HomeMy WebLinkAbout180433 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 114500 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY J. GREEN
INDIANA 46032
CHECK NUMBER: 180433
CHECK DATE: 12/16/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
7 1110 4343003 228.99 TRAVEL LODGING
r. 9
r
Tim Green 0 e` Room No. 130
Arrival 12 -10 -09
US Departure 12 -11 -09
Page No. 1 of 1
Folio No. 310677
INFORMATION INVOICE Conf. No. 281946
Membership No. Cashier No. 1005
AIR Number
Group Code 0912COMFOR
Company Name 12 -11 -09
Date Text Charges Credits
12 -10 -09 Room 89
12 -10 -09 State Tax 5% 4.50
12 -10 -09 County Tax 5% 4.50
Total 98.99 0.00
Balance 98.99
p_0 9
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Thank You For Staying With Us
I agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person, company or association
fails to pay for any portion o� t of these charges.
Guest Signature
Country Inn Suites By Carlson, Woodbridge VA
2621 Prince William Parkway
Woodbridge, VA 22192
Phone: 703 -492 -6868 Fax: 703 492 -6869
www,countryinns.com /woodbridgeva
5
CITY OF CARIMEL Expense Report (required for all travel expenses)
��kDIAN
EMPLOYEE NAME: Tim Green DEPARTURE DATE: 12/10/2009 TIME: 9:00 PM
DEPARTMENT: Carmel PD RETURN DATE: 12/11/2009 TIME: 10:00 AM PM
REASON FOR TRAVEL: FBI NA Graduation DESTINATION CITY: Quantico, Virginia
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Date Transportation Gas /Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
12110/09 $65.00 $65.00
$98.99 $65.00 $163.99
$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
0.00
Total $0.00 $0.001 $0.00 $0.00 $98.991 $0.00 $0.00 $0.001 $0.001 $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.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 12/14/2009 Page 1
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
Timothy J. Green Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/15/09, reimburse Assistant Chief Tim Green for lodging and 228.99
meals while attending the FBI graduation for Lt. Joe
Bickel in Quantico, VA
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
Timothy T. Careen IN SUM OF
228.99
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 -03 228.99 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
December 15 20 09
Signature
Chi f of Poi; e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund