179293 11/11/2009 CITY OF CARMFL, INDIANA VENDOR: 180860 Page 'I of 1
+f ONE CIVIC SQUARE JEFFREY W LAKER CPD
CARMEL, INDIANA 46032 18829 SHADY NOOK ROAD CHECK AMOUNT: $61.61
NOBLESVILLE IN 46062 CHECK NUMBER: 179293
CHECK DATE: 11/11/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
210 4357000 61.61 TRAINING SEMINARS
of CAA
i
r
r
CITY OF CARMEL Expense Report (required for all travel expenses)
FP
EMPLOYEE NAME: Jeff Laker DEPARTURE DATE: 10/26/2009 TIME: AM PM
DEPARTMENT: Police RETURN DATE: 10/29/2009 TIME: AM/PM
REASON FOR TRAVEL: Department EVO DESTINATION CITY: Plainfield, IN
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/26/09 $7.75 $3.80 $11.55
10/27/09 $9.13 $13.93 $23.06
10/28/09 $9.13 $10.12 $19.25
10/29/09 $7.751 $7.75
$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
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.76 $27.85 $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: i
City of Carmel Form ER06 Revision Date 10/30/2009 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
Jeffrey W. Laker Purchase Order No.
18829 Shady Nook Road Terms
Noblesville, IN 46062 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/5/09 reimbdrse Officer Jeff Laker for meals while instruct 61.61
EVO training on October 26 29 2009 at ILEA
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 effrey W. Laker IN SUM OF
18829 shady Nook Rood
Noblesville, IN 46062
61.61
ON ACCOUNT OF APPROPRIATION FOR
c ont ed fu
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
210 570 61.61 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