213956 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 133000 Page 1 of 1
0 ONE CIVIC SQUARE JEFFREY J HORNER CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032
CHECK NUMBER: 213956
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 150 . 00 TRAINING SEMINARS
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x ) CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Jeffrey Horner DEPARTURE DATE: 10/2/2012 TIME: 8:00 AM / PM
DEPARTMENT: Police RETURN DATE: 10/4/2012 TIME: 3:00 AM / PM
REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Edinburg, IN
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
10/2/12 $50.00 $50.00
10/3/12 $50.00 $50.00
10/4/12 1 $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 $150.00 $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 10/9/2012 Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeffrey J. Horner
IN SUM OF $
$150.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $150.00
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
v�
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 $150.00
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