179271 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 355078 Page 1 of 1
ONE CIVIC SQUARE RYAN JELLISON
i
CARMEL, INDIANA 46032
CHECK NUMBER: 179271
CHECK DATE: 11/11/2009
'bEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1 x210 4357000 150.00 TRAINING SEMINARS
/4 \t� of CAq,
CITY OF CARMEL Expense Report (required for all travel expenses)
\�NDIAN?i
EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 10/20/2009 TIME: 700 AM PM
DEPARTMENT: Police Department RETURN DATE: 10/22/2009 TIME: 1600 AM/PM
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Camp Atterbury
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 9 Breakfast Lunch Dinner Snacks Per Diem
10/20/09 $50.00 $50.00
10/21/09 $50.00 $50.00
10/22/09 $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
$o.00
0.00
Total" $0.00 "$0:00 $0.00 $0.00 $0.00 $0.00 ;$0.00 $0.00 $0.00 $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: 1 I Lo
y� City of Carmel Form ER06 Revision Date 10/27/2009 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
Ryan D. Jellison Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1115/09 Reltnburge Officer Ryan Jellison for meals while
attending SWAT Trainin2 on October 20 22- 209 at
Camp Atterbury
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.
i
ALLOWED 20
R y�n D. Jellison IN SUM OF
150.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 150.00 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