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172456 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 212690 Page 1 of 1 ONE CIVIC SQUARE SCOTT MOORE CHECK AMOUNT: $292.50 CARMEL, INDIANA 46032 CHECK NUMBER: 172456 CHECK DATE: 5113/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION "1110 4343002 292.50 EXTERNAL TRAINING TRA r� C` �Qr.0.TfFJyy� F L]] CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Scotty Moore DEPARTURE DATE: 4/19/2009 TIME: 5:00 PM DEPARTMENT: Carmel Police Department RETURN DATE: 4/23/2009 TIME: 3:00 PM REASON FOR TRAVEL: HITS 20 K -9 Training DESTINATION CITY: Louisville, KY EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Parkin Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 4/19/09 $32.50 $32:50 4/20/09 $65.00 4/21/09 $65.00 $65.00 4/22/09 $65.00 $65:00 4/23/09 $65.00 $65.00 $0:00 x$0.00 $0:00 $0:00 $0.00 $0.00 $0.00 $0.00 $0:00 $0:00 $000 =$0:00 $0._00 $0.00 0.00 Total `$0;00 'x$0.00 $0 ?00 $0 00 $0:00 t $0 00 F> $0:00 $0,00 "$0:00 :$292.50 $0.00 1, DIRECTOR'S STATEMENT: I hereby a_ffirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: /.�in/Y/h!Y Date: 8 D P I City' of CaF ,?I Form ER06 Revision Date 4/29/2009 Page 1 C IN w SENJ EGISTRATI N CONTACT INFORMATION PAYMENT INFORMATION u Check (payable io Police K -9 Magazine} Dat partment title Purchase First Na L Order,(Please.inciude a copy of P.O.) o._ d m Na e 1 r HITS VISA, or American Express only A dress City" 4� Statte 2ip+Postal. Code. A00 2Q -23, 20(19 Email Address latisvttle• Kenho*y REGISTRATION FEES: Wom 03/20/09 After 03/20/09 First Nary a pf middle initial on card, place after fast name) Single Registration $350 individual $395 E Call the hotel'diredlyforvoom El Name reservations at 8001553 -0127 two Attendees G 1300 per person $395 per person Three. or More $275 per person 0 5395 per person TOTAL ENCLOSED Address List additional attendees' names and addresses below- Use back of form if more space is needed. The.most convenient and quickest "vJay "to register for City State 2ip/Postal Code Attendee #t Name Address the seminar is online at www.PoIia K- 9Magaz'^e•c°m Attendee #2: Name Address Card Holder's Signature Complete and tear out Registration formalong pejtor and send 10 POCe K -9 Magazine, P 0..13= 280 941, ukebvog4 cp 8002"5AI 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 Scott L. Moore Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/7/09 reimburse Officer Scott Moore for meals while attendiny 292.50 the HITS 2009 K -9 training on APril 19 23 2009 in Louisville KY 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 S cott L. Moore IN SUM OF 292.50 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -02 292.50 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 7 2009 r Signature Chidfof Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund