
3/17/2009 1475558 CITY TAX $4 -80
3/1812009 1475696
($179.20) CON ROD'
BALANCE $0.00
DOU B LET FLEE'
Hilton
L Garden Inn
ACCOUNT NO. DATE- OF CHARGE FOLIO NO.ICHECK NO. Hilton
Grand Vacations Club'
03/17/09 02:51:00 290399 A
CARD MEMBER NAME AUTHORIZATION INITIAL 2'
F?O,IXJOD
SUITHS
ESTABLISHMENT N0. LOCATION ESTAIILIFHMENT AGREES 1'0TRANSMIT TO CARD HOWER FOR PAYMENT PURCHASES SERVICES
A HOLD WILL BE PLACED ON YOUR DEBITICHECK CARD TAXES
TIPS MISC. U S A
1/ .�7 M
TOTAL AMOUNT _179 20
Official Sponsor
MERCHANDISE AND/QR SERVICES PURCHASED ON THIS CARD SHALL NOS BE RESOLD O0. 0.ETU RNED f -0R A CASE REFUND. PAYMENT DUE UPON RECEIPT
Prescribetby 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
'r
John D. Pirics Purchase Order No.
t
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
reimburs Det. John Pirics for lodging and meals while 374.20
serving an arrest warrant in Oakbrook, IL
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
ohn D. Pirics IN SUM OF
374.20
ON ACCOUNT OF APPROPRIATION FOR
po general f und
Board Members
PO# INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -0 374.20 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
March 26 20 09
*VA..g
Signature
Chief o_f Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund