181613 01/20/2010 -c,,. CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
•I 0k ONE CIVIC SQUARE MIKE MCBRIDE
CHECK AMOUNT: $1,236.62
CARMEL, INDIANA 46032 C/O ENGINEERING
C/0 ENGINE ERING
CHECK NUMBER: 181613
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 624.85 EXTERNAL TRAINING TRA
2200 4343002 611.77 WASH /MILEAGE
`1�oF Cq`gM
s
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 1/11/2010 TIME: 7am AM PM
DEPARTMENT: Engineering RETURN DATE: 14 -Jan TIME: 4pm AM PM
REASON FOR TRAVEL: TRB National Conference DESTINATION CITY: Washington, DC
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
01/11/10-
01 /14/10 $487.77 $487.77
1/11/10 $9 $9.00
1/12/10 $9.00 $9.00
1/13/10 $9.00 $9.00
1/14/10 $9.00 $9.00
Baggage
1/11/10 $25.00 fees $25.00
Baggage
1/14/10 $25.00 fees $25.00
$0.00
$0.00
$0.00
$0.06
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$000
$0.00
$0.00
$0.00
Total $0.00 :$0:00 ".._$50.00_ $36.00 $487;77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $573.77
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.
City of Carmel Form ERO6 Revision Date 1/19/2010 Page 1
TRAVEL/EXPENSE
REIMBURSEMENTS
For Jan. 15, 2010
Mileage to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.50 Expense
1/14/2010 Travel to from airport for DC Trip 12568 12644 $0.00 $0.00 76 $38.00 $38.00
1/14/2010 Washington DC Hotel $0.00 $487.77 Hotel $0.00 $487.77
1/14/2010 Baggage fee with US Airways $0.00 $50.00 $0.00 $50.00
1/14/2010 Parking at Airport $0.00 $36.00 Parking $9 /day $0.00 $36.00
$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
$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
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$8.00 $0.00 $0.00 $0.00
Refund Total $611.77
For questions regarding this folio, please call
Marriott Business Services toll -free 1- 866 435 -7627.
,Xarrlott. GUEST FOLIO
WARDMAN PARK HOTEL 2660 Woodley Road NW, Washington, DC 20008 202.328.2000 Marriott.com /WASDT
5078 MCBRIDE /MICHAEL 207.00 01/14/10 12:00 6448 11349
Room Name Rate Depart Time ACCT# GROUP
NSDB CITY OF CARMEL 01/12/10 15:24
Type Arrive Time
91 ONE CIVIC SQUARE PASSPORT:
VSXXXXXXXXXXXX1090
CARMEL IN 46032 MR
Clerk Address Payment
DATE I REFERENCE 1 CHARGES 1• CREDITS 1 BALANCE DUE
01/10. CCARD - 1
PAYMENT RECEIVED BY: XXXXXXXXXXXX9233
01/12 ROOM 5078, 1 207.00
01/12 ROOM TAX 5078, 1 30.02
01/13 WFB PKG WFB PKG 12.95
01/13 WFB TAX WFB PKG .78
01/13 ROOM 5078, 1 207.00
01/13 ROOM TAX 5078, 1 30.02
01/14 CCARD - .00
PAYMENT RECEIVED BY: XXXXXXXXXXXX1090
01/14 CCARD - 250.75
PAYMENT RECEIVED BY: XXXXXXXXXXXX1090
.00
WANT YOUR FINAL -HOTEL BILL EMAIL? JUST ASK THE FRONT DESK!
SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you
are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
Signature X
Contains 30% post consumer fibers To secure your next stay, go to Marriott.com
Indianapolis International Airport
7800 Col. N. Weir Cook Memorial Drive
Indianapolis, IN 46241
Fee Computer Number: 39
Cashier: Id #103
Transaction Number: 174089
Entered: 01/1 09:48
Exited: 01/14 /2010 18:25
Ticket #73621 Dispenser #35
Lot: Economy Lot 63
Area: Area 6
Rate: Economy 2009 VRate
Parking Fee: 36.00
'Total Fee: 36.00
Cash: 40.00
Total Paid: 40.00
Change Due 4.00
Thank You have a nice day!
(317) 487 -5017
DS AIRWAYS US AIRWAYS
DZY616 /US 117AN10 BF28D83K E- TICKET RECEIPT
MCBRIDE /MICHAELT ARRIVAL FROM TO
1000A EXCESS BAG EBC US 9957 Y 11JAN 1130A FEE FEE EBC FEE
v
FP CA **9233/' ***/286132 /FC BAGGAGE FEE (1B) 01 0025 (2B) 00
0000 (3B) 00 0000 (OW) 00 0000 (OZ) 00 0000( SE) 00 0000 USDTTL 025.00E
ND
FARE USD 25.00 DOCUMENT NUMBER 0372375356043
TAX US .00
TAX NO CASH VALUE THANK YOU FOR FLYING
TOTALUSD 25.00 i US AIRWAYS
AIKWAY$1ICKET US AIRWAYS
EZDH r/US R ECEIPT
MCBRIDE /MICHAELT ARRIVAL FROM TO
1000A EXCESS BAG EBC US 9957 Y 14JAN 1130A FEE FEE EBC FEE
FP CA *9233/ °/136312 /FC BAGGAGE FEE (1B) 01 0025 (2B) 00
0000 (3B) 00 0000 (OW) 00 0000 (OZ) 00 0000( SE) 00 0000 USDTTL 025.00E
ND
FARE USD 25.00 DOCUMENT NUMBER 0372375712506
TAX US .00
TAX NO CASH VALUE THANK YOU FOR FLYING
TOTALUSD 25.00 US AIRWAYS
Account Activity
Use the menus below your card summary to sort your account activity or to search for a specific purchase or credit,
Citi PremierPasso Expediao Card Download Your Statement
Current Balance Minimum Payment Due Payment Due Jan. 18, 2010
$170.69 s Mahe Faymei t„
Late Payment Warning
Staiement_6alance 12/24/09 11) Available Revolving Credit $160.56. Pa
d Paperless Letters
Line
Next Statement Date. Jan. ie,
2010 Total Revolving Credit Line
Activity Since Last Statement Last Payment Date Dec. 18, 2009
PaymentslAdjustmentslCredits 50.00 �6 Thant Yen4q•
Last Payment Amount 3117.38
Purchases 5650.83 Earned Points 7
Amount Past Due $0.00
Cash Advances 50.00 view/Edit Online Payments 10,938
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Transaction Details as of 01/15/2010
Date Description Amount
01/12/2010 MARRIOTT 337W0 WARDMAN WASHINGTON DC $237.02
12/24/2009
01/11/2010 USAIRWAY03723753560435 INDIANAPOLIS IN 525.00
12/24/2009
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Download a copy of your statement as a PDF or in the format of your choice.
https: /www.accountonline.com/ cards/ svc/ AccountActivity.do ?accountlndex =8923 3 1/15/2010
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
e)*Ni TO Ve 6 DR.
(Governmental Unit)
On Account of Appropriation No. for
(Office, Board, De artment or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @,50
20 O Point Point Start Finish TRAVELED PER MILE
1 f t\ kVA Sri 6,9 )66(-)0 Pri r?or-k W1r. c1 Q 1 OS 1 vk..r Q
Auto License No. TOTALS 'P,
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, I 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.
Date titckk4iD
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
Mike McBride
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n/a
mileage $38.00
Transportation Research Board Meeting (Hotel, etc.) $573.77
January 10 14 2010; Washington DC
Total $611.77
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
Mike McBride IN SUM OF
Engineering Department
$611.77
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PTt r NO. ACCT #/TITLE AMOUNT hereby y
DEPT l hereb certify that the attached invoice( s or
n/a n/a 2200 4343002 $38.00 bill(s) is (are) true and correct and that the
nia 2200 4343002 $573.77 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
e'viN
Cost distribution ledger classification if Tltle
claim paid motor vehicle highway fund
Itinerary 129918288595 Page 1 of 2
Washington, DC (2)
Expedia
Mon Thurs. US Air
Booked items
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Flight: Indianapolis to Washington back to top
Expedia itinerary number: 129918288595 Main contact: Michael T McBride
Airline ticket number(s): 0377725029952 E -mail: mtm6274 @yahoo.com
US Airways confirmation code: BVOLPB Home phone: (317) 336 -4228
Work phone: (317) 571 -2438
Traveler and cost summary
Michael McBride Adult $303.00
Taxes Fees $21.20
Total ( $324.20
Change this flight Print a receipt View cancellation information
Flight summary
Please be sure to re- confirm your flight at least 24 hours prior to scheduled departure (72 hours prior
for flights to Hawaii and international destinations). You may check your flight status and departure
gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests
must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special
meals are not available on many flights.
Traveling to Washington Note: Your airport check -in is with US Airways.
Mon 11- Jan -10
Indianapolis (IND) to Washington (DCA) 487 mi US Airways
Depart 11:00 am Arrive 12:31 pm (784 km) Flight: 3142
Terminal C Duration: 1 hr 31 mn Operated by: US AIRWAYS
EXPRESS- REPUBLIC AIRLINES
Economy /Coach Class (09A E75
Total distance: 487 mi (784 km) Total duration: 1hr 31 mn
Traveling to Indianapolis I Note: Your airport check -in is with US Airways. f
Thu 14- Jan -10
Washington (DCA) to Indianapolis (IND) 487 mi US Airways
Depart 3:59 pm Arrive 5:51 pm (784 km) Flight: 3271
Terminal C Duration: 1 hr 52mn Operated by: US AIRWAYS
EXPRESS- REPUBLIC AIRLINES
Economy /Coach Class 07A E75
Total distance: 487 mi (784 km) Total duration: 1 hr 52mn
airline fees may apply at check -in
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itinerary 129918288595 Page 2 of 2
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View the complete penalty rules for changes and cancellations associated with this fare.
