169918 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 114500 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY J. GREEN
CHECK AMOUNT: $566.40
CARMEL, INDIANA 46032
CHECK NUMBER: 169918
CHECK DATE: 311812009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT. :DESCRI
1110 4343003 566.40 TRAVEL LODGING
e
E- receipt page Page 1 or z
sip
E- Ticket Receipt and Itinerary
YOUR ELECTRONIC TICKET WAS ISSUED
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Issued: Mon, Mar 02, 2009 /CONXA
United record locator: M6XLCA
Flight information
Fri, Mar 20, 2009 Indianapolis, IN (IND) to Washington, DC (IAD)
United 7608 Depart: IND Non -stop Fare basis code: Seats:N /A
Operated by: 6.00 AM 1h 32m TA7AN i r Exalus
United Arrive: IAD 7:32 Embraer 170 Booking class: T
Express/shuttle AM 476 miles traveled Economy
America
476 Award miles
No Meal Service
Fri, Mar 20, 2009 Washington, DC (IAD) to Indianapolis, IN (IND)
United 7555 Depart: IAD Non -stop Fare basis code: Seats:N /A
Operated by: 4 :57 PM 1h 56m TA7AN
Explus.
United Arrive: IND 6:53 Embrae_r_1..70. Booking class: T
Express/shuttle
America PM 476 miles traveled Economy
476 Award miles
No Meal Service
Penalty
CXL BY FLT DATE OR NOVALUENONREF /CHGFEEPLUSFAREDIFI
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Additional information: Check -in information
Please note that valid, government- issued photo identification must be presented at check -in.
Billing J Delivery information
TIM J GREEN
11468 SENIE LANE
CARMEL IN 46032
USA
Ticket purchases Fare rules
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E- receipt page Page 2 ot' 2
1 Passenger information Fare details Fare summary
GREEN/ EX 1644B FC Base Fare: 243.72 USD
TINE J 20MAR IND UA WAS 121.86TA7AN UA IND Taxes Fees: 39.48 USD
Mileage Plus: 121.86TA7AN USD243.72END ZPINDIAD XT Total: 283.20 USD
Ticket#: 0162188655728 7.20ZP 5.00AY 9.00XFIND4.51AD4.5
Issued: Mar 2 Penalty: NONREF-CHGFEEPLUSFAREDIF-
CXL BY FLT DATE OR NOVALUE
BARLOW/ EX 644B FC Base Fare: 243.72 USD
JAMES 20MAR IND UA WAS 121.86TA7AN UA IND Taxes Fees: 39.48 USD
Mileage Plus: 121.86TA7AN USD243.72END ZPINDIAD XT Total: 283.20 USD
Ticket#: 0162188655729 7.20ZP 5.00AY 9.00XFIND4.51AD4.5
Issued: Mar 2,2009 Penalty: NONREF-CHGFEEPLUSFAREDIF-
CXL BY FLT DATE OR NOVALUE
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Flight information
Fri, Mar 20, 2009 Indianapolis, IN (IND) to Washington, DC (IAD)
United 7608 Depart: IND i Non-stop Fare basis code: Seats:N/A
Operated by: .6:00 AM i 1h 32m TA7AN j,
Ex [us
United
Arrive: IAD 7:32 Embraer 170 Booking class: T
Express/shuttle
AM 476 miles traveled Economy
America
476 Award miles
No Meal Service
Fri. Mar 20, 2009 Washington, DC (!L[?) to Indianapolis, IN (1111D)
United 7555 Depart: IAD Non-stop Fare basis code: Seats:N/A
Operated by: 4:57 PM 1h 56m TA7AN
EXRIUS
United
Arrive: IND 6:53 Embraer 170 Booking class: T
Expressishuttle
America PM 476 miles traveled Economy
476 Award miles
No Meal Service
Penalty
CXIL BY FLT DATE OR NOVALUENONREF/CHGFEEPLUSFAREDIF/
Additional information: Check-in information
https:Htravel.united.com/ube/cabinUpsellRequest.do?waitingPageFlag=true 3/2/2009
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Passenger(s)
Name TIM J GREEN Flight Seat
Type Adult 7608
Email TGREEN@CARMEL-IN-GOV 7555
Phone 317-716-8549
Name JAMES BARLOW Flight Seat
Type Adult 7608
7555
Purchase summary
Ticket price
Credit card: Visa number M6XLCA 566.40 USD
Total: 566.40 USD
Billing l Delivery information
TIM J GREEN
11468
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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
Timothy J. Green Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/11/09 reimburse Assistant Chief Tim Green for airfare to 566.40
Washington DC for FBI graduation 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.
ALLOWED 20
T iatothy J. Green IN SUM OF
566.40
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 -03 566.40 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 11 2009
ignature
Assistant Chief of Polic
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund