HomeMy WebLinkAbout170409 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 114500 Page 1 of 7
ONE CIVIC SQUARE TIMOTHY J. GREEN
CARMEL, INDIANA 46032
e
CHECK NUMBER: 170409
CHECK DATE: 4/1/2009
Ci'= PARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 145.80 TRAVEL LODGING
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ALAM0
RA 416145711 Inv 40018139347
Rental 20-MAR 2009 08:08 AM
WASHIN "110N UULLLS INiL ARPT
Returr? 20- MAR -2009 02:50 PM
WASHINGTON DULLES INTL ARP
TIM GREEN
Vehicle 9H520083
Model CHARGER
Class Driven I CAR Class Cliar,yed SFAR
License# 8086452 '-Late/Province IL
MIKms Driven 1U6
MIKms Out 18TZju
MIKms In 18905
Charges No Unit I'iice AmoulI
T M 1 Days S;i.90 53.90"
UNLIM M1KM 0 MIKms 0.00"
CDWiLDW 1 Days 11.99 11.99"
AP CONCUSSIUN Itt RECUV 1 34"
SIATE IMPOSED RENTAL FEt 1.47
VEH LIC FEE RECOV U 22^
MOTOR VEH TAX s8.000 X 5.88
Total Charges USD 80.8
Paid By
Amount Due USO L.
Ta cab I e I teins
Subject to Audit
C'ISLmiL i seivictG NUILti 1(800) 445 -5664
S
CITY OF CARMEL Expense Report (required for all travel expenses)
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�-k01 ANA
L7t EMPLOYEE NAME: Tim Green DEPARTURE DATE: 3/20/2009 TIME: 4:30 AM
DEPARTMENT: Carmel Police RETURN DATE: 3/20/2009 TIME: PM
9 REASON FOR TRAVEL: Graduation/ FBI Academy DESTINATION CITY: Quantico, VA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
z
w Transportation Gas/Tolls/ Meals
o Date Lodging Misc. TAI
71, Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
D 3/20/09 $80.80 $65.00 5.80
00
CD
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3 aoo "P a
3 0:00
00
0.00
000
10:00
.$0.00
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0..
-=-$0:00
X000
X0.00
;Total _W00 $80.801 ;$0 :00 °$0.00 $000 $0.001 $0a00 $0.00 $0:00 $65.00 $0:00; i
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and ar w 7C) my department's appropriated budget.
i Director Signature: Date: f 7
City of Carmel Form ER06 Revision Date 3/23/2009 Page 1
Prescriped 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
viihom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Timothy J. Green Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
reimburse Assistant Chief Tim Green for car rental and 145.80
p er diem while attending the FBI graduation of Lt.
Dwi ht Frost in on March 20, 2009
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.
r
ALLOWED 20
T imothy J. Green IN SUM OF
145.80
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 -03 145.80 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 25 2009
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund