170302 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 022400 Page 1 of 1
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t ONE CIVIC SQUARE JAMES BARLOW CHECK AMOUNT: $81.00
CARMEL, INDIANA 46032
CHECK NUMBER: 170302
CHECK DATE: 4/112009
DEPA RTMENT ACCO PO NUMBER INVOICE NUMBER A MOUNT DES CRIPTION
1110 4343003. TTT 81.00 TRAVEL LODGING
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Inclianapolis International Airport
7800 Col. H. Weir Cook Memorial Drive
Indianapolis, IN 46241
Fee Computer Number: 9
Cashier: Russell Id #129
Transaction Number: 55890
Entered: 03 /20/2009 04:59
Exited: 03/20/2009 18:52
Ticket #56229 Dispenser #5
Lot: Short Term Lot
Area: Short Term Area
Rate: Short Term Variable
Parking Fee: 16.0
Total Fee: 16.0
Cash: 16
Total Paid: 16.
Thank You have a nice day!
(317) 487 -5017
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4* CITY OF CARMEL Expense Report (required for ail travel expenses)
EMPLOYEE NAME: Jim Barlow DEPARTURE DATE: 3/20/2009 TIME: 4:30 AM
DEPARTMENT: Police Department RETURN DATE: 3/20/2009 TIME: 7:30 PM
REASON FOR TRAVEL FBINA Graduation DESTINATION CITY: CU, VA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
3120/09 $16.00 $65.00
$0:00
$0.00
$0:00
0.00
$0:00
$0.00
.$OOQ
$0.00
$0.00
$0:00
lobo
$0:00
$0 00
.`$0.00
$000
$0;00
000
Total $0 :00 $0.00
$0:00 $1'6 00 $0:00 $,0.00 $0.00 _,$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 are within my department's appropriated budget.
Director Signature: Date: 3 -oZw D
t
City of Carmel Form ER06 Revision Date 3/25/2009 Page 1
Presc�r.�.f,d by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
i CITY OF CARMEL
,An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
I
hom, 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))
3125/09 reimburse Major Jim Barlow for parking and per diem 81.00
while traveling to t for the FBI graduatio
of Lt. Dwight Frost 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
J ames C. Barlow IN SUM OF
81.00
ON ACCOUNT OF APPROPRIATION FOR
p olice ge nera l fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -03 81.00 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
March 25 2009
t' -Z...
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund