170863 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 109200 Page 1 of 1
ONE CIVIC SQUARE LELAND C GOODMAN
0
CARMEL, INDIANA 46032
CHECK NUMBER: 170863
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NU MBER I NVOIC E NUMBER AMOUNT DESCRIPTION
1110 4343003 35.00 TRAVEL LODGING
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3
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Leland C. Goodman DEPARTURE DATE: 4/6/2009 TIME: AM PM
DEPARTMENT: Police Department RETURN DATE: 4/7/2009 TIME: AM/PM
REASON FOR TRAVEL: Training /Conference DESTINATION CITY: Indianapolis, IN
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVE EIMBURSEMEN r TRAVEL PER DIEM
r As- K-4 -A
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
4/6/09 $15.00 $15.00
4/7/09 $20.00 $20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
U cr. $0.00
U ti� $0.00
$0.00
$0.00
'FJ:4
cc:� $0.00
Q
$0.00
�X $0.00
$0.00
O _w: 0.00
0.00 $0.00 $0.00 $35.00 $0.001 $0.001 $0.00 $0.00 SO-001 $0.001 $0.00
n- v' i EMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within m department's appropriated bud
Z ^ma y Y p Y P Y Y p et. 9
Date:
M
ER06 Revision Date 4/7/2009 Page 1
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Prescribed.by 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
L eland Goodman Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/10/08 reimbursement for parking 35.00
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
L,eland Goodman
35.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -03 35.00 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
April 10, 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund