209643 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 354306 Page 1 of 1
0 ONE CIVIC SQUARE MICHAEL PITMAN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032
CHECK NUMBER: 209643
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 150.00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Michael Pitman DEPARTURE DATE: 5/22/2012 TIME: 6:30 AM PM
DEPARTMENT: Carmel Police Dept RETURN DATE: 5/24/2012 TIME: 16:00 AM/PM
REASON FOR TRAVEL: SWAT Sniper Range Training DESTINATION CITY: Camp Atterbury, Indiana
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
5/22/11 $50.00 $50.00
5/23/11 $50.00 $50.00
5/24/11 $50.00 $50.00
$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 $0.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.001 $0.001 $150.001 $0.00 e
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 5/29/2012 Page 1
A 4. ROSTER LAW ENFORCEMENT TRAINING ,NQI•N
's STATE FORM 46167(8 -93)
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PLEASE TYPE OR PRINT CLEARLY
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PROVIDER OR INSTRUCTOR TELEPHONE NUMBER
MICHAEL PITMAN 317 -571 -2533
LOCATION OF TRAINING CONTACT PERSON AT TRAINING SITE
CAMP ATTERBURY
COURSE TITLE PRIMARY INSTRUCTOR
SWAT SNIPER TRAINING MICHAEL PITMAN
SUCCESSFULLY INCOMPLETE FAILED OTHER
COMPLETED El
I AFFIRM THAT THE INFORMATION CONTAINED PRINTED NAME DATE
HEREIN IS COMPLETE AND�TE TO THE MICHAEL A. PITMAN 5/25/2012
BEST OF MY KNOW LIE
SIGNED-
TRAINING DATE(S) TRAINING DATE(S) PROVIDER OR COURSE NUMBER INSERVICE CREDIT
FROM MM -DD -YY TO MM -DD -YY INSTRUCTOR NUMBER HRS
MAY 22,2012 MAY 25, 2012 6325 -1311 12.05 -007 32
LAST NAME D.
SCOTT CURTIS 5/25/12
VANNATTER SHANE 5/25/12
SMITH TROY 5/25/12
VOUCHER NO. WARRANT N O.
Michael A. Pitman ALLOWED 20
IN SUM OF
$150.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuinq Ed Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
210 570.00 $150.00
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 30, 2012
2.=j-
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))
05/30/12 reimbursement for meals $150.00
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