207439 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 083900 Page 1 of 1
ONE CIVIC SQUARE JOHN R. ELLIOTT
CARMEL, INDIANA 46032 3041 E CURRY LANE CHECK AMOUNT: $49.33
CARMEL IN 46032 CHECK NUMBER: 207439
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343002 49.33 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: John Elliott DEPARTURE DATE: 3/12/2012 TIME: 745 AM PM
DEPARTMENT: Carmel Police Dept RETURN DATE: 3/16/2012 TIME: 1400 AM/PM
REASON FOR TRAVEL: Training- (witness Pro DESTINATION CITY: Lebanon, Indiana
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
3/12/12 $10.34 $10.34
3/13/12 $7.83 $7.83
3114/12 $7.90 $7.90
3115112 $11.51 $11.51
3/16/12 $11.75 $11:75
$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
Total $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $49:33 $0.001 $0.001 $0.001 $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:
City of Carmel Form ER06 Revision Date 3/2012012 Page 1
I, John Elliott, do hereby swear and affirm that 1 went to Arnie's in Lebanon, IN for lunch
spending a total of $11.75 ($10.00 with $1.75 tip) on March 16, 2412 and neglected to
get a receipt.
Jo Elliott
cz Z.:'
Roster Law Enforcement Training
PROVIDER OR INSTURCTOR TELEPHONE NUMBER
Boone County Sheriff's Office (765)482 -1412
LOCATION OF TRAINING CONTACT PERSON AT TRAINING SITE
Boone County Sheriff's Office Brian Stevenson
COURSE TITLE PRIMARY INSTRUCTOR
Photogrammetry Brian Stevenson
SUCCESSFULLY COMPLETED INCOMPLETE FAILED OTHER
I AFFIRM THAT THE INFORMATION CONTAINED HEREIN IS COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
SIGNED PRINTED NAME Brian Stevenson DATE 3/16112
TRAINING DATES PROVIDER OR INSTRUCTOR NUMBER COURSE NUMBER INSERVICE CREDIT
3M21112-31161`12 2990 -3970 12Mar1012 3 6 HRS
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VOUCHER NO. WARRANT NO.
ALLOWED 20
John Elliott
IN SUM OF
3041 E. Curry Lane
Carmel, IN 46033
$49.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 43- 430.D2 $49.33
I hereby certify that the attached invoice(s), or
I
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
t
Wednesday, March 21, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/21/12 reimbursement for meals while training $49.33
l 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