221429 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 359257 Page 1 of 1
ONE CIVIC SQUARE WENDY BODENHORN
CARMEL, INDIANA 46032
CHECK NUMBER: 221429
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 38 . 50 GASOLINE
210 4357000 195 . 76 TRAINING SEMINARS
852 5023990 23 . 37 OTHER EXPENSES
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))
06/24/13 refreshments/Teen Academy $23.37
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
Wendy M. Bodenhorn
IN SUM OF $
$23.37
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 -852.00 $23.37
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
Tuesday, June 25, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
OF Cgjj�.
/ 4�e-T3Fw>p��\�
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: j/ DEPARTURE DATE: -jq TIME: (p 61 PM
DEPARTMENT: RETURN DATE: / TIME: 50 AM / PM
REASON FOR TRAVEL: �/y�7�Dr�I DESTINATION CITY:
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE RAVEL REIMBURSEM, TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
D ab
tq
tea. ov
$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 J � ; t �� $0.00 $0.00 $0.00 $0.00 (�, $0.00 ,0-�Lp
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 6/24/2013 Page 1
room.-
FORT WAYNE,IN 46818 USA
TELEPHONE 260-489-0908 FAX 260-489-9295 (M
Official Sponsor
BODENHORN,WENDY 317/KXTD
adult/child: 1/0
room rate: 84.00
If the debit/credit card you are using for check-in is attached to a bank or checking account,a hold will RATE PLAN LVI
be placed on the account for the full anticipated dollar amount to be owed to the hotel,including HH# 996077273 BLUE
estimated incidentals,through your date of check-out and such funds will not be released for 72 business AL:
hours from the date of check-out or longer at the discretion of your financial institution. BONUS AL: CAR:
CONFIRMATION NUMBER: 80863756 Rates subject to applicable sales,occupancy,or other taxes.Please do not leave any money or items of value unattended in
your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is not waived and agree
to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full
6/20/2013 PAGE 1 amount of these charges.In the event of an emergency,I,or someone in my party,require special evacuation due to a
physical disability.Please indicate yes by checking here:
signature:
e
6/19/2013 1111412 GUEST ROOM $84.00
6/19/2013 1111412 STATE TAX $5.88
6/19/2013 1111412 HOTEL TAX $5.88
WILL BE SETTLED TO MC`1460 $95.76
EFFECTIVE BALANCE OF $0.00
EXPENSE REPORT SUMMARY
13 00:00:00 STAY TOTAL
ROOM&TAX $95.76 $95.76
DAILY TOTAL $95.76 $95.76
You have earned approximately 840 Hilton HHonors points for this stay. Hilton HHonors(R)stays are posted within 72 hours of checkout. To
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account no. date of charge folio/check no.
290124 A
card member name authorization initial
establishment no. and location establishment agrees to transmit to card holder for payment purchases&services
taxes
tips&mist.
signature of card member
total amount
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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))
06/25/13 meals/lodging $195.76
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
Wendy M. Bodenhorn
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#1 Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $195.76
I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
I`o31q materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, June 25, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund