182010 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
e \*f
k l CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $111.50
o..0:,, r C/O ENGINEERING CHECK NUMBER: 182010
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 111.50 EXTERNAL TRAINING TRA
E
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
1 1 0-c CG1/ J v�1�� TO Mkt_ WC,
C, r t c 0 DR.
C,'I (Governmental Unit)
\Jev BC Er■ ✓\C On Account of Appropriation No. Z 2OO for
(Office, Board, Department Or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE 6
20 +o Point Point Start Finish TRAVELED PER MILE
)120 l t o "n Z,nc v \7 W i 2%41 1 '2%% 9 tom- KEN Sh; vmi._ ULI4-5 4 13 5 a
Ij2silo '1�.1 \-Fal ZC or.,-tr. r 13o9S `k145 /WAn■Awv1 cv Wl 4 2Z a
lizto t r) C___\‘-h 1 0.\\ 4c"n \k-hn Co. l k c -'1 13ti\S 317"lo I N c lA c Z! /0 sa
11 loo 10 ■'tNi K ctu V?xPakCo s 'NT a1 v,. i 3149 13) to S 0 X Ito S 60
1 2. 1 a 1 C, H t c v ti 1 oPt 9 I 7 01 322 2 V-e V•, Wi YL&F 2 3, St
t l Vl No e..-\ l-lc ct \l Ay,rvis \vo v‘9 -CR cA i 24 I '3,2ln 9 cello K° i S k-o Ka rv144-5 4 ?a Co
Auto License No. TOTALS
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 2- G
TRAVEL /EXPENSE
REIMBURSEMENTS
For Jan. 31, 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
1/20/2010 Mtg W/ at Indy DPW Re: 96th Keystone 12841 12888 $0.00 $5.00 Parking 47 $23.50 $28.50
1/25/2010 Mtg at IGC North Re: I- 465 /Monon Crossing 13050 13095 $0.00 $8.00 Parking 45 $22.50 $30.50
1/26/2010 Mtg at Hamilton Co. Highway Dept Re. 146th 13115 13136 $0.00 $0.00 21 $10.50 $10.50
Street
1/27/2010 Gripe Breakfast Mtg. 13149 13165 $0.00 $0.00 16 $8.00 $8.00
1/29/2010 Kent Ward Meeting (Perkins on SR37) 13201 13224 $0.00 $0.00 23 $11.50 $11.50
1/29/2010 96th Keystone Mtg. at Armstrong Office 13224 13269 $0.00 $0.00 45 $22.50 $22.50
$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 $111.50
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.
Mike McBride Payee
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 mileage $98 50
parking S8.00
parking
S5.00
Total, 11 1.50
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
$111.50
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s),
DEPT. I hereb certif that the attached invoices or
n/a 02/01/10 2200 4343002 $98.50 bill(S) is (are) true and correct and that the
1/25/2010 2200 4343002 $8.00 materials or services itemized thereon for
01/20/10 2200 4343002 5.00 which charge is made were ordered and
received except
z1 20
Signature
E c
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund