176590 08/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $1,374.86
CARMEL, INDIANA 46032 ENGINEERING
CiO ENGINEERING CHECK NUMBER: 176590
CHECK DATE: 8/2812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 1,374.86 EXTERNAL INSTRUCT FEE
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 8/8/2009 TIME: AM PM
DEPARTMENT: Engineering RETURN DATE: 13 -Aug TIME: AM/PM
REASON FOR TRAVEL: ITE Annual Meeting DESTINATION CITY. San Antonio, TX
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE REIMBURSEMENT X PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
8/8/09 $874.46 :$874.46
$0.00
8/9/09 $65.00 $65.00
8/10/09 $65.00 $65.00
8/11/09 $65.00 $65.00
8/12/09 $65.00 $65.00
8/13/09 $65.00 $65.00
$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 $0.001 $0.001 $0.00 $0.00 $874.461 $0.00 $0.00 $0:001 $0.00_ $325.00 $0.00 $1;199.46
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: Date:
City of Carm Form ER06 Revision Date 8/19/2009 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 followinq 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:
City of Carmel Form ER06 Revision Date 8/19/2009 Page 2
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Meeting Confirmation
Mr. Michael T. McBride, P.E.
City of Carmel Indiana
One Civic Square
Carmel, IN 46032
USA
ITE 2009 Annual Meeting And Exhibit
Sunday, August 09, 2009 through Wednesday, August 12, 2009
You are registered for the following:
Fair Market
Function Value Quantity Rate Amount
Registration-No Frills 1 460.00 460.00
Technical Papers On CD-ROM 1 0.00 0.00
Attendee Reception 1 20.00 20.00
Payment Details. Total 480.00
Payment 480.00
Balance 0,00
Purchase Detail
If changes need to be made to your registration contact our office.
Order# 23619
ID: 1020163
Full Name: Michael T. McBride, P.E.
Order Date 06/30/2009
Description Unit Price Qty. Price
ITE 2009 Annual Meeting And Exhibit From: 08/09/2009 To: 08/12/2009
Registration -No Frills 08/09/2009 460.00 1 460.00
12:00 AM 08/12/2009 12:00 AM
Technical Papers On CD-
ROM 08/09/2009 12:00 AM 0.00 1 0.00
08/12/2009 12:00 AM
Attendee Reception 08/11/2009 06:30 20.00 1 20.00
PM 08/11/2009 07:30 PM
Total 480.00
http: /www.ite. org /emodules /source/ Meetings /cmeetingrosterdetail _print. cfm ?section= eve... 6/30/2009
Ticket receipt for San Antonio, TX (Sat-
Thur) (DEXpedia
Booked items
Although this itinerary doesn't qualify for ThankYou Points, you can still earn
points if you add a hotel booking today or any time before you travel. l6[TharkkYeuY9"
Learn more about how to earn points for future bookings.
1 Ticket Round Trip
Indianapolis, IN (IND- Indianapolis Intl.) to San Antonio, TX (SAT -San Antonio Intl.)
Departure Date: Sat 8- Aug -09 Return Date: Thu 13- Aug -09
Expedia Itinerary 128516231916 Purchase Date: 14- Jul -09 0 Back to itinerary page
Ticket numbers: 0067691100123
Traveler and cost summary
Michael McBride Adult $206.00
Taxes Fees $37.90
Total $243.90
[ Payment $243.90
Balance Due $0.00
http: /www.expedia.com/pub /agent.dll ?gscr open &itid 285162319 &vwtp =5 7/17/2009
San Antonio, TX. S a. I I'll U I') x wive
Booked items
ThankYou account number: 8910 2317 4391 0112 Use a different number
You will earn 310 ThankYou Points for this trip. E_ 7h t
Your points will be credited to your account 4 -6 weeks after travel is completed.
Flight: Indianapolis to San Antonio back to top
Expedia itinerary number: 128516231916 Main contact: Michael T McBride
Airline ticket number(s): 0067691100123 E -mail: mtm6274 @yahoo.com
American Airlines confirmation code: KYYVAV Home phone: (317) 336 -4228
Delta confirmation code: D7WON9 Work phone: (317) 571 -2438
Traveler and cost summary
Michael McBride Adult Add Frequent Flyer number(sl $206.00
Taxes Fees $37.90
Total (MasterCard) $243.90
Change this flight Request seat changes Print a receipt View cancellation information
Flight summary
Please be sure to re- confirm your flight at least 24 hours prior to scheduled departure (72 hours prior
for flights to Hawaii and international destinations). You may check your flight status and departure
gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests
must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special
meals are not available on many flights.
Sat 8- Aug -09
Indianapolis (IND) to Dallas (DFW) 759 mi VA
Depart 8:05 pm Arrive 9:18 pm (1,221 km)
Duration, 2hr 13mn Flight: 657
EconomylCoach Class 13B Food For Purchase, S80
Dallas (DFW) to San Antonio (SAT) 248 mi
Depart 10:25 pm Arrive 11:23 pm (399 km)
Terminal 2 Duration: Ohr 58mn Flight: 550
Economy/Coach Class 17E S80
Total distance: 1,007 mi (1,621 km) Total duration: 3hr 11 mn (4hr 18mn with connections)
Thu 13- Aug -09
San Antonio (SAT) to Memphis (MEM) 626 mi A, D E L
Depart 11:55 am Arrive 1:43 pm (1 ,007 km) Flight: 3608
Terminal 1 Duration: 1 hr 48mn Operated by: PINNACLE DBA
NORTHWEST AIRLINK
EconomylCoach Class 06B Canadair RJ
Memphis (MEM) to Indianapolis (IND) 382 mi A D E L
Depart 2:15 pm Arrive 4:48 pm (615 km) Flight: 2529
Duration: 1hr 33mn
http:// www. expedia.com/pub /agent.dll ?gscr= open <ld 285162319 &vwtp =4 7/17/2009
Operated by: PINNACLE DBA
NORTHWEST AIRLINK
Economy /Coach Class 11C Canadair RJ
Total distance: 1,008 mi (1,622 km) Total duration: 3hr 21 mn (3hr 53mn with connections)
Airline rules regulations
Tickets are nonrefundable. A fee of $150.00 per ticket will be charged for itinerary changes after
the tickets are issued, provided that the booking rules were followed.
Tickets are nontransferable and name changes are not allowed.
Please read important information regarding airline liability limitations
Prices do not include baggage fees or other fees charged directly by the airline.
Other penalties may apply.
See an overview of all the rules and restrictions applicable for this fare.
View the complete penalty rules for changes and cancellations associated with this fare.
Activities Services: San Antonia back to lop
Expedia Itinerary number: 128516231916
IMPORTANT: Be sure to print and bring all vouchers with you on your trip. Vouchers are required for
the redemption of all purchased activities, attractions and services. View and print all vouchers.
San Antonio
Activity Date Vouchers Quantity Price
Off Airport Parking with Park Ride Fly near 08/08/09 08/13109 E2 View 1 Car $65.40
Indianapolis Intl. (IND) Details
Taxes and fees $0.00
Activities Services total $65.40
Activities rules and restrictions
Activities Services require prepayment. You will be charged in full for all selected Activities
Services at the time of booking.
Activities Services are non refundable.
Activities Services cannot be transferred from one person to another.
Activities Services availability and pricing are subject to change until full payment is received.
You must print your Activities Services vouchers and bring them with you to your destination.
Want to make changes?
Call 1- 800 EXPEDIA (1- 800 397 -3342) or 1- 404 -728 -8787 to changelcancel this reservation
Aft View and print all vouchers. Then bring them with you when you go.
See more Activities
CuStalner SupNort
Itinerary number: 128516231916
http: /www.expedia.com/ pub /agent.dll ?gscr open &itid 285162319 &vvAp =4 7/17/2009
Oft For questions regarding this folio, please call
�a01O 1, Marriott Business Services toll -free 1- 866 435 -7627. GUEST FOLIC)
SAN ANTONIO 711 E Riverwalk