224953 10/08/2013 �.F CITY OF CARMEL, INDIANA VENDOR: 355078 Page 1 of 1
ONE CIVIC SQUARE RYAN JELLISON
CARMEL, INDIANA 46032
CHECK NUMBER: 224953
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 372 . 08 TRAINING SEMINARS
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 9/30/2013 TIME: 9:00 AM / PM
DEPARTMENT: Carmel Police Department RETURN DATE: 10/4/2013 TIME: 7:00 AM / PM
REASON FOR TRAVEL: Training Course DESTINATION CITY: East Chicago, In & Camp Atterbury
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM XXX
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
9/30/13 $122.08 $50.00 $172`.08
10/1/13 $50.00 $50.00
10/2/13 $50.00 $50.00
10/3/13 $50.00 $50.00
10/4/13 $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
Totall $0.00 $0.00 $0.00 $0.001 $122.08 $0.021 , $0.001 $0.00 . $0.00 $250.001 $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:
,J
City of Carmel Form#ER06 Revision Date 10/6/2013 Page 1
c 1�� A ,r,�—, ��� Check-In 4:OOPM / Check-Out 11:OOAM
�VCASSIINO.*..HOTEL PAGE 1 of 1
777 Ameristar Boulevard
Check-out By RHERN
East Chicago, IN 46312
10/01/2013 11:21:00
RESERVED FOR ROOM ACCOUNT #OF GUEST ROOM
RYAN JELLISON HT 601 415455459783 2
ARRIVAL DATE DEPARTURE GROUPCODE
09/30/2013 10/01/2013
PLEASE NOTE: PLAYER ID
•The hotel offers safe deposit boxes located at the registration desk,we camtot be responsible
for money,jewelry,documents or other valuables.
•Please lock your vehicle and leave it in a designated area. Management is not responsible for
theft,fire,or other damage.
•Use of ATM/Debit cards will result in immediate charge to the card of room and tax,plus
anticipated incidental charges per day. I aggree that my liability for this bill is not waived and agree to be held personally liable in the event that the
•Please be advised that checkout time is at t I:Wanr. A late checkout charge will be incurred. indicated person,company,or association fails to pay for any or the full amount of these charges. 1 also agree
that all the charges contained in this account are correct and any disputes or requests for copies must be made
•I agree to be liable for any damage caused to the room or any items removed from the room. within five days of my departure.
GUEST SIGNATURE SHARE WITH PLAYER ID
DATE DESCRIPTION AMOUNT
09/30/2013 415469000080 ROOM CHARGE HT 601 109.00
TAX 13.08
10/01/2013 415475484849 FRONT DESK 122.08-
SUMMARY OF CHARGES
ROOM 109.00
TAXI 7.63
TAX2 5.45
Account Balance .00
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1k1 V 11 1 N11 STAR
..CASINO*.,HOTEL ..
For Reservations Call 866.MORE.FUN(667-3386)
www.ameristar.com
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CER9PIFICA9PE OE 9PRAINING
T S IS TO CER'T'IFY THAT
RYAN JELLISON
HAS SUCCESSFULLY COMPLETED THY EVERGREEN MOUNTAIN
TWO Q DAY BASIC NIGHT VISION COURSE
LOCATION )Z�v-h
EAST CHICAGO, IN 1n�
DATE ROBERT A. TRIVINO
30 SEP - 1 OCT 2013 EGM OWNER/PRESIDENT EGM
EN7ER0j EF,N M0i_7PITAlr L LLC
,;; „.
VOUCHER NO. WARRANT NO.
Ryan D. Jellison ALLOWED 20
IN SUM OF $
$372.08
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $372.08
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
Monday, October 07, 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))
10/07/13 lodging/meals $372.08
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