HomeMy WebLinkAbout207160 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $414.35
C/O ENGINEERING CHECK NUMBER: 207160
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CHECK DATE: 311312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 414.35 EXTERNAL TRAINING TRA
OF Cq.
CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 3/6/2012 TIME: 8am AM PM
DEPARTMENT: Engineering RETURN DATE: 8 -Mar TIME: 1 m AM/PM
REASON FOR TRAVEL Purdue Road School DESTINATION CITY: West Lafayette, IN
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total.
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
3/6/12 $210.56 $210.56
316/12 $55
3/7/12 5.00 00
$o:oo
$0.00
$o.00
X0.0.0
$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 $0.001 $0.00 $0.00. $0.001 $210.56. $0.001 $0.00 ,$0.00 $0.00 $110.00 $0.001 $320.56
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: ilr Date'. 1 Z
City of Carmel Form ER06 Revision Date 3/12/2012 Page 1
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1 fV�Q TO �11 P. C -,�.e DR_
I (Governments Unit
eylC 1 rku v!`n<:z On Account of Appropriation No. 2 2 b for
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(Office, Board, Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 tZ Point Point Start Finish TRAVELED PER MILE
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Auto License No. TOTALS t�
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
Claim No, Warrant No. 1 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
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Mr Michael McBride Room No.
RW Armstrong Arrival 352
United States 03 -06 -12
Departure 03 -08 -12
Page No. 1 of 1
Folio No. 181998
Conf. No. 663157
INFORMATION INVOICE
Group Code 1203PURDUE Thank You For Staying With Us! 03 -08 -12
Date Code Description Charges Credits
03 -06 -12 1000 Room 94.00
03 -06 -12 1500 fndiana Sales Tax 7% 6.58
03 -06 -12 1600 County Innkeepers Tax 5% 4.70
03 -06 -12 1000 Room 94.00
07- MAR -2012
03 -06 -12 1500 Indiana Sales Tax 7% 6.58
07- MAR -2012
03 -06 -12 1600 County Innkeepers Tax 5% 4.70
07- MAR -2012
03 -06 -12 9003 210.56
xxxxxxxxxxx, XX/XX
Total 210.56 210.56
Balance 0.00
Signature:
I agree that my liability for this bill is not waived and agree to be held personally
Gable in the event that the indicated person, company, or third party fail
io pay for anypart or all of these charges.
101 N Grant Street West Lafayette, IN 47906 -3574 phone: 765- 494 -8971 fax: 765 494 -8966 www.hotel.purdue.edu
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The 98th Annual Purdue Road School RegOnline Page 2 of 3
I am requesting a veg+
I am interested in learning more about Road School te)
Agenda and Optional Fees
Tueday Track
Selection: MPO Hot Topics
Wednesday Track Preference
Selection: Leadership /Communication /Management
Keynote Luncheon with Governor Mitch Daniels
$20.00
Transcript of PDHICEU
$6.00
Fees
Fee
Fee
Keynote Luncheon with Governor Mitch Daniels
Transcript of PDH /CEU
Subtotal:
F otal:
Transactions
Transaction Type
Transaction Amount
Current Balance:
F Payment Method
littps: /www.regoniine.com /register /confirniation.aspx ?Eventld =1041 156 &Attendeeld =Ck... 2/14/2012
The 98th Annual Purdue Road School RegOnllne Page 3 of 3
Payment Method: Check
Payment Instructions
PEC Business Services
Purdue University
Stewart Center, Room 110
128 Memorial Mall
West Lafayette, IN 47907 -2034
Contact Us:
Purdue Conferences
roadschoolconf(c)purdue. edu
Phone: 765 -494 -1898
Fax: 765- 494 -0567
https: /www.regoiiiine.comh ster /confrinatioti.aspx ?Eveiitld= 1041156 &Attendeeld =Ck... 2/14/2012
TRAVEL/EXPENSE
REIMBURSEMENTS
For: Mar. 12, 2012
Mile a a to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.555 Expense
2/29/2012 US31 Interchange Design Meeting
(Structurepoint Office) 46109 46125 $0.00 $0.00 16 $8.88 $8.88
3/6/2012 Road School (W. Lafayette, IN) 46673 46737 $0.001 $0.00 64 $35.52 $35.52
2/20/2012 Return from Road School 46737 46800 $0.00 $210.56 Hotel Costs 63 $34.97 $245.53
3/9/2012 96th Keystone Meeting (RW Armstrong) 46828 46872 $0.00 $0.00 44 $24.42 $24.42
$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 $o.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 $314.35
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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))
n/a n/a mileage $103.79
TACT conference; Hotel /per diem $P20.56
.r
Total 24.35 ti
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 M r -Rridp IN SUM OF
Engineering Department
3
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 22004343002 $1'03 -79 bill(s) is (are) true and correct and that the
2200 4343002 -$3328-56 materials or services itemized thereon for
7 25 which charge is made were ordered and
received except
20
Signature
l �l �iM►� n Q
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund