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190374 09/29/2010
CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1 ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $115.86 C/O ENGINEERING CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 190374 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 115.86 EXTERNAL TRAINING TRA IVIILtAUh ULAIM TO DR. (Governmental Unit) V� On Account of Appropriation No. 2 7-D O for (Office, Board-Department or Institution) DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE 2 ©_L Point Point Start Finish TRAVELED PER MILE c tit 2t 21 L 12 Cn S Yv� a t S P 2 z Z 2 2 S rn� n v Q GL 1 1 2SZ 2 1 C5 3 cw'�� O L n D 2-1 UO2 2 F 2 �a 9 A D 2 2 2 s ci Il 7-e t t 2 220 k 2l 2 Z 2 O`6 I E l 29 22 2 e Yvl S� 50 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. d -W Date 9 (Z 10 Clcan No. Warrant No. I have examined the within cicirn 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; f That it is apparently correct t incorrect On Account of Appropriation No. for Disbursing Officer (0'0 c Allowed 20 n o in the sum of 0 a x (DmQrn (B= d of Conumssion) '4 P OO o m FILED m m o o (D m 0 (D N (Official Title) O TRAVEL /EXPENSE REIMBURSEMENTS For: September 27, 2010 Mile a a to Milea a Back Parking Other Total Miles Total Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.50 Expense 9/1/2010 Coffee Shapiro's W/ Mike Hollibaugh 0 0 $0.00 $2.83 Coffee 0 $0.00 $2.83 9/1/201 O DLZ Meeting Re: 126th Auman and HSIP 21389 21437 $1.50 $0.00 48 $24.00 $25.50 Applications (DLZ Office downtown) 9/2/2010 Mtg. W Roy Fleming at Laura Vista 21472 21485 $0.00 $6.53 Breakfast 13 $6.50 $13.03 9/3/2010 Breakfast Mtg. W/ Noblesville Engineering 21524 21537 $0.00 $0.00 13 $6.50 $6.50 Hamilton Town Center 9/7/2010 126th Shelborne Rd. Progress Mtgs. 21602 21627 $0.00 $0.00 25 $12.50 $12.50 131 st Shelborne Field Office 9/10/2010 Mtg. W Todd Gordon 121 st Shelborne 21731 21745 $0.00 $0.00 14 $7.00 $7.00 9/14/2010 Hazell Dell Progress Mtg then to Hamilton Co. 21916 21938 $0.00 $0.00 22 $11.00 $11.00 Highway Dept for MPO Mtg. 9/21/2010 126th Shelborne Rd. Progress Mtgs. 22066 22084 $0.00 $0.00 18 $9.00 $9.00 131 st Shelborne Field Office 9/24/2010 Reith Riley Mtg. Re: Keystone Project Reith 22365 22422 $0.00 $0.00 57 $28.50 $28.50 Riley 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.00 $0.00 $0.00 $0.00 Refund Total $115.86 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to oe properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates er num er of urs, 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 n/a f niicay6 $105.00 9/1/10 Coffee, mtg with Hollibaugh $2.83 9/1/10 Parking for DLZ mtg $1.50 9/3/10 l3fast mtg with Noblesville $6.53 Total 1 hereby certify the att ached 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 $115.86 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 $105.00 bill(s) is (are) true and correct and that the 9/1/2010 22004343002 $2.83 materials or services itemized thereon for 9/1/10 22004343002 1.50 which charge is made were ordered and 9/3/10 2200- 4343002 6.53 received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund