170063 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00351648 Page 1 of 1
`t ONE CIVIC SQUARE JOHN PIRICS
CARMEL, INDIANA 46032
CHECK NUMBER: 170063
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 183.50 TRAVEL LODGING
G`
n9 ,xrneq yp l
i
CITY OF CARMEL Expense Report (required for all travel expenses)
`!ND
EMPLOYEE NAME: John Pirics DEPARTURE DATE: 4- Mar -09 TIME: 8:05 PM
DEPARTMENT: Carmel Police Department RETURN DATE: 6- Mar -09 TIME: 11:28 PM
REASON FOR TRAVEL: Arrest Warrant DESTINATION CITY: Laughlin, NV
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
3/4/09 $32.50 $32.50
3/5/09 $65.00 $65.00
3/6/09 $21.00 $65.00 $86.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.06
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
o.oa
rota! $0.001 $0.00 $0.001 $21.001 $0 A0 $0:00 $0A0 $0.00 $0.00 $162.501 $0.00 i
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.
Uirector Signature: Date:
City of Carmel Form ER06 Revision Date 3/10/2009 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
John D. Pirics Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3110/ reimburse Det. John Pirics for per diem and parking 183.50
while serving ani� arrest warrant in Laughlin, NV
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
J ohn D: Pirics IN SUM OF
183.50
ON ACCOUNT OF APPROPRIATION FOR
police general fu nd
Board Members
Pots or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 430 -03 183.50 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 10 20 Og
Si
Assistant Chief of Polic
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund