224091 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00351648 Page 1 of 1
ONE CIVIC SQUARE JOHN PIRICS
CARMEL, INDIANA 46032
,o CHECK NUMBER: 224091
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 325 . 00 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: John Pirics DEPARTURE DATE: 8/11/2013 TIME: 9:25 AM / PM
DEPARTMENT: Carmel Police Department RETURN DATE: 8/15/2013 TIME: 6:50 AM / PM
REASON FOR TRAVEL: Crimes Against Children Training DESTINATION CITY: Dallas, TX
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 Baggage Parking Breakfast Lunch Dinner Snacks Per Diem
8/11/13 $65.00 $65.00
8/12/13 $65.00 $65.00
8/13/13 1 $65.00 $65.00
8/14/13 $65.00 $65.00
8/15/13 $65.00 $65.00
$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 $0.001 $0.00 $0.00 $0.00 $0.00 1 -so-001 $0.00 $325.001 $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 8/26/2013 Page 1
CERTIFICATE OF COMPLETION
This is to certify that
John Pirics
Satisfactorily completed a course of 19.5 hours of study at the
25th Annual Crimes Against Children Conference
August 12 -15, 2013
I Course Is TCLEOSE Approved
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APT Approved Provider Number is 13-893
1�� �� 19.5 hours of study, 6 hours of Play Therapy
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i ;` , � ` LPC Approved Provider Number is 1322
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NBCC Approved Provider Number is 6602
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Lynn M. Davis David O. Brown
President and CEO Chief of Police
Dallas Children's Advocacy Center Dallas Police Department
Record
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Passenger Ticket# Fare-USD Taxes and Carrier- Ticket Total
Imposed Fees
On' i(,)0,1 I 77e 383.25 50 55 433 80
383 25 50,55 433 80
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$2602.80
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i-- -... -— ----- �_._. --. —--- ------------- ------ - -- —-— --- -- -
1 Indianapolis to Dallas/ Fort Worth
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6 Adults
Sunday August 11,2013—Thursday August 15,2013
Record Locator Reservac on Name
ZQCTPJ IND/DFW '
i Your record locator is your reservation confirmation number and Status:Ticket Pending on May 14,2013 I
lWig he needed torelrieve or reference your reservation.
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Flight Information
i
Flight Depart Arrive Average Fare $412100
Average Fare I
� American AlrPnes Indianapolis(IND) Dallas/Fort Worth(DFW) Adult S2,472.00 I
1 . August 11,2013 09:25 AM August 11,2013 10:40 AM 6 x$412.00
2217 Taxes&Fees
Travel Tinw 21,15 in Booking Corte Q Adult $130.80 l
6-$21.80
Cabn1 Class:Economy Plane type.580 !
Seal.271'.270,27D,27L,2GA.
26B
Flight Subtotal
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Flight Depart Arrive $2,602.80
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American Ail nes Dallas/Fort Worth(DFW) Indianapolis(IND)
i August 15,2013 03:45 PM August 15,2013 06:50 PM
880
I I ri Time 2 h 5 m Booking Code.U
Cabin Class Economy Plane Type SAO
j Seat:unassigned
Baggage Charges(per person)
` Carry-on Baggage Coal(USD) Sao, Additional Lifo i
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American Airlines list Carry-On No Charge 36 din 191 dcm Induces!purse,tuietcase,laptop bag or similar
Domestic diem that must fit under that seat In front of you
l 2nd Carry-on No Charge 45 din 1114 dcm Maximum dimensions not Io osce
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22'l .14'vhda.Vii(56
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Chocked Baggaga cost(USD) Sizo' Weight
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American Airlines list Bag $25 62 din 1158 door Under 50 Ibs/23 kgs
{ 2nd Bag $35 62 din/158 dcm Under 501bs/23 kgs
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VOUCHER NO. WARRANT NO.
John D. Pirics ALLOWED 20
IN SUM OF $
$325.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $325.00
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, Sep ember 05, 2013
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))
09/05/13 meals $325.00
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