210321 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 354997 Page 1 of 1
ONE CIVIC SQUARE GREGORY DEWALD
CARMEL, INDIANA 46032
CHECK NUMBER: 210321
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 175.00 OTHER EXPENSES
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Gregory S. Dewald DEPARTURE DATE: 6/18/2012 TIME: 1:00 AM PM
DEPARTMENT: Carmel Police Department RETURN DATE: 6/21/2012 TIME: 3:00 AM O
REASON FOR TRAVEL: Training DESTINATION CITY: Ft. Wayne
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Meals
Air -fare Car Rental Other Parkin Lodging Misc. Total
9 Breakfast Lunch Dinner Snacks Per Diem
6/21/12 $25.00 $25.00
6/22/12 $50.00 $50.00
6/23/12 $50.00 $50.00
6/24/12 $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
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $175.00 $0.00 I I
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 6/22/2012 Page 1
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Presents this certificate to
6 DEWALD
for having successfully completed
a specialized course in
ENSROA 20 2 *%'2'00Nf'Mft3-W%
Fort Wayne, Indiana
June 19 21, `2012`
s
Eric Crittenden, President Officer Chris Crapser, Training Director
Course Number 12FWP176 Provider 35- 6001029
20 Hours
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gregory S. Dewald
IN SUM OF
$175.00
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 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
v�
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))
06/22/12 meals Dewald $175.00
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