208836 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351648 Page 1 of 1
ONE CIVIC SQUARE JOHN PIRICS
CARMEL, INDIANA 46032
CHECK NUMBER: 208836
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343002 390.00 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: John Pirics DEPARTURE DATE: 4/15/2012 TIME: 10:00 AM PM
DEPARTMENT: Carmel Police Department RETURN DATE: 4/20/2012 TIME: 9:00 AM/PM
REASON FOR TRAVEL: Training and pre- training workshop DESTINATION CITY: Atlanta, GA
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 9 Breakfast Lunch Dinner Snacks Per Diem
4/15/12 $65.00 $65.00
4/16/12 $65.00 $65.00
4/17/12 $65.00 $65.00
4/18//12 $65.00 $65.00
4/19/12 $65.00 $65.00
4/20/12 $65.00 $65.00
$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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $390.001 $0.00 1 41
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 4/26/2012 Page 1
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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))
05/02/12 reimbursement for meals $390.00
1 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
John D. Pirics
IN SUM OF
$390.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 430.02 $390.00
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
Wednesday, May 02, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund