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HomeMy WebLinkAbout195551 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1 ONE CIVIC SQUARE MIKE MCBRIDE CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $684.11 CIO ENGINEERING CHECK NUMBER: 195551 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 REIMB 684.11 EXTERNAL TRAINING TRA MiLtAUh ULA9M1 TO E S l�j 0 DR. Governmental Unit c Q� C� Ey`\o t V,.� V 0 On Account of Appropriation No. for t rg ve (Office, Board, Department o Institution DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE _5_ 20 111 Point Point Start Finish TRAVELED PER MILE omy sk %k, 2 Z Ceti L�4 11 r✓ W 1 �5 C 2 z owh\ An 5�� e r y 2 GC t� O fQ ZI tc j 21V% 0 1 ©-J r V- Z 2 A 1 Auto License No, TOTALS O5 f 5S 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 le Ily due, after allowing all just credits, and that no part of the same has been paid. Date �{l�ti r Clcam No. Wcurant 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 Gr (D Allowed 20 5 in the sum of O (D• n o Q a P (D CD m (Bond of Cornnussion) I 0 0 FILED m o' o m o Q m m cam ch iD r'n CQ (Official Title) 0 (D a OF 'Q pYrlt A CITY OF CARMEL Expense Report (required for all travel expenses) `".!KOIPNA J r EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 3/7/2011 TIME: 3 m AM PM DEPARTMENT: Engineering RETURN DATE: 10 -Mar TIME: 10am AM/PM REASON FOR TRAVEL: Purdue Road School DESTINATION CITY: West Lafayette, IN TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM Transportation Gas/Tolls! Meals Date Lodging Misc, Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 317 -3110 $399.84 $399.84 318111 $55.00 $55.00 319!11 $55.00 $55.00 317111 $17.22 $17.22 $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 Total $0.00 $0.00 $0.00 $0.00 $399.841 $0.001 $0.00 $17.22 $0.001 $110.001 $0.001 $527A6 DIRECTOR'S STATEMENT: I hereby i m that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: 3f 1ntlA —'r City of Carmel Form ER06 Revision Date 3/1412011 Page 1 Mr Mike McBride Room No. Armstrong Arrival 221 300 S Meridian St 03 -07 -11 Indianapolis IN 46225 Departure 03 -10 -11 Page No. 1 of 1 Folio No. 159325 Conf. No. 566249 INVOICE Group Code 1103PURDUE Thank You For Staying With Us! 03 -10 -11 Date Code Description Charges Credits 03 -07 -11 1000 Room 119.00 03 -07 -11 1500 Indiana Sales Tax 7% 8.33 03 -07 -11 1600 County Innkeepers Tax 5% 5.95 03 -08 -11 1000 Room 119.00 03 -08 -11 1500 Indiana Sales Tax 7% 8.33 03 -08 -11 1600 County Innkeepers Tax 5% 5.95 03 -09 -11 1000 Room 119.00 03 -09 -11 1500 Indiana Sales Tax 7% 8.33 03 -09 -11 1600 County Innkeepers Tax 5% 5.95 03 -10 -11 9003 = 399.84 XXXXXXXXXXX XX/XX Total 399.84 399.84 Balance 0.00 Signature: I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or third party fail to pay for anypart or all of these charges. 101 N Grant Street West Lafayette, IN 47906 -3574 phone: 765 -494 -6971 fax: 765 494 -8966 wvvw.hotel.purdue.edu TRAVEL/EXPENSE REIMBURSEMENTS For: March 14, 2011 Mile a a 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 2/10/2011 IRTC Meeting (INDOT Traffic Management Ctr 28467 28501 $0.00 $0.00 34 $17.00 $17.00 21 st Post) 2/15/2011 US31 CAC Meeting (Westfield Public Works 28636 28648 $0.00 $0.00 12 $6.00 $6.00 Bldg.) 2/16/2011 US31 Project Maintenance of Traffic Mtg 28681 28702 $0.00 $0.00 21 $10.50 $10.50 (American Structurepoint Office) 2/17/2011 ITE Luncheon (Rathskeller) 28731 28763 $0.00 $0.00 32 $16.00 $16.00 2/18/2011 Hamilton Co Surveyor's Office Meeting 28789 28807 $0.00 $0.00 18 $9.00 $9.00 2/28/2011 Creating a Bike Friendly City Presentation 29273 29314 $1.50 $0.00 41 $20.50 $22.00 (Indiana Government Center) 2/7/2011 Purdue Road School 30004 30151 $0.00 $399.84 Hotel 147 $73.50 $473.34 $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 $553.84 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 55.55 Purdue Road School; hotel /per diem 27.06 Parking Fee Total $684.11 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 $684.11 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 $155.55 bill(s) is (are) true and correct and that the 2200 4343002 $527.06 materials or services itemized thereon for 2200 4343002 1.50 which charge is made were ordered and received except 3 20 n Signature `i�fil �YIC \y�� Cost distribution ledger classification if Title claim paid motor vehicle highway fund