HomeMy WebLinkAbout167395 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $140.99
CARMEL, INDIANA 46032 C/O ENGINEERING
s� C/O ENGINEERING CHECK NUMBER: 167395
CHECK DATE: 12/23/2008
D EPARTME NT AC COUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
2200 r 4343002 140.99 EXTERNAL TRAINING TRA
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REIMBURSEMEN S
For: Nov. Dec. 2008
Mileage to Milea a Back Parking Other Total Miles Total
Date Meeting Description Start I Finish Start Finish Cost Costs Other Description Miles x $.585 Expense
11/13/2008 Purdue Continuing Ed. Seminar (Home to W. 35827 35985 $0.00 $0.00 158 $92.43 $92.43
Lafayette Return)
11/20/2008 Keystone Prj. Mtg. (Structurepoint Office) 36178 36190 $0.00 $0.00 12 $7.02 $7.02
12/4/2008 Keystone Prj. Mtg. (Structurepoint Office) 36551 36563 $0.00 $0.00 12 $7.02 $7.02
12/15/2008 1 -465 Keystone Mtg. (Gov. Ctr. Downtown) 36743 36789 $0.00 $1.25 Parking Meter 46 $26.91 $28.16
12/18/2008 Keystone Prj. Mtg. (Structurepoint Office) 36888 36901 $0.00 $0.00 13 $7.61 $7.61
$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
Refund Total $142.24
AESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFIC OARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER AUTO MILEAG
READING NATURE OF BUSINESS MILES S Q
19 POINT POINT START FINISH TRAVELED
PER MILE
Loll Z-57
o f 3 Z o
f E e< r 3 6 s .-G s 41 0 z,
Q 3 0? 1
ell
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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. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
A4 Al 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
On Account of Appropriation No. for
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W A.E. BOYCE CO., INC. MUNCIE, IN 01136
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