189428 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $105.07
C/O ENGINEERING CHECK NUMBER: 189428
CHECK DATE: 8/3112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 105.07 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
CQy TO t A Y--( ���C� ESL DR.
(Governmental Unit
On Account of Appropriation No. 220(7 for
ffce, Board, DeparLailent or Institution
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE SO
20 Aja Point r k Eoint Start Finish TRAVELED PER MIL
Ofl
1� l AL F o d rte! 2pSZ� 20 6 oc Cc b O
c6 2 5z) tZ S b �1 Z� 2-1 3 V2 ry oa
2S z ?-I 2 0 2 2 to Y t,�3 ca0
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, 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 a� \a
C1= 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
O
Allowed 20
in the sum of o•
M
FD a
n
G
m
0 oq�
(Bocud or Co irrrisss 0 C�
Q. o
m
FILED a
n
O
Q cD
CA_� (Official Title) w'
(D O
O
TRAVEL/EXPENSE
REIMBURSEMENTS
For: August 30, 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
8/8/2010 To Indianapolis Airport for ITE Conference 20323 20395 $0.00 $0.00 72 $36.00 $36.00
8/13/2010 To Indianapolis Airport for ITE Conference 20527 20600 $0.00 $0.00 73 $36.50 $36.50
8/17/2010 Carmel Drive /Keystone Meeting W/ 0 0 $0.00 $7.03 Lunch Subway 0 $0.00 $7.03
Sturcturepoint
8/19/2010 Donuts for Keystone Main Meeting 0 0 $0.00 $14.54 Breakfast 0 $0.00 $14.54
8/24/2010 Shelborne Rd. 126th Progress Meetings 21199 21213 $0.00 $0.00 14 $7.00 $7.00
(tolfrom City Hall)
8/25/2010 Meeting WI George Archie Kerr (City Hall to 21260 21268 $0.00 $0.00 8 $4.00 $4.00
GBC Office)
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.001 $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 $105.07
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))
n1a n/a mileage $83.50
08/17/10 Subway Keystone Carmel Drive mtg w/ Structurepoint $7.03
Daylight Doughnuts for Keystone Main mtg 14.54
Total sk 05.07
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
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mike McBride IN SUM OF
Engineering Department
c6, 0�
$1.3:83
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 2200 4343002 $83.50 bill(s) is (are) true and correct and that the
8/17/2010 2200 4343002 $7.03 materials or services itemized thereon for
08/19/10 2200 4343002 14.54 Which charge is made were ordered and
received except
lq 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund