164334 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $129.79
C/O ENGINEERING CHECK NUMBER: 164334
CHECK DATE: 9/30/2008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMB A D
2200 4343002 129.79 EXTERNAL TRAINING TRA
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TRAVEL/EXPENSE
REIMBURSEMENTS
For: September 2008
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 Expense
6/19/2008 Keystone Pry. Mtg. (Structurepoint Office) 31102 31113 $0.00 $0.00 11 $5.56 $5.56
7/3/2008 Keystone Pry. Mtg. (Structurepoint Office) 31460 31472 $0.00 $0.00 12 $7.02 $7.02
7/10/2008 B
m ish. Browning Mtg. (LePeep 82nd St. 31665 31681 $0.00 $0.00 16 $9.36 $9.36
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7/17/2008 Keystone Pry. Mtg. (Structurepoint Office) 31943 31954 $0.00 $0.00 11 $6.44 $6.44
7/30/2008 Keystone Pry. Mtg. (Structurepoint Office) 32330 32341 $0.00 $0.00 11 $6.44 $6.44
8/7/2008 Keystone Pry. Mtg. (Structurepoint Office) 32527 32539 $0.00 $0.00 12 $7.02 $7.02
8/14/2008 INDOT /1-465 Meeting (Gvmt. Ctr.) 32718 32757 $0.00 $0.00 39 $22.82 $22.82
8/21/2008 Keystone Pry. Mtg. (Structurepoint Office) 32955 32967 $0.00 $0.00 12 $7.02 $7.02
8/28/2008 Keystone Pry. Mtg. (Structurepoint Office) 33139 33150 $0.00 $0.00 11 $6.44 $6.44
9/4/2008 Keystone Pry. Mtg. (Structurepoint Office) 33332 33343 $0.00 $0.00 11 $6.44 $6.44
9/18/2008 Keystone Pry. Mtg. (Structurepoint Office) 33846 33858 $0.00 $0.00 12 $7.02 $7.02
9/26/2008 MPO IRTC Mtg. (State Fair Grounds Back) 34114 34140 $0.00 $0.00 26 $15.21 $15.21
$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 $106.79
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PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO SPEEDOMETER
READING AUTO MILEAGE
NATURE OF BUSINESS MILES S�'• .S
POINT POINT START FINISH TRAVELED PER MILE
3113
�o
-1117 3
3 3�3
26 3��3 Z e Z.
l 3z 2 6 4 Z
1 9 3 So
33- 3 3 2- 3 V3
2 Z o Z
8 Do «v�" �S7 6 9 2 Z 1 P 2
1 4 o o Z2 C- Z j o2
AUTO LICENSE NO. TOTALS 6 7 ,1
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 1 2-4 0 g L
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
/l That it is duly authenticated as required
Q by law
1 That it is based upon statutory authority.
That it is apparently correct
p incorrect
Disbursing Officer
On Account of Appropriation No. for o W a
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Allowed 19 w 0 a
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A.E. BOYCE CO., INC. MUNCIE, W 01136
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) I
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))
9/25/08 n/a Keystone Project Lunch Meeting $23.00
Total 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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Make Mr.BF e IN SUM OF
Engineering Department
$23.00
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 22004343002 $23.00 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
9j 34 200
Sig ture
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund