179216 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: T357940 Page 1 of 1
ONE CIVIC SQUARE WILLIAM J GILBERT
CHECK NUMBER: 179215
CHECK DATE: 11/11/2009
clEPARTMENT ACCOUNT PO NUM IN VOICE NUMB AMOUNT DESCRIPTION
210 4357000 150.00 TRAINING SEMINARS
of 6 —?4"
ej CITY OF CARMEL Expense Report (required for all travel expenses)
AND I ANp
EMPLOYEE NAME: William J Gilbert DEPARTURE DATE: 10/20/2009 TIME: 700 AM PM
DEPARTMENT: Police Department RETURN DATE: 10/22/2009 TIME: 1600 AM/PM
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Camp Atterbury
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc
Parkin Total
Air -fare Car Rental Other g 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 $50.0.0
$0.00
$0.00
$0.00
:.$0.00
x $0 00
$0'00
.$0.00
$0.00
0.00
°Total, x'$0.00 ;$0x00 50:00
�$0 00 x; $0,:00 $0,00 $0:00; $0 00 f: $0.00 `$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.
r� Director Signature: Date: 1 I
v City of Carmel Form ER06 Revision Date 10/27/2009 Page 1
Prescrit�41 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
VnI�om, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
i
Payee
William J. Gilbert Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/5/09 reimburse Officer Will Gilbert for meals while 150.00
attending SWAT training on October 20 22 200 :,at
Camp Atterbur
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
Tnl1111Am .T_ Gilharf-
IN SUM OF
i
1 50.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 970 150.00 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
November 5 20 0
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund