252354 1 2/08/1 5 CITY OF CARMEL, INDIANA VENDOR: 360213
' ONE CIVIC SQUARE MEGAN MCVICKER CHECK AMOUNT: $********92.35*
CARMEL, INDIANA 46032 710 ADMAN DRIVE EAST CHECK NUMBER: 252354
CARMEL IN 46032 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4343004 92.35 TRAVEL PER DIEMS
Prescribed by State Board of Accounts General Form No.101(1955)
MILEAGE CLAIM
City of Carmel, Indiana TO Megan McVicker DR.
(Governmental Unit)
J
Dept. of Community Relations & Economic Development On Account of Appropriation No. for
(Office,Board,Department or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
2015 Point Point Start Finish TRAVELED PER MILE
See Attached ee attacriecl.
I
Auto License No. t TOTALS LP 135
*SPEEDOMETER READING columns are to be used only when distance between points cannot be determined;by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid. J
Date
j
Megan McVicker
Mileage Claims:July 27,2015-December 4,2015
Month Day Destination Roundtrip Mileage
27 City Hall(meeting) 2
31 Warehouse 1
Total 3
August
3 City Hall(meeting) 2
4 City Hall(meeting) 2
5 City Hall(invoices delivered) 2
10 City Hall(meeting) 2
12 Warehouse(dumpster delivery) 1
13 Warehouse(cleaning) 1
17 City Hall(meeting) 2_
19 City Hall(invoices delivered) 2
24 City Hall(meeting) 2
25 City Hall(items delivered) 2
26 City Hall(items delivered) 2
27 Warehouse(dumpster delivery) 1
28 Media Factory(pick up signs) 3.6
28 Garage storage 0.5
Total 25.1
1 Hubbard&Cravens(meeting) 1
2 City Hall(invoices delivered and meeting) 2
3 Garage storage(No Parking sign prep) 0.5
8 Indianapolis International Airport(leave for 3CMA conference) 32
11 Indianapolis International Airport(arrive from 3CMA conference) 32
14 City Hall(meeting) 2
15 Ace Hardware 1
16 City Hall(invoices delivered) 2
17 City Hall(meeting) 2
22 City Hall(meeting) 2
28 City Hall(meeting) 2
30 City Hall(invoices delivered) 2
Total 80.5
1 City Hall(meeting) 2
2 City Center(one way;help with Oktoberfest) 0.5
5 City Hall(press conference) 2
6 Warehouse(meet for Art Festival item pickup) 1
8 Garage(pick up items for event) 0.5
13 City Hall(item pick up) 2
14 Ritz Charles(State of the City Booth) 5
15 City Hall(meeting) 2
16 Warehouse(cleaning) 1
19 City Hall(meeting;one way) 1
20 City Hall(meeting) 2
26 City Hall(meeting;one way) 1
28 City Hall(invoices delivered) 2
29 City Hall(meeting) 2
30 Garage(pick up items for event;organization) 0.5
Total 24.5
November
2 City Hall(meeting) 2
4 Garage(drop off items) 0.5
10 City Hall(invoices delivered) 2
16 City Hall(meetings) 2
17 City Hall(meeting) 2
18 Panera Bread(lunch meeting-from office then to City Hall) 2
19 City Hall(meeting) 2
20 City Hall(drop off items) 2
23 Hubbard&Cravens(meeting) 1
24 City Hall(invoices delivered) 2
25 City Hall(meeting) 2
30 City Hall(meeting) 2
Total 21.5
December a' .,
1 City Hall(meeting) 2-
2
-2 City Hall(meeting;one way) 1
3 City Hall(meeting) 2
3 Garage(item pick up) 0.5
4 Garage(item pick up) 0.5
Total 6
Mileage Grand Total_ _
2015 Mileage Rate $0.575 x 160.6
Amount Due $92.35
Prescribed by State Board of Accounts I. General Form No.101(1955)
MILEAGE CLAIM
City of Carmel, Indiana TO Megan McVicker DR.
(Governmental Unit) I
Dept. of Community Relations & Economic Development (, On Account of Appropriation No. for
Office,Board,Department or Institution)
DATE FROM TO ODOMETER READING" NATURE OF BUSINESS AUTO MILES MILEAGE @-O.S 7 5
2015 Point Point Start Finish TRAVELED PER MILE
See Attached bee attached
Auto License No. TOTALS (y 35-
SPEEDOMETER
SSPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
P P P Y fY 9 9 1 9 Y
allowing all just credits, and that no part of the same has been paid. I
Date
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:.
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
i
That it is based upon statutory authority;
That it is appa iently correct
$ incorrect
On Account of Appropriation No. for
Disbursing Officer
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Megan McVicker
IN SUM OF$
710 Auman Drive East
Carmel, IN 46032
$92.35
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1203 Mileage Claim 43-430.04 $92.35
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, December 07,2015
Director,Community Relations/Eco omic Development
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))
12/04/15 Mileage Claim $92.35
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