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175787 08/06/2009 a CITY OF CARMEL, INDIANA VENDOR: 00353219 Page 1 of 1 ONE CIVIC SQUARE MICHAEL L MABIE 1 0 CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 CHECK NUMBER: 175787 CHECK DATE: 8/612009 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343002 100.00 EXTERNAL TRAINING TRA i I Q,RTtiEgs H i CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Michael L. Mabie DEPARTURE DATE: June 8th 2009 TIME: 12:00 AM PM DEPARTMENT: Police Department RETURN DATE: June 11th 2009 TIME: 11:00 AM/PM REASON FOR TRAVEL: MATAI Conference DESTINATION CITY: Wisconsin Dells Wisconsin EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Transportation Gas /Tolls/ Meals Date Lodging Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem` 6/8/09 $25.00 $25 "00 6/9/09 $25.00 ;;,$2500 6/10/09 $25.00 $25:00 6/11/09 $25.00 $25:00 $0.00 Qr $0.00 ,3 $000 $0:00 $0.00 ,$0.00 $Os00 $0.00 x$_0.00 $0 °00 Total $0;00 $0.00 $0 00 $0:00 .,'x$0.00 $0 00 $0:00 .g $0 00 x$.100 00 e e e e 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: Attl Date: '7 1 �o y, City of Carmel Form ER06 Revision Date 7/8/2009 Page 1 A tl C C. O mL' O Lai N 14 N y y m E SE e d ol ID a 3m w c F 200M CONFERENCE REGIS'TR FORM FIRST NAME j L j LAST NAME ke INSTITUTION I ORGANIZATION C r y POSITION HELD CONTACT ADDRESS CITY CITY C STATE ZIP CODE V HOME PHONE NUMBER {f 1 fl �7`/ WORK PHONE NUMBER EMAIL ADDRESS /,�/1�.i�� J 6 Lf AC7AR NUN(BER. RETURN THIS FORM WITH PAYMENT TO: CONFERE MEMBER..- $245 04 NON- MEMBER: $285.00 MATAl2009 CONFERENCE AFTER APRIL 25TH: $285.00. $325.00 4517 CIMARRON, LANE GREEN BAY, WISCONSIN 54313 MAKE CHECKS PAYABLE TO MATAI CONFERENCE THE MIDWEST ASSOCIATION OF TECHNICAL ACCIDENT INVESTIGATORS "A Professional Affiliation of Individuals Dedicated to Advancement in the Technical Aspects of Motor Vehicle Traffic Accident Investigations." n* CER TIFICATE OF A This is to Certify that rT M ICHAEL Ls MAEIE oo has attended the 23rd annual meeting and training seminar (AMTS), completing 18 hours of advanced training in Technical Accident Investigation. J Training certified for 18 hours of ACTAR Continuing Education Units. June 9 -11, 2009 �'ScchniG a 0 l President Conference Host r Nu NV 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 Michael.L. Mabie Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/16/09 reimburse Sgt. Mike Mabie for per diem while attending 100.00 the 2009 MATAI Annual Conference on June 9 11, 2009 in Wisconsin Dells, WI 53965 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. r ALLOWED 20 Michael.L. Mabie IN SUM OF 100.00 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -02 100.00 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 July 16 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund