HomeMy WebLinkAbout165327 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $469.88
CARMEL, INDIANA 46032 C/O ENGINEERING
C/O ENGINEERING CHECK NUMBER: 165327
CHECK DATE: 10/29/2008
DEPARTMEN ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESC
2200 4343002 46.9.88 EXTERNAL TRAINING TRA
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PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO-
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(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
OV (OFFICJ7 BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER
READING AUTO MILEAGE
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NATURE OF BUSINESS
POINT POINT START FINISH TRAVELED
PER MILE
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AUTO LICENSE NO. TOTALS
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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 d'
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
A 4 A /5�c�' 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
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Disbursing Officer
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A.E. BOYCE CO., INC. MUNCIE, IN 01136 A (D
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10 -14 -08
Marti Showers Folio No. 119247 Cashier No. 101 Room No. 1421
300 S Meridan A/R Number Arrival 10 -12 -08
Indianapolis, IN 46225 Group Code IAC Departure 10 -14 -08
US Company Conf. No. 60638669
Membership No. Rate Code GZGRP
Invoice No. Page No. 1 of 1
Date Description Charges Credits 1
10 -12 -08 "Accommodation 99.95
10 -12 -08 State Tax 7.00
10 -12 -08 City Tax 6.00
10 -13 -08 "Accommodation 99.95
10 -13 -08 State Tax 7.00
10 -13 -08 City Tax 6.00
10 -14 -08 225.90
Total 225.90 225.90
Balance 0.00
Guest Signature:
I have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If
a credit ca "rd charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
Holiday Inn City Centen
213 W. Washington Streeti
South Bend, IN 466011
Telephone: (574) 232 -3941 Fax: (574) 284 -3715
TRAVEL /EXPENSE
REIMBURSEMENTS
For: September 2008
Mile a a to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.585 Expense
10/2/2008 Keystone Prj. Mtg. (Structurepoint Office) 34470 34482 $0.00 $0.00 12 $7.02 $7.02
10/2/2008 INDOT /1-465 Meeting (Gvmt. Ctr.) 34482 34522 $0.00 $1.50 Parking 40 $23.40 $24.90
10/7/2008 INDOT /1-465 CAC Meeting (Community North) 34593 34613 $0.00 $0.00 20 $11.70 $11.70
10/9/2008 Complaint Investigation Training (Fishers 34651 34664 $0.00 $0.00 13 $7.61 $7.61
Town Hail)
10/13/2008 TACT Conference (South Bend) 34691 35003 $0.00 $229.11 Food Hotel 312 $182.52 $411.63
10/16/2008 Keystone Prj. Mtg. (Structurepoint Office) 35067 35079 $0.00 $0.00 12 $7.02 $7.02
$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
Refund Total $469.88
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
1012/08 n/a INDOT /1465 Mtg Govt Center (PARKING) 1.5
10/14/08 n a IACT Conference (MEAL) $3.21
10/14/08 n a IAUT Gonference 25.90
Tntal Total
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
VOUCkiER NO. WARRANT NO.
ALLOWED 20
AA+ka AASRrode IN SUM OF
Engineering Department
$230.61
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 n/a 2200 4343002 $230.61 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
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d-4 ig ture
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Cost distribution ledger classification if Ti
claim paid motor vehicle highway fund