180484 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $175.fi1
�y °o+ CIO ENGINEERING CHECK NUMBER: 180484
CHECK DATE: 12/16/2009
D EPARTMENT AC PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
X200 4343002 175.61 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts
General Form No. 101 (1955)
MILEAGE CLAIM
C TO DR-
(Governmental Unit)
v'Yy\a� VA-ULY Vk e On Account of Appropriation No. 220 for Y I P ��C 1. V� Cat Q
(Office, Board, Department or In itution)
DATE FROM TO
ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 09 Point Point Start Finish TRAVELED PER MILE
0 I 0 1 ka k `l o k 12-- 6 a
k ot l '1-Ik l 40 0\ C 0c J�) t Z Z
l o t PrCh e ^1201 21 I- 4(a
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Auto License No. TOTALS iA SS
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 1 -Z 1 1 4`o 1
Claim No. Warrcant 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
1 incorrect
On Account of Appropriation No. for
Disbursing Officer
Allowed 20
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in the sum of o-
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(Board or Comrnission)
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TRAVEL/EXPENSE
REIMBURSEMENTS
For: Oct. Nov. 2009
Mileage to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start I Finish Start Finish Cost Costs Other Description Miles x $.55 Expense
10/7/2009 106th/126th Keystone Meeting 7867 7874 $0.00 $0.00 7 $3.85 $3.85
Charlestons
10/8/2009 Keystone Meeting (American Structurepoint) 7893 7905 $0.00 $0.00 12 $6.60 $6.60
10/1412009 County Surveyors Office Nobilesvile 8011 8034 $0.00 $0.00 23 $12.65 $12.65
10/15/2009 1- 465 /Keystone Interchange Field Check Mtg. (Jr. Achievement 75th &Keystone) 7201 7214 $0.00 $0.00 13 $7.15 $7.15
10/21/2009 MPO IRTC Meeting Fishers Train Station 7991 8005 $0.00 $0.00 14 $7.70 $7.70
10/22/2009 Indiana Planning Association Presentation 8022 8043 $0.00 $0.00 21 $11.55 $11.55
Fishers Conference Center
10/29/2009 Keystone Meeting (American Structurepoint) 8168 8180 $0.00 $0.00 12 $6.60 $6.60
11/6/2009 US31 Mtg. with INDOT IGC North 8323 8369 $0.00 $0.00 46 $25.30 $25.30
11/17/2009 Mike Howard Meeting Sahms 116th 8586 8598 $0.00 $0.00 12 $6.60 $6.60
Allisonville
11/18/2009 106th /126th Keystone Meeting 8643 8650 $0.00 $0.00 7 $3.85 $3.85
Charlestons
11/19/2009 1 -465 Project Partnering Meeting w/ INDOT 8668 8689 $0.00 $0.00 21 $11.55 $11.55
Fishers Conf. Center
11/25/2009 Roundabout Conference Planning Meeting 9117 9129 $0.00 $0.00 12 $6.60 $6.60
Structurepoints Offices
12/112009 North Carolina Group Tour Old Town Clay 9523 9534 $0.00 $0.00 11 $6.05 $6.05
Terrace
12/2/2009 Mike Hollibaugh Mtg Various issues 9579 9583 $0.00 $24.06 Breakfast 4 $2.20 $26.26
(Michael's Rest.)
12/3/2009 Kinder Care Mediation Home to Monument 9609 9655 $8.00 $0.00 46 $25.30 $33.30
Circle to City Hall
Refund Total $175.61
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))
nla nla Mileage 10107 -12103 143.55
Michael's Best; Lunch Meeting w/ Mike Hollibaugh $24.06
Express Parking; Kindercare Mediation mtg. $8.00
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mike McBride IN SUM OF
Engineering D epartment
$175.61
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 12/03/09 2200 4343002 $143.55 bill(s) is (are) true and correct and that the
12/2/2009 2200 4343002 $24.06 materials or services itemized thereon for
12/03/09 2200 4343002 8.00 which charge is made were ordered and
received except
IZ14 20
Signature
L�Sl Ecn� o& Q-/
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund