212736 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00351648 Page 1 of 1
0 ONE CIVIC SQUARE JOHN PIRICS CHECK AMOUNT: $325.00
�4 to CARMEL, INDIANA 46032
CHECK NUMBER: 212736
CHECK DATE: 9112/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343002 325 . 00 EXTERNAL TRAINING TRA
4�ty OF
CITY OF CARMEL Expense Report (required for all travel expenses)
�!NDIANp'
EMPLOYEE NAME: John Pirics DEPARTURE DATE: 8/12/2012 TIME: 8:55 P�� PM
DEPARTMENT: Carmel Police Department RETURN DATE: 8/16/2012 TIME: 8:55 AM
REASON FOR TRAVEL: Crimes against Children Training DESTINATION CITY: Dallas, TX
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
8/12/12 $65.00 $65.00
8/13/12 $65.00 $65.00
8/14/12 $65.00 $65.00
8/15/12 $65.00 $65.00
8/16/12 $65.00 $65.00
$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 $0.001 $0.001 $325.001 $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 8/28/2012 Page 1
CERTIFICATE OF COMPLETION
This is to certify that
John Pirics
* Satisfactorily completed a course
Aww of 19.5 hours of study at the
24th Annual
Crimes Against Children Conference
August 13 - 16, 2012
Course is TCLEOSE approved
APT Approved Provider number is 11-861
19.5 hours of study, 3 hours of Play Therapy
A 6, v °
Lynn M. Davis David O. Brown
President and CEO Chief of Police
Dallas Children's Advocacy Center Dallas Police Department
VOUCHER NO. WARRANT NO.
ALLOWED 20
John D. Pirics
IN SUM OF $
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-430.02 $325.00
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, September 05, 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))
09/05/12 meal reimbursement $325.00
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