187376 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
0 ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $68.17
CARMEL, INDIANA 46032 C/o ENGINEERING
C/O ENGINEERING CHECK NUMBER: 187376
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 68.17 EXTERNAL TRAINING TRA
TRAVEL/EXPENSE
REIMBURSEMENTS
For: July 2, 2010
Mileage to Milea a Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.50 Expense
6/11/2010 Hamilton County Surveyor Office Mtg. 18343 18364 $0.00 $32.26 Breakfast 21 $10.50 $42.76
(Perkins in Noblesville)
6114/2010 Crooked Stick HOA Meeting (Crooked Stick 18406 18418 $0.00 $0.00 12 $6.00 $6.00
Club House)
6/24/2010 Long Ridge Estates Developer Mtg. (Long 18737 18753 $0.00 $0.00 16 $8.00 $8.00
Ridge Pool Paking Lot)
6/28/2010 Development Issues Mtg, Mike Hollibaugh 18804 18808 $0.00 $9.41 Breakfast 4 $2.00 $11.41
(Michael's)
$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
$s.o0 $0.00 $0.00 $0.00
Refund Total $68.17
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
1�y U C a TO `l �-C_ 1 DR.
(Governmental Unit)
V\,9Ay ✓LG On Account of Appropriation No. for
J (Office, ard, Department or Institution)
DATE FROM TO
ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE .SO
2011a Point Point Start Finish TRAVELED PER MILE
f tie l �6' 3 v i s o
o z
'?o
Auto License No, TOTALS 0
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
Clairn 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
cp
n (D
O O Q
(Bocud or Commission) (D
(D D
(D
FILED (D CL
m
o m
n
R (DD
o m �5
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�Ch o
(Official Title)
Ln o 5
(D a
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 06/28/10 B -fast meeting wl Mike Hollibaugh $9.41
06/10/10 B -fast meeting w/ HC Surveyors $32.26
mileage reimbursement $26.60
Total 168 17
1 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
$68.17
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
n/a 06/28/10 2200 4343002 $9.71 bill(s) is (are) true and correct and that the
6/10/2010 2200 4343002 $32.26 materials or services itemized thereon for
2200 4343002 26.50 which charge is made were ordered and
received except
20
t
S gnature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund