220749 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 354306 Page 1 of 1
f ONE CIVIC SQUARE MICHAEL PITMAN
CARMEL,INDIANA 46032
CHECK NUMBER: 220749
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 225 . 00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Michael Pitman DEPARTURE DATE: 5/12/2013 TIME: 5:00 AM / PM
DEPARTMENT: Carmel Police Department RETURN DATE: 5/16/2013 TIME: 5:00 AM / PM
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REASON FOR TRAVEL: SWAT Training DESTINATION CITY: Muscatatuk/Camp Atterbury
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN_ X TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/12/13 $25.00 $25.00
5/13/13 $50.00 $50.00
5/14/13 $50.00 $50.00
5/15/13 $50.00 $50.00
5/16/13 $50.00 $50.00
$0.00
$0.00
$0.00
$0.00
$0.00
i 1 $0.00
$0.00
$0.00
j $0.00
$0.00
J $0.00
i $0.00
j $0.00
j. $0.00
$0.00
J 0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Q $0.00 $225.00 $0.00 � �
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within ml department's appropriated budget.
Director Signature: Date: !'r
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City of Carmel Form#ER06 Revision Date 5/28/2013 Page 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Michael Pitman Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/28/13 SWAT training 225400
Total
I 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 Pitman
$ 225.00
ON ACCOUNT OF APPROPRIATION FOR
CPD continuing ed fund
Board Members
PO# #
EP or
EPT. INVOICE NO. ACCT#/TITLE AMOUNT
D I hereby certify that the attached invoice(s), or
210 -570.00 225.00 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
May 28th 20 13
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund