HomeMy WebLinkAbout183548 03/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $639.84
CARMEL, INDIANA 46032 C/O ENGINEERING
CIO ENGINEERING CHECK NUMBER: 183548
CHECK DATE: 3/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 639.84 EXTERNAL TRAINING TRA
e
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 31812010`` !TIME: 6a AM PM
DEPARTMENT: Engineering RETURN DATE: 11 -Mar 6� TIME: am AM/PM
REASON FOR TRAVEL: Purdue Road School DESTINATION CITY: West Lafayette, IN
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
318 -3/11 $399.84 $399.84
318 -3/10 $X5.00 $165.00
$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
Total $0.001 $0.00 $0.00 $0.00. $399.841 $0.00 $0.00 $0.00 $165.00 $0.001 $564.84
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: 2K_2,A Date:
T
City of Carmel Form Revision Date 3/15/2010 Page 1
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM �n
Cc-y �4 Q TO l' �P Ly r o DR.
(Governmental Unit)
moo_-, YSL�A On Account of Appropriation No. for
{Office, Boar Department or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 10 Point Point Start Finish TRAVELED PER MILE
2\10 r 1 Y --s 14 2 1 04 AAf
3 q z !3
o -4 C 10 0
�O d L 00
av� Vt y n 4-a 0 It
Auto License No. TOTALS po
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.
1
Date SWS�LiD
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;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation No. for
Disbursing Officer
Allowed 20 (D o
M
in the sum of o n
(D
U) (D
in
m
1 0
0
(Board or Commission) a o O
FILED ro �1
o
o (D
o
a�
(D N
(Official Title)
(D
(D O
O (D
TRAVEL/EXPENSE
REIMBURSEMENTS
For: March 15, 2010
Mile a a to Mileage Rack Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.50 Expense
3/2/2010 Meeting w/ Tracy May w/ Bollinger, Lach 14202 14216 $0.00 $0.00 14 $7.00 $7.00
(Fishers Starbucks)
3/3/2010 Meeting w/ A &F Engineering (Fishers
Starbucks) 14247 14264 $0.00 $0.00 13 $6.50 $6.50
3/4/2010 Hamilton Co. Highway Dept. Mtg (at HCHD
Offices) 14293 14314 $0.00 $0.00 21 $10.50 $10.50
3/8/2010 Purdue Road School Travel (City Hall to 14391 14523 $0.00 $399.84 3 Night Hotel sta 132 $66.00 $465.84
Purdue Memorial Union and return)
3/8/2010 Per diem (3 days in State) $0.00 $j 5&.-0r5'3 days in S ate $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 $654.84
t
t
Id��
ritl: UN! CLUB IIC:)IIi1.
Mike McBride
Room No.
Armstrong 336
Arrival
300 S Meridian St 03 -08 -10
Departure 03 -11 -10
Indianapolis, IN 46225
Page No. 1 of 1
Folio No. 137292
Conf. No. 479230
INVOICE
Group Code 1003PURDUE Thank You For Staying With Us! 03 -11 -10
Date Code Description Charqes Credits
03 -08 -10 1000 Room 119.00
03 -08 -10 1500 Indiana Sales Tax 7% 8.33
03 -08 -10 1600 County Innkeepers Tax 5% 5.95
03 -09 -10 1000 Room 119.00
03 -09 -10 1500 Indiana Sales Tax 7% 8.33
03 -09 -10 1600 County Innkeepers Tax 5% 5.95
03 -10 -10 1000 Room 119.00
03 -10 -10 1500 Indiana Sales Tax 7% 8.33
03 -10 -10 1600 County Innkeepers Tax 5% 5.95
03 -11 -10 9003 399.84
XXXXXXXXXXXX9118 XX /XX
Total 399.84 399.84
Balance 0.00
Signature:
agree that my liability for this bill is not waived and agree to be held personally
liable in the event that the indicated person, company, or third party fail
to pay for anypart or all of these charges.
101 N Grant Street West Lafayette, IN 47906 -3574 phone: 765 494 -8971 fax: 765 494 -8966 www.hotel.purdue.edu
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 nia Purdue Road School Reimbursement/Per Diem $564.84
mileage $90.00
I Total A54 84
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
Engine D epartment
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
D INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
n/a 03 -11 -10 2200 4343002 $564.84 bill(s) is (are) true and correct and that the
n/a 2200- 4343002 $90.00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund