179125 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 022400 Page 1 of 1
G ONE CIVIC SQUARE JAMES BARLOW
CARMEL, INDIANA 46032
CHECK NUMBER: 179125
CHECK DATE: 1111112009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 REIMB 75.00 TRAINING SEMINARS
OF
Ta Ncraeg v
1
CITY OF CARMEL Expense Report (required for all travel expenses)
iN01ANP
EMPLOYEE NAME: Jim Barlow DEPARTURE DATE: 10/20/2009 TIME. 3:30 PM AM PM
DEPARTMENT: Carmel Police Department RETURN DATE: 10/21/2009 TIME: 9:00 PM AM/PM
REASON FOR TRAVEL: Training DESTINATION CITY: Camp Atterbury
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
10/20/09 $25.00 $25.00
10/21/09 $50.00 $50.00
$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
0.00
Total $0.00 $0.00 $0A0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $75.00 $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 11/412009 Page 1
Prescribed 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
Thom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
James C. Barlow Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/5/09 reimburse Major Jim Barlow for meals while attendin
SWAT training on October 20 22 2009 at Cam
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.
a ALLOWED 20
J ames C. Barlow IN SUM OF
75.00
ON ACCOUNT OF APPROPRIATION FOR
cone ed fund.
Board Members
Po# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 75.00 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 09
Signature
_Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund