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212700 09/12/2012
CITY OF CARMEL, INDIANA VENDOR: 212690 Page 1 of 1 0 ONE CIVIC SQUARE SCOTT MOORE CARMEL, INDIANA 46032 CHECK NUMBER: 212700 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343002 42 . 89 EXTERNAL TRAINING TRA 41:1NEk", CITY OF CARMEL Expense Report (required for all travel expenses) /V01 AVI EMPLOYEE NAME: Scott Moore DEPARTURE DATE: 8/21/2012 TIME: 600 AM/ PM DEPARTMENT: Carmel Police RETURN DATE: 8/24/2012 TIME: 830 AM /PM REASON FOR TRAVEL: K9 Re-certification DESTINATION CITY: Peru Indiana EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 8/21/12 $13.25 $13.25 8/22/12 $7.25 $7.25 8/23/12 $8.53 $8.53 8/24/12 $13.86 $13.86 $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 _$0.001 $0.001 $0.00 $0.00 $42.89 $0.00 $0.001 $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 9/7/2012 Page 1 .N I 77 PM CIA 5v 4 � n i 341, I WE, 21 itt -M WrOCRI W TSIM Z wl' r IF W1 KA WWII lyX14 ?�,VW m rG 1 1-7 WP re e - ®. IAA \`o,;.��" ,�,• .. ......tea", �;;. �_:'—�, ...,� :I ,� �. :"� _� ` r I;. ��'�.r.r��:���.��.I ,Cr_c• •:i► rTM.►`�i•�`: ® , .��_„t\ �I�I��: � r.�.,` �•.� 3r.'` e�i♦ . \\.,y. �. inu'"ii:o pi•�,p. 1`a,�O/s li •i �ri_Wy,.. . 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WARRANT NO. ALLOWED 20 Scott L. Moore IN SUM OF $ $42.89 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Sear I hereby certify that the attached invoice(s), or 1110 I I 43-430.02 $42.89 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, September 07, 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)) 09/07/10 meals reimbursement $42.89 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