155410 01/10/2008 i
CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $59.91
«o� C/O ENGINEERING CHECK NUMBER: 155410
CHECK DATE: 1110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 59.91 EXTERNAL TRAINING TRA
Q
r �Y
REIMBURSEMEN S
For: December 2007
Mile a a to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.485 Expense
10/4/2007 Keystone Pry. Mtg. (Structurepoint Office) 21825 21837 $0.00 $0.00 12 $5.82 $5.82
10/11/2007 Keystone Pry. Mtg. (Structurepoint Office) 22109 22121 $0.001 $0.00 12 $5.82 $5.82
10/18/2007 Keystone Pry. Mtg. (Structurepoint Office) 22425 22437 $0.00 $0.00 12 $5.82 $5.82
10/25/2007 Keystone Pry. Mtg. (Structurepoint Office) 22735 22748 $0.00 $0.00 13 $6.31 $6.31
11/1/2007 Keystone Pry. Mtg. (Structurepoint Office) 23013 23026 $0.00 $0.00 13 $6.31 $6.31
11/15/2007 Keystone Pd. Mtg. (Structurepoint Office) 23628 23640 $0.00 $0.00 12 $5.82 $5.82
11/27/2007 Keystone Pry. Mtg. (Structurepoint Office) 24066 24078 $0.00 $0.00 12 $5.82 $5.82
12/6/2007 Keystone Pry. Mtg. (Structurepoint Office) 24335 24348 $0.00 $0.00 13 $6.31 $6.31
12/20/2007 Keystone Pry. Mtg. (Structurepoint Office) 24869 24881 $0.00 $0.00 12 $5.82 $5.82
1/3/2008 Keystone Pry. Mtg. (Structurepoint Office) 25190 25202 $0.00 $0.00 1 G 2
$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 !!!:!j
s q. q
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FOAM NO. 101 (1986)
�J MILEAGE CLAIM
TO
(Gov NM AL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR �3 o Z
(OFFICE, BOARD, UWARTMENT OR INST TION)
DATE FROM TO SPEEDOMETER
READING NATURE OF BUSINESS MILES L
O POINT POINT START FINISH TRAVELED PER ILE
It Z /o g Zi L Ale
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i i �a�/3 7 Z 2.
7
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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 /Z 7 Z& U,p`
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
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 I correct
q 1 incorrect
Disbursing Officer
On Account of Appropriation No. for
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A.E. ROYCE CO., INC. MUNCIE, QI 01136