209666 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 278140 Page 1 of 1
ONE CIVIC SQUARE CURTIS D. SCOTT CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 14309 NOLAN DRIVE
FISHERS IN 46038 CHECK NUMBER: 209666
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CHECK DATE: 6/512012
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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`NDIANA
EMPLOYEE NAME: Curtis Scott DEPARTURE DATE: 5/22/2012 TIME: 6:00 a/ PM
DEPARTMENT: Carmel Police RETURN DATE: 5/24/2012 TIME: 1600 AM PM
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Camp Atterbury
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM v
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/22/12 $50.00 $50.00
5/23/12 $50.00 $50.00
5/24/12 $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
$0.001 $0.001 $0.00 $0.00 $0.00 $0.001 $0.001 $0.001 $0.001 $150.00 $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 5/19/2012 Page 1
affrA� ROSTER LAW ENFORCEMENT TRAINING
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STATE FORM 46167(8 -93)
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1
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
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 KNO LIEF.
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
i
SCOTT CURTIS 5/25/12
VANNATTER SHANE 5/25/12
SMITH TROY 5/25/12
VOUCHER NO. WARRANT NO.
ALLOWED 20
Curtis D, Scott
IN SUM OF
14309 Nolan Drive
Fishers, IN 46038
$150.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing 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
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))
05/22/12 reimbursement for meals $150.00
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