214045 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 354306 Page 1 of 1
ONE CIVIC SQUARE MICHAEL PITMAN
CARMEL, INDIANA 46032
CHECK NUMBER: 214045
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 225 . 14 TRAINING SEMINARS
CITY OF CARMEL Expense Report (required for all travel expenses)
�V!ND I AN P
EMPLOYEE NAME: Michael Pitman DEPARTURE DATE: 10/15/2012 TIME: 1:00 AM /
DEPARTMENT: Investigations RETURN DATE: 10/16/2012 TIME: 7:00 AM PM
REASON FOR TRAVEL: Training DESTINATION CITY: Countryside, IL
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/15/12 $127.64 $32.50 $1607
10/16/12 $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
$0.00
$0.00
$0.00
0.00
Total $0.001 $0.001 $0.001 $0.001 $127.641 $0.00 $0.001 $0.001 $0.00 $97.501 $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 10/17/2012 Page 1
BEST WESTERN CHICAGOLAND `�+�' (708) 354-5200
6251 JOLIET ROAD GuestServices CBestWesternCountryside.com
COUNTRYSIDE, IL 60525
www.bestwestern.com/chicagolandcountryside
� a
10/16/2012 12:17 AM
Room # 415-A
Conf# 674040746-01
Registered To: Arrival 10/15/12
Departure 10/16/12
PITMAN, MIKE
SQ IVIC C
3
3 CIVIC , IN 46032 Room Type SXBL-2 DBL
Guests 2 / 0
; Fostin� ;Oper y Ad 'Co� Description � � Frorri _ Reference , * ` Amount
10/15/12 CJB RC ROOM CHRG REVENUE $114.99
10/15/12 CJB 9 STATE TAX $6.90
10/15/12 CJB 91 CITY TAX $5.75
Balance Due $127.64
THE UNDERSIGNED GUEST AGREES TO PAY THE AMOUNT INDICATED ON THE BALANCE DUE PORTION OF THIS INVOICE. IF
THE CHARGES ARE TO BE BILLED TO A THIRD PARTY, THE UNDERSIGNED AGREES TO BE PERSONALLY LIABLE FOR
PAYMENT
OF THE CHARGES IN THE EVENT THAT THE INDICATED THIRD PARTY, PERSON, COMPANY OR ASSOCIATION FAILS TO PAY
FOR ANY PART OR THE FULL AMOUNT OF SUCH CHARGES.
EACH BEST WESTERN IS INDEPENDENTELY OWNED AND OPERATED
Signature
ILLINOIS TACTICAL OFFICERS ASSOCIATION
In Cooperation With
Cook County Department of Homeland Security
and Emergency. Management
CERTIFICATION OF COMPLETION
Oslo Norway - Active Shooter / Bombing
This Certifies That
y
0 Co
,m
_x Mike Poltman
l �wo�s Completed 8 Hours Of Training z
7 Hours Approved by the Illinois law Enforcement Training
and Standards Board for Chiefs E /
C
b �
& EtViERG
Countryside, Illinois
October 16, 2®12
Jeffrey L Chudwin Edward F. Mohn
President, ITOA Vice-President, ITOA
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))
10/18/12 meals/lodging-training $225.14
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael A. Pitman
IN SUM OF $
$225.14
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $225.14
1 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
Thursday, October 18, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund