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HomeMy WebLinkAbout203075 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1 ONE CIVIC SQUARE MIKE MCBRIDE CARMEL, INDIANA 46032 CIO ENGINEERING CHECK AMOUNT: $164.86 •2io�.�o CIO ENGINEERING CHECK NUMBER: 203075 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 164.86 EXTERNAL TRAINING TRA Wort Points \M/ 4264 2826 0191 9118 August 28 September 27, 2011 Page 2of5 Transaction Posting Reference Account Dare Date Description Number Number Amount Total 09/14 09/16 AMERICAN Al 0001028905 INDIANAPOLIS IN 9059 9118 25.00 MCBRIDE /MICHAEL 09/14 XAA /XAE ONEWAY XXX /XXX 09/17 09/19 FRONTIER Al 4222608276 FRONTIER WEB OK 0114 9118 20.00 MCBRIDE /MICH 0 MSC /MSC ONEWAY 09/21 0923 FRONTIER Al 4222608310 DENVER OK 3146 9118 20.00 MCBRIDE /MICHAEL 09/21 MSC /MSC ONEWAY 09/21 09/23 UNION TAXI ENGLEWOOD CO 4177 9118 56.00 i CT�'A of Cgq� 1 CITY OF CARMEL Expense Report (required for all travel expenses) �1NDIANa EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 9/14/2011 TIME: AM PM DEPARTMENT: Engineering RETURN DATE. TIME: AM/PM REASON FOR TRAVEL: ITE Convention DESTINATION CITY: Dallas, TX TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total. Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 9/18111 $25.00 $25.00 $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 Total $0:00 $0.00 $25.00 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $25.00 DIRECTOR'S STATEM T: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: 0( eq City of Carmel Form ER06 Revision Date 10/24/2011 Page 1 Prescribed by State Board of Accounts MILEAGE CLAIM General Form No. 101 (1955) �.1 1 V CST Ak-Q- TO tkP YtC DR. (Governmental Unit r\0 4 V\ 0 On Account of Appropriation No. E ice, Z? ©y for f ✓o,U� (Office, Board, Departm nt or Institution DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE S 20 Point Point Start T Finish TRAVELED PER MILE 2 ISM 5 S to 10A i 2 Y N t 9 l fi ZZ s S3 ltJ t Y a l o 7' S� O S o� 98 c �-T Z 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, 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 pa t e same has been paid. Date D Claim 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 duty 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 (D Allowed 20 (D M o in the sum of o N N ro¢( n r FD (DD r- m o �0 (Board or Conunission) CD O FILED 5 d (D n n o n 0 u) (D (Official Title) 60 tn C) Fr' Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995) 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)) nla mileage 39.86 baggage fee (flight to Denver) $25.00 per diem (IACT Conference) Total 74.86 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. 2Q Clerk Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Mike McBride IN SUM OF Engineering Department ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members D r or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or n a 22004343002 $139.86 bill(s) is (are) true and correct and that the 2004343002 io materials or services itemized thereon for which charge is made were ordered and received except 20 r Signatur Title Cost distribution ledger classification if claim paid motor vehicle highway fund