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210277 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 359257 Page 1 of 1 ONE CIVIC SQUARE WENDY BODENHORN CARMEL, INDIANA 46032 CHECK NUMBER: 210277 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 20.00 GASOLINE 852 5023990 175.00 OTHER EXPENSES OF CAq I CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: i f YI DEPARTURE DATE. JA A (J TIME: AM I� DEPARTMENT: l.� j RETURN DATE: y La p Zip TIME: 2 AM <M REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN U TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem IJ 00 $0,00 fl0 $0.00 ,p0 1 0.00 W $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 ;$0:00 r $0:00 $0.00 $0.00 $0.00 so-001 $0.00 $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 6/25/2012 Page 1 N 4 Szz) OA y R 'A a •a't Presents, is �cert�if Cate to :x �t Y"' .F8" al e mij 44 y k I 0 r4.gti. '.fie N, R NI rs��ia lr W ar r'" r Nffizl 3 *g 2a C 5 "Ff 4 5 N"Y h t �'�fo cc c 1 k r. avin su essfull e ed g Y P s a s�p�ecal zed oursein Vex er a X lu l MOW 0. 4 0 A A� 1 MRS k 8 a y�x„9' h gi r Av *•�y� qt FortWa Y neIrld+iana "9.�� a�m� ���d'" f.'��,' F7 P M •U'. s.�+dt,'� y h.�'�`�{ A" 7• r*�,�"�r�' 4��� ...�..d*..�✓'" �+�`�yd y� `�r r,&.+,r °nz�, ¢�t ys� June ��19��21;201�2 �•S Tex f i F/ 1 Y �re ii Eric Crittenden; President dyOfficer Ch Ks Cra ser' Training Director Or Yi Course Number 12FWP176 Provider 35- 6001029 7 .20-Hours VOUCHER NO. WARRANT NO. ALLOWED 20 Wendy M. Bodenhorn IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Carmel Police Gift Fund PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 852 852.00 $175.00 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 c which charge is made were ordered and 1 received except Wednesday, June 27, 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)) 06/25/12 meals Bodenhorn 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