179302 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00353043 Page 1 of 1
ONE CIVIC SQUARE SCOTT LONG
CARMEL, INDIANA 46032
CHECK NUMBER: 179302
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CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
x•210 4357000 150.00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Scott Long DEPARTURE DATE: 10/20/2009 TIME: 700 AM PM
DEPARTMENT: Carmel Police RETURN DATE: 10/22/2009 TIME: 1600 AM PM
REASON FOR TRAVEL: Training DESTINATION CITY: Edinburg IN
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas /Tolls/ Meals
Date Lodging Misr—
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem a
10/20/09 $50.00 $50:00
10/21/09 $50.00 $50:00
10/22/09 $50.00 'A '?$50:00
x$0.00
00
0 0;0
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x $a.00
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$"0.00
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40:00
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Y 0:00
;Total $0 00 00 $c�:0o $o.00 o 00 µrt $a oo soon; r. n$o 0o x F.
$0.00 $_150 `00 ;'R
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: I 1 LP q
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City of Carr: el Form ER06 Revision Date 10/24/2009 Page 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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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
Scott D. Long Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/5/09 reimburse Officer Scott Long for mealsh while 150.00
attending SWAT training on October 20 22 2009 at
Camp Atterbbr.
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.
2Q
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
4
ALLOWED 20
S cott D. Long IN SUM OF
150.00
ON ACCOUNT OF APPROPRIATION FOR
c ont 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund