214574 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 027350 Page 1 of 1
a 0 ` ONE CIVIC SQUARE GARY BOWMAN CHECK AMOUNT: $370.00
yo CARMEL, INDIANA 46032
CHECK NUMBER: 214574
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 370 . 00 TRAVEL & LODGING
CITY OF CARMEL Expense Report (required for all travel expenses)
NDANa
EMPLOYEE NAME: Gary Bowman DEPARTURE DATE: 11/8/2012 TIME: 6:00 AM)l PM
DEPARTMENT: Police Department RETURN DATE: 11/12/2012 TIME: 3:00 PM AM /e)
REASON FOR TRAVEL: Background Investigation -APP DESTINATION CITY: Tucson, Arizona
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
11/8/12 $65.00 $65.00
11/9/12 $65.00 $65.00
11/10/12 $65.00 $65.00
11/11/12 $65.00 $65.00
11/12/12 $45.00 $65.00 $110.00
$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 1 $0.001 $0.001 $0.001 $45.001 $0.001 $0.00 $0001 $0.001 $0.00 $32 .001MEMI
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 11/13/2012 Page 1
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AIR Confirmation: GK67G9
Passenger(s)
GARY A BOWMAN
Date Flight Departure/Arrival
Nov 8 284 Depart Indianapolis(IND)at 06:20 AM
Arrive in Phoenix(PHX)at 08:20 AM
.... .. ..... .......
Nov 12 373 Depart Phoenix(PHX)at 10:00 AM
Arrive in Indianapolis(IND)at 03:20 PM
2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary A. Bowman
IN SUM OF $
$370.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I I 43-430.03 I $370.00 1 hereby certify that the attached invoice(s), or
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, November 15, 2012
,tom
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))
11/14/12 reimbursement for background check on applicant $370.00
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