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Itinerary number: 129918288595
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j fit �r�''2• i. '.r lt�s.'S �t�
'II,RY, tCAI+13
®sm®
Park Meridian
MFrAidn
Indianapolis, IM 46260
317 581 -9500
Order #574
Host: Patty 12/08/2009
Osier #574 8:47 AM
50075
HOT OATMEAL BKF 3.99
HOT OATMEAL
FRUIT PIECE
Subtotal '.99
ToGo Total 4.35
#XXXXXXXXXXXX9233 S 4.35
Auth:37613Z Exp
Thanks!!!
And have a Great Day!!!
Purchase e Paradise Logo
Sports cup for $3.99 and get
the first fill -up on us!
t -Check'Closed
TRAVEL /EXPENSE
REIMBURSEMENTS
For December 2009
Mileage to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.55 Expense
12/8/2009 Breakfast Meetin W/ Commonwealth (96th St 9941 9950 $0.00 $4.35 Breakfast 9 $4.95 $9.30
Meridian)
12/9/2009 RW Armstrong Mtg Re: 96th &Ke 9998 10043 $0.00 $0.00 45 $24.75 $24.75
(Armstrong Offices)
12/10/2009 Keystone Meeting (American Structurepoint) 10059 10071 $0.00 $0.00 12 $6.60 $6.60
12/14/2009 Purchase Air Fare for Washington DC 0 0 $0.00 $324.20 Plane Ticket 0 $0.00 $324.20
1/8/2010 Per diem for travel to Washin DC TRB $0.00 $260.00 4 days $65 /day $0.00 $260.00
National Conference (1/11 thru 1/14)
$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
$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
$0.00 $0.00 $0.00 $0.00
$8.00 $0.00 $0.00 $0.00
Refund Total $624.85
Itinerary 129918288595 Page 1 of 1
Ticket receipt for Washington, DC (2) Expedia
Booked items
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points if you add a hotel booking today or any time before you travel. UUThankYou 99.
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1 Ticket Round Trip
Indianapolis, IN (IND- Indianapolis Intl.) to Washington, DC (DCA- Ronald Reagan Washington National)
Departure Date: Mon 11- Jan -10 Return Date: Thu 14- Jan -10
Expedia Itinerary 129918288595 Purchase Date: 14 -Dec -09 C) Back to itinerary page
Ticket numbers: 0377725029952
Traveler and cost summary
Michael McBride Adult $303.00
Taxes Fees $21.20
Total $324.20
[ XXXXXXXXXXXX9233] Payment $324.20
Balance Due $0.00
http: /www.expedia.com/ pub /agent.d11 ?qscr= open &itid 299182885 &vwtp =5 1/5/2010
4\S A.PTY H x
c p
CITY OF CARMEL Expense Report (required for all travel expenses)
�HDIANa�
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 1/11/2010 TIME: 7am AM PM
DEPARTMENT Engineering RETURN DATE: 14 -Jan TIME: 4pm AM PM
REASON FOR TRAVEL: TRB National Conference DESTINATION CITY: Washington, DC
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
01/11/10
01/14/10 $324.20 $324.20
1/11/10 $65.00 $65.00
1/12/10 $65.00 $65.00
1/13/10 $65.00 $65.00
1/14/10 $65.00 $65.00
$0.00
$0.00
$.0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$o.00
$0.00
$o.00
$0.00
Total $324.20 $0.00 $0.00 $0.00 $0.00 $0:00 $0.00 $0.00 $0.00 $260.00 $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 1/8/2010 Page 1
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
l..i C —C' CQ TO M DR.
(Governmental Unit)
P.oC 1 l Q V\ On Account of Appropriation No. 2200 4Y 00 for
(Office, Board, Departknent or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE SS
20 09 Point Point Start Finish TRAVELED PER MILE
1 1/41 k L d i 1 4 4 C# ry a a_ r A., A ALA ia*l 17
\2-\ cL 1 C 9 C I Q Q, f h �Y iM `C(W\ ck o p Q Q °t 9 tQ�'^ 1�c s t o w� .15 v24 .q S
121\ o \CcZ \13-9 P O Cwt kC�e lc7 (�S 100 1 W Q ■'\M 1 Z—
Auto License No. TOTALS (ni 13 310 go
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway reap.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I 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.
Date 1 1 O
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
Mike McBride
Purchase Order No.
'Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n/a n/a Meeting at Paradise w /Commonwealth $4.35
mileage $36.30
Transportation Research Board Meeting $584.20
January 10 -14 2010; Washington DC
Total $624_8
!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
VOUJCHER.NO. WARRANT NO.
ALLOWED 20
Mike Mr Rridp IN SUM OF
Engineering Department
$624.85
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify n��T. I hereb certi# that the attached invoice(s), or
n/a 12708/09 2200 4343002 $4.35 bill(s) is (are) true and correct and that the
nla 2200- 4343002 $36.30 materials or services itemized thereon for
n/a 2200- 4343002 584.20 which charge is made were ordered and
received except
20
Afie i/AC
Signature
C l�y ��D
v‘..00 lr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund