HomeMy WebLinkAbout193167 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
INDIANA 46032 CHECK AMOUNT: $40.00
CARMEL
r .e� C!0 ENGINEERING
y oN C/O ENGINEERING CHECK NUMBER: 193167
CHECK DATE: 12/2212010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 40.00 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts General Form No. 101 (1955)
�1 (1 MILEAGE CLAIM
1 IV (fit 06VA9 TO I tike' VIC DR.
(Governmental Unit)
P�Il n i Ask V (VI Q On Account of Appropriation No. '220V for
(Office, oard, Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 I Point Point Start Finish TRAVELED PER MILE
11 l2s lv+c
Cl I
1 Z S Ntt
12
C M M ld Iz N. I T S� o
f
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. j
Date l 'Z -01 0
Claire No. Warrant No. I have exarnined 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 Offtcer
H
o
Allowed 20
a o
in the sum of n
n m
0
(D
0
o
(Boyd of Commission) 0 00
FILED o
En' U
o (D
o
Q
o (D
0 N
(Official Title)
Ln
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(D
TRAVEL IEXPENSE
REIMBURSEMENTS
For: December 20, 2010
Mile a a to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.50 Expense
11/23/2010 106th St. Path Progress Meeting 106th 25071 25085 $0.00 $0.00 14 $7.00 $7.00
Ditch Walk -Thru (131st Shelborne)
11/30/2010 Shelborn Road Progress Mtg Site Visit 25222 25238 $0.00 $0.00 16 $8.00 $8.00
(131st Shelborne)
12/7/2010 106th St. Path Progress Meeting 106th 25419 25433 $0.00 $0.00 14 $7.00 $7.00
Ditch Walk -Thru (131st Shelborne)
12/15/2010 MPO IRTC Meeting (MIBOR Bldg 1912 N. 25657 25672 $0.00 $0.00 15 $7.50 $7.50
Meridian St.)
12/15/2010 Transportation Office (101 Ohio St., Indy 25672 25693 $0.00 $0.00 21 $10.50 $10.50
$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
$8.00 $0.00 $0.00 $0.00
Refund Total $40.00
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))
n/a n/a mileage $40.00
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 McRriria IN SUM OF
Engineering Department
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Pots or INVOICE NO.. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 2200 4343002 $40.00 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund