173075 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 318025 Page 1 of 1
s 0 ONE CIVIC SQUARE DAVID R VANDERBECK
CHECK AMOUNT: $401.00
CARMEL, INDIANA 46032
CHECK NUMBER: 173075
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO N UMBER INV OICE NUMBER AMOUNT D
1110 4231400 63.00 GASOLINE
1110 4343002 325.00 EXTERNAL TRAINING TRA
1110 4351100 13.00 CAR CLEANING
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CITY OF CARMEL Expense Report (required for all travel expenses)
�N 1100'
EMPLOYEE NAME: DAVID VANDERBECK DEPARTURE DATE: 5/12/2009 TIME: 500 AM PM
DEPARTMENT: CARMEL PD RETURN DATE: 5/16/2009 TIME: 1315 AM/PM
REASON FOR TRAVEL: HONOR GUARD DESTINATION CITY: WASHINGTON D.C.
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total ��s
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5112109 $29.50 $65.00 $94.50
5/13109 $65.00 $13.00
5/14/09 $65.00 r Q $fi5.00
5/15/09 $65.00 x$65:00
5/16109 $33.50 $65.00$9850
$0 ,00
F x$0:00
$0:00
'1$000
$0:00
00
00
$000
$0 DU
$Q00
0 -00
Total s $0 E00 00` 4 $0 00, $63; 00 $0:00 $0 00; N ;$0 00 :$Q00 _s 4$0 041 `$325 QO $13:00'
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:
h
City of Carmel Form ER06 Revision Date 5/19/2009 Page 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
F 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
David R. Vanderbeck Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
e u e --Officer David Vanderbeck for meals gasoline 401.00
and a car wash while attending Police Memorial week in
Washington, DC
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
D avid R. Vanderbeck
IN SUM OF
401.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 314 63.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 430 -02 325.00 which charge is made were ordered and
received except
1110 511 _13.00
May 19 20 09
1
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund