185863 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $66.50
C/O ENGINEERING CHECK NUMBER: 185863
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 66.50 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
TO 1 ry �`C' t �C� DR.
Governmental Unit)
On Account of Appropriation No. for
(Office, Board, Depa nt or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
O 1 Llk1 0 i f) 4tA
S 1� L 4 4 v
2 �UV a I
Auto License No. TOTALS So
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.
Date CO
Clcdm No. Wariant 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 E
in the sum of o
5 5' t7
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1 0 rD
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(Bond or Commission) 0
CD
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FILED m o+
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(Official Title)
cD
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TRAVEL/EXPENSE
REIMBURSEMENTS
For: May 24, 2010
Mileage to Milea a Back Parking Other Total Miles Total
Date Meeting Description Start I Finish Start Finish Cost Costs Other Description Miles x $.50 Expense
5/10/2010 Keystone 116th Street Mediation (Chase 17141 17187 $0.00 $0.00 46 $23.00 $23.00
Tower Downtown)
5/18/2010 Economic Development Club Luncheon 17304 17342 $0.00 $0.00 38 $19.00 $19.00'
Indianapolis Museum of Art
5/20/2010 TIGER Grant II Meeting Armstrong Offices 17437 17486 $0.00 $0.00 49 $24.50 $24.50
$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
$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 $66.50
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
nla n/a mileage $66.50
Total
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 MrRride IN SUM OF
Engineering Department
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
nla 2200 4343002 $66.50 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
cj,29 20
'2
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund