172937 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 204048 Page 1 of 1
ONE CIVIC SQUARE ADAM C MILLER CHECK AMOUNT: $75.00
ti4 CARMEL, INDIANA 46032
CHECK NUMBER: 172937
CHECK DATE: 512712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343002 75.00 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
Np IA
EMPLOYEE NAME: Adam Miller DEPARTURE DATE: 5/11/2009 TIME: 6:00 AM
DEPARTMENT: Carmel Police Department RETURN DATE: 5/13/2009 TIME: 3:00 PM
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Edinburgh, IN (Camp Atterbury)
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
5/11/09 $25.00 $25.00
5/12/09 $25.00 $25.00
5/13/09 $25.00 $25.00
$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
$0.00
0.00
Total 1 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $75.001 $0.00 WAtUa
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.
1R Director Signature: Date: oZ D CO
of Carmel Form`# Revision Date 5/16/2009 Page 1
r
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
t% 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
Adam C. Miller Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
reimburse Sgt. Adam Miller for meals while attending 75.00
_S W AI training on May 11 13 2009 in Edinburgh, IN
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
A d r'
am C. Miller IN SUM OF
75.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #ITITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -02 75.00 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
May 19_ 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund