213887 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00351098 Page 1 of 1
ONE CIVIC SQUARE SHANE P COLLINS
� 0 CHECK AMOUNT: $200.00
o CARMEL, INDIANA 46032
CHECK NUMBER: 213887
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 200 . 00 TRAINING SEMINARS
CITY OF CARMEL Expense Report (required for all travel expenses)
` NOIANP
EMPLOYEE NAME: Shane Collins DEPARTURE DATE: 10/1/2012 TIME: 7:00 / PM
DEPARTMENT: Carmel Police Dept RETURN DATE: 10/4/2012 TIME: 16:00 AM /CW
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Camp Atterbury, Indiana
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
_ 10/1/12 $50.00 $50.00
10/2/12 $50.00 $50.00
10/3/12 $50.00 $50.00
10/4/12 $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 $0.001 $0.00 $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $200.00 $0.00 a
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 10/11/2012 Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shane P. Collins
IN SUM OF $
$200.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
210 -570.00 $200.00
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
Thursday, October 18, 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))
10/17/12 SWAT training $200.00
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