HomeMy WebLinkAbout210158 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359857 Page 1 of 1
ONE CIVIC SQUARE SHANE VANNATTER
CARMEL, INDIANA 46032
CHECK NUMBER: 210158
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343002 150.00 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Shane VanNatter 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 Lodging Misc. Total
Air -fare Car Rental Other Parking 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 $0.001 $0.001 $0.00L $0.00 $0.001 $0.00 $0.00 $0.001 $0.001 $150.001
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 5/28/2012 Page 1
.�.nl ROSTER LAW ENFORCEMENT TRAINING
STATE FORM 46167(8 -93)
l 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 PITMA
SUCCESSFULLY INCOMPLETE FAILED OTHER
COMPLETED
I AFFIRM THAT THE INFORMATION CONTAINED PRINTED NAME DATE
HEREIN IS COMPLETE AND 6C4a TO THE MICHAEL A. PITMAN 5/25/2012
BEST OF MY KNOW Alta 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
SCOTT CURTIS 5/25/12
VANNATTER SHANE 5/25/12
SMITH TROY 5/25/12
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shane R. VanNatter
IN SUM OF
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 430.02 $150.00
I hereby certify that the attached invoice(s), or
I I 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
Friday, June 15, 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))
06/14/12 reimbursement for meals while training $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