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HomeMy WebLinkAbout179167 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00351098 Page 1 of 1 ONE CIVIC SQUARE SHANE P COLLINS '1 CARMEL, INDIANA 46032 CHECK NUMBER: 179167 CHECK DATE: 11111/2009 i SEPARTMENT ACCOUNT PO NU INVOICE N AMOUNT DESCRIPTION '210 4357000 345.00 TRAINING SEMINARS C. 4 �cMnFR iip! CITY OF CARMEL Expense Report (required for all travel expenses) i' \!NDIPNp� EMPLOYEE NAME: Shane Collins DEPARTURE DATE: 11/3/2009 TIME: 1:00 AM PM DEPARTMENT: Police Department RETURN DATE: 11/5/2009 TIME: 9:00 AM/PM REASON FOR TRAVEL: In custody death school DESTINATION CITY: Pontiac Michigan EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 11/3/09 $65.00 $65.00 11/4/09 $65.00 $65.00 11/5/09 $65.00 $65.00 $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 Totall $0.001 $0.001 joq0 L $0.001 $0.001 $0.001 $0.001 $0.00 SO-001 $195.00 $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: 1 f L r/ at F N&I ;'of Carmel Form ER06 Revision Date 11/6/2009 Page 1 lQ 0.T 1 Y 1 F.q C CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Shane Collins DEPARTURE DATE: 10/20/2009 TIME: 7:00 AM PM DEPARTMENT: Police Department RETURN DATE: 10/22/2009 TIME: 5:00 AM/PM REASON FOR TRAVEL: SWAT training DESTINATION CITY: Atterbury, IN EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 10/20/09 $50.00 $50.00 10/21/09 $50.00 $50.00 10/22/09 $50.00 $50.00 $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 1 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $150.00 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. /r Director Signature: Date: �Cdti of Carmel Form ER06 Revision Date 10/26/2009 Page 1 1 OVember 4 D rontiac, lvticn gan Kegistration t{orm Page 1 of 1 MOD. Registrat reilurretlfieltls ion L� r s ^Pontiac M INoueniuer4- 5,2009 a This c outs e :reuuires a $295.00 registration fee Please print and m3i1 this fxiii alon_ z ith Your chz 1. of :5 -ic `09 South Stzpharue Street Suite E Lendevson N7, S:90 a: B-, Cre mai 'lease call S5a -i 2 _1 Firsl N ame Mi ddle Initial 'lastRame SltEne 00I1in5 `1,iailing 'Gift► 'Slate TO Celle Hiuic Square Garmei Indiana 146032 'A,geicy "f; 6iaifAdiiress Garntel PDGce Oeparimen �7maies.�carmeiin.gou Agency P�lailingAililress `o State 'Ziu node TONicSquare Carmel Indiana, 46032 Phone AIteru Rhone FaK Huulber 317-5 z 317 -571 -2530 317- 571 -2512 ,Tm a previous IPICD graduate of this instructor program COM Il9I1t -wea Thee lls1l11 /lefO/ Tile :P %E�EIIlI01f OfllI-GUSl0If1 ©eaths I/i� II/JfIIyIIISRESet'✓E�' http //www epicd- com%s "em ears /novembe0 5 ;09pontiac.htnil 10!2:1/2009 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) CITY OF CARMEL 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 Shane P. /Collins Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/5/09 reimburse Det. Shane Collins for meals while attending 150.00 SWAT training on October 20 22, 2009 at Cam Atterbur 11/5/09 reimburse Det. Shane Collins for meals while attendin 195:00 the In Custody Death school on November 4 5 2009 inPPontiac MI Total 345.00 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 S han& P. Collins IN SUM OF 345.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 210 570 050um bill(s) is (are) true and correct and that the 345.00 materials or services itemized thereon for which charge is made were ordered and received except November 5 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund