190863 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $502.92
CARMEL, INDIANA 46032 CJO ENGINEERING
CIO ENGINEERING CHECK NUMBER: 190863
CHECK DATE: 10/1312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 502.92 EXTERNAL TRAINING TRA
I u,7 1020 South Calhoun Street Fort Wayne, IN 46802
on
J Hitt Phone (260) 420 -1100 Fax(260)424-7775
Fort Wayne Convention Center Reservations
Name Address www.hilton.com or 1 800 HILTON'S
MCBRIDE, MIKE Room 633/D2
300 S MERIDIAN ST Arrival Date 10/3/2010 8:28:OOPM
Departure Date 10/5/2010
INDIANAPOLIS, IN 46225
US Adult/Child 1/0
Room Rate $114.00
RATE PLAN C -IAC
HH#
AL
BONUSAL CAR
Confirmation: 3401280324
10/5/2010 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT
10/3/2010 1522073 *PARKING $7.00
10/3/2010 1522074 GUEST ROOM $114.00
10/3/2010 1522074 OCCUPANCY TAX $7.98
10/3/2010 1522074 STATE TAX $7.98
10/4/2010 1522845 *PARKING $7.00
10/4/2010 1522846 GUEST ROOM $114.00
10/4/2010 1522846 OCCUPANCY TAX $7.98
10/4/2010 1522846 STATE TAX $7.98
WILL BE,SETTLED TO VS *9118 $273.92
EFFECTIVE BALANCE OF $0.00
ESTIMATED CURRENCY TOTAL
Thank you fo choosing Hilton! Book your next stay at hifton.com and take advantage of our
internet -only dvance Purchase Rates and limited -time soecial offers?
DATE OF CHARGE POLIO NO. /CHECK NO.
Zip -Out Check -Outs 354512 A
Good Morning! We hope you enjoyed your stay. With Zip -Out Check -Outd AUTHORIZATION INITIAL
there is no need to stop at the Front Desk to check out.
Please review this statement. It is a record of your charges as of late last PURCHASES SERVICES
evening.
For any charges after your account was prepared, you may: TAXES
pay at the time of purchase.
charge purchases to your account, then stop by the Front Desk for an
updated statement.
TIPS MISC.
or request an updated statement be mailed to you within two business days.
Simply call the Front Desk from your room and tell us when you are ready to
TOTAL AMOUNT O.00
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s) in the room.
Please call the Front Desk if you wish to extend your stay or if you have any
questions about your account.
CITY OF CARMEL Expense Report (required for all travel expenses)
\(NOIANp
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 10/3/2010 TIME: 8 m AM PM
DEPARTMENT: Engineering RETURN DATE: 5 -Oct TIME. 4 m AM/PM
REASON FOR TRAVEL: IACT conference DESTINATION CITY: FortWa ne
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT PER DIEM X
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/4/10 $5 00 $55.00
10/5/10 by. 00 $55.00
10/3-10/51 $273.92 $273.92
$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
v/ $0.00
$0.00
a.0
Total $0.00 $0.00 $0.00 $0.00 $273:92 $0.00 $0,00 $0.00 $0.00 0:00 $0.00 X3.92
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: f, Date: 1 O tl1 1
City of Carmel Form ER06 Revision Date 10/11/2010 Page 1
n MILLAUL ULAHVII
C'(ZV y 1'& TO E noo y (10 DR,
(Governmental Unit)
V- On Account of Appropriation No. 22oo for �(L'1, rM n �Y r1 n
(Office, Board, epartment or Institution
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE
20 1 O Point Point Start Finish TRAVELED PER MILE
�o Z
P-'0- .c C&P 4 z Z S2 C7 S o
►a Z i 2s o
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, i 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
Claim No. Wmrcmt 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
in the sum of o
"Q�
(D
'd
m
(spa or coirunission) 0
FILED
�o
m
a
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Zn
(Official Title) D
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0 N
TRAVEL/EXPENSE
REIMBURSEMENTS
For: October 11, 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
9/30/2010 MPO IRTC Meeting (1912 N. Meridian) 22876 22918 $0.00 $0.00 42 $21.00 $21.00
10/3/201 O TACT Conference (To Conference) 23154 23261 $0.00 $0.00 107 $53.50 $53.50
10/5/2010 TACT Conference (Return) 23261 23370 $0.00 $273.92 Hotel 109 $54.50 $328.42
$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 1 1 $0.00 $0.00
Refund Total $402.92
i arc i vi
V back
To: "Michael McBride" <mmcbride@carmet.in. ov
From: ladcock@ citiesandtowns.org
Subject: Conference Registration
Date: 2010 -09 -09 10:35:23
Tracking CONF6611284042916
Thank you for registering for the 2010 TACT Annual Conference ft Exhibition.
You may print a copy of this page for your records using the printer- friendly option in the upper right side of
this page.
If you selected the "Invoice Me" option, please print off this page as your invoice and mail your check,
made payable to IACT, to the address below.
If you require special arrangements we will do our best to accommodate you.
Cancellation Policy
Written cancellations received on or before September 27, wit( be refunded less a $40 processing fee. Only
written cancellations will be accepted. Please mail your written cancellation to 200 S. Meridian St., Suite 340,
Indianapolis, IN 46225; fax to (317) 237 -6206 or send to Iheinzrnan@citiesandtowns.org
IACT is not responsible for hotel reservations or cancellations.
Send Payment To:
Laura Adcock
Senior Executive Assistant
200 S. Meridian, Suite 340
Indianapolis, IN 46225
Transaction Summary
Item
Cost Qty Total
2010 Conference Registration Form
1 Registration Type: 135 135.00 1 135.00
First Name: Michael
Last Name: McBride
Title: City Engineer
Municipality /Company: City of Carmel
Address: One Civic Square
City: Carmel
State: IN
ZIP Code: 46032
Telephone: (317)571 -2441
Email: mmcbride @carmel.in.gov
First time attending IACT Annual Conference
Exhibition 'No'
https: /www. citiesandtowns.org /egov/ apps/ conference /registrati on.egov?path= pint &transID... 9/9/2010
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.
Pagee
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 Na mileage 3129.00
IACT conference; Hotel /per diem 383.92
Total f
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
Engineering Department
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
D PTQ# INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
n/a 2200 4343002 $129.00 bill(s) is (are) true and correct and that the
2200 4343002 4384 materials or services itemized thereon for
3 7 1 3 97/which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund