170795 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: T359847 Page 1 of 1
ONE CIVIC SQUARE WILLIE COLLINS
0 CHECK AMOUNT: $233.16
CARMEL, INDIANA 46032
CHECK NUMBER: 170795
CHECK DATE: 4/16/2009
DEPART ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
17 7 1110 4343003 233.16 TRAVEL LODGING
i
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Willie Collins DEPARTURE DATE: 4/8/2009 TIME: 9:00 AM
DEPARTMENT: Police Department RETURN DATE: 4/9/2009 TIME: 7:00 PM
REASON FOR TRAVEL: Job Fair DESTINATION CITY: Richmond, KY
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
4/8/09 $65.00 $6570
4/9/09 $103.16 $65.00 $168.16
$0:00
>$000
;$0.00
x$0.00
$0.00
$0:00
$0.00
$0.00
$0.00
"0:00
x$0,00
$000
$0.00
$0.00
$0.00
$$0.00
°$0:00
$0;00
0:00
Tota{ a 0:00 $0.00 $0.00 $0 00 :.,$103:16 $0.00 F$000 $0.00 %$0.00, $130.00 $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.
a
Director Signature: Date:
Cit; -qt Carmel Form ER06 Revision Date 4/13/2009 Page 1
Courtyard by Marriott 775 Newtown Court
COURTY
Lexington North Lexington, Kentucky 40511
ABITIOtt T 859.253.4646
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08Apr09 Room Charge 91.00
08Apr09 Fayette County Tax 5.46
08Apr09 Kentucky State Tax 5.79
08Apr09 Occupancy Sales Tax 0.91
09Apr09 Master Card 103.16
Card
Amount: 103.16 Auth: 087400 Signature on File
This card was electronically swiped on 08Apr09
Balance: 0.00
Marriott Rewards Account XXXXX3186. Your Marriott Rewards points /miles earned on your room rate will be
credited to your account. For account activity: 801 468 -4000 or MarriottRewards.com.
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As requested, a final copy of your bill will be emailed to you at: COLLINS606 @YAHOO.COM. See "Internet Privacy
Statement" on Marriott.com.
o�c.1 Pu, t L r�Slz.ti:r1
Pr�crb.,,Tr $tat. Board of Accounts City Form No. 201 (Rev. 1995)
ACC UNTS 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
Willie H. Collins Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r eimburse Officer Willie Collins for lod in and meals 233.16
3w i e attending a job fair in Richmond Kentucky on
Ap ril 8 9, 200
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
llie H. Collins IN SUM OF
233.16
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -03 233.16 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
April 13 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund