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Home My WebLink About201113 09/12/2011 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1 ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $777.16 CARMEL, INDIANA 46032 C/O ENGINEERING o� C/O ENGINEERING CHECK NUMBER: 201113 CHECK DATE: 9/12/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 777.16 EXTERNAL TRAINING TRA MILtAUh CLAIM V TO �r�r� (�Q DR. (Governmental nit C nc'� A V i On Account of Appropriation No. for F�-" 1 Office, Board, Depaktment or Institution) s DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE SSS 20 Point Point Start Finish TRAVELED PER MILE ZI _2� 22 3tO 4 2 2 i 1p Stif S� Q ci, 1 P 1�1� V'J i 3 9 9- 1`vi O l 1Z B CA 1 e 4_ r n 1." W S S D 2 Z R l 1 3 1 Z 3 13 4-4 Z- 112 Z Wy orw I Auto License No. TOTALS Zug 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 legally due, after allowing all just credits, and that no part of the same has been paid. Date ��o r (I 0 Cl= No, Warrant 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 C t5 N Allowed ,20 o in the sum of o 0P. �o (D a� (D (D o (D�Q 0 (Board or Commission) a O (D FILED o o m o N LO c� (Ofticicl Title) p roo. 0 G Q pr�ek r F C CITY OF CARMEL Expense Report (required for all travel expenses) ✓R'01 RNA. EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 8/13/2011 TIME: 12am AM/PM DEPARTMENT: Engineering RETURN DATE: 16 -Aug TIME: 6 m AM/PM REASON FOR TRAVEL: St Louis ITE Conference DESTINATION CITY: St. Louis, MO TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM X Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem 8/13 -8/16 $345.99 $345.99 8113 -8/16 $48.00 $48.00 8/16111 $36.40 $36.40 8/14/11 $55. $55.00 8/15/11 ;i $g 00 $55.00 8/16/11 $55.00 $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 o. Total $0.00 $0.001 $0.001 $48.00 $345.99 $0.00 so-001 $0.001 $0.00 $165 $36.401 $595.39 DIRECTOR'S STATEMENT: II hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: /f�. <!L %?>�z Date: I t City of Carmel Form ER06 Revision Date 8/30/2011 Page 1 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim will not be processed without the following documentation: 1) Conference or course registration form, if applicable 2) Travel itinerary or car rental agreement, if applicable 3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in -state travel and $30 for out -of -state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in -state travel and $60 for out -of -state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen. I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk- Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk- Treasurer I further understand that failure to provide the required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more than 30 days after the date of my return. Failure to return unused funds will result in the amount of the unused funds (total advance minus documented expenditures) being deducted from the first paycheck issued more than 30 days after the date of my return. Employee Signature: Date: g 2/ City of Carmel Form ER06 Revision Date 8/30/2011 Page 2 TRAVEL 1 EXPENSE REIMBURSEMENTS For: Aug. 29, 2011 Mileage 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 7/21/2011 US31 Meeting w Earl Goode (State House) 36322 36364 $0.00 $0.00 42 $23.31 $23.31 7/29/2011 Meeting With Jeff Roeder of Indy DPW 36597 36621 $0.00 $0.00 24 $13.32 $13.32 (Structurepoint Office) 8/2/2011 Progress Meeting (Main St. Shelborne) 36711 36724 $0.00 $0.00 13 $7.22 $7.22 8/3/2011 MPO IRTC Meeting (INDOT Traffic 36738 36772 $0.00 $0.00 34 $18.87 $18.87 Management Ctr 21 st Post) 8/4/2011 Meeting w/ Hamilton Co. Surveyor Re: SW 36795 36816 $0.00 $8.30 Breakfast 21 $11.66 $19.96 Clay Drainage (Perkins Noblesville) 8/9/2011 Meeting wl Wessler Associates (Paradise 36913 36918 $0.00 $9.58 Breakfast 5 $2.78 $12.36 Bakery Clay Terrace) 8/11/2011 INDOT 96th Keystone Meeting w! Jim Stark, 37042 37066 $0.00 $9.89 Breakfast 24 $13.32 $23.21 Deputy Commissioner (The Roost) ITE Annual Conference St. Louis (Aug. 13 Fuel for Prius on Return 8/16/2011 16) Pick up Prius at City Hall 37108 37136 $'48.00 36.40 Trip 28 $15.54 $99.94 8/16/2011 IT Annual Conference St. Louis (Aug. 13 0.00 Hotel $0.00 $345.99 ITE Annual Conference St. Louis (Aug: 13 8/16/2011 16) $0.00 '-$180.00 3 Day Perdiem $0.00 $180.00 8/18/2011 Meeting w/ DPW Director Dave Sherman 37287 37331 $5 '00 $0.00 44 $24.42 $29.42 (City /County Bldg.) 8/25/2011 Meeting with INDOT Commissioner Re: 96th 37673 37716 1, 8.00 $0.00 43 $23.87 $31.87 Keystone (IGC North) $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.00 $0.00 $0.00 $0.00 Refund Total $805.47 P 1'I fi: ROBEKT i mI K The Roberts Mayfair A Wyndham Hotel 806 St. Charles Street St. Louis, MO 63101 Tel: (314121 -2500 Fax: (314)421 -6254 INVOICE Arrival 08 -13 -11 Folio Invoice 36791 Departure 08 -16 -11 Reference 74970136 Company Name Govt/General Room No. 1305 Michael Mcbride Page No. 1 of 1 14227 Turner Hollow Place Membership No. Fishers IN 46040 United States Conf. No. 863820 Cashier No. 139 A/R Number Date Description Reference Charges Credits 08 -13 -11 ROOM CHARGE 99.00 08 -13 -11 Occ Tax -State 9.15 08 -13 -11 Occ Tax -City 3.47 08 -13 -11 Occ Tax Convention/Tourism 3.71 08 -14 -11 ROOM CHARGE 99.00 08 -14 -11 Occ Tax -State 9.15 08 -14 -11 Occ Tax -City 3.47 08 -14 -11 Occ Tax Convention/Tourism 3.71 08 -15 -11 ROOM CHARGE 99.00 08 -15 -11 Occ Tax -State 9.15 08- 15 -1.1 Occ Tax -City 3.47 08 -15 -11 Occ Tax Convention/Tourism 3.71 08 -16 -11 9M XXXXXXXXXXX>�X /XX 345.99 Total 345.99 345.99 Balance 0.00 Please contact the Hotel Manager about any issues with your stay. Wyndham Hotels and Resorts or affiliates may contact you about goods and services unless you call 888 946 -4283 or write to Wyndham Worldwide Hotels, Inc. 1 Sylvan Way, Parsippany, NJ 07054 to opt out. View our Wyndham Hotels and Resorts website about privacy. Institute of Transportation Engineers 16271(Eye) St., N. W., Suite 600, Washington, D. C. 20006 Meeting Confirmation Mr. Michael T. McBride, P.E. City of Carmel Indiana One Civic Square Carmel, IN 46032 USA ITE 2011 Annual Meeting Exhibit Saturday, August 13, 2011 through Tuesday, August 16, 2011 You are registered for the following: Fair Market Function Value Quantity Rate Amount Registration -Full 1 585.00 585.00 Celebration On America's Highway —Route 66 1 0.00 0.00 Lunch In The Exhibit Flail- Sunday, 8/14 1 0.00 0.00 Lunch In The Exhibit Hall, Monday, 8/15 1 0.00 0.00 Payment Details: Total 585.00 Payment 585.00 Balance 0.00 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)) n/a Mileage July 21- 8/25 1 Travel Reimbursement Breakfast meeting; Fishers Roost $9.89 Brea ast meeting; Noblesville Perkins 81911 1 Brea fast meeting; Carmel Paradise ar mg; Circle Center 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Mike McBride IN SUM OF Engineering Department 7. ON ACCOUNT F IATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT 31 I hereby certify that the attached invoice(s), or n/a 39 bill(s) is (are) true and correct and that the 9 materials or services itemized thereon for 3anrhich charge is made were ordered and 2200 4 Iq 58 except 0 ltd �f 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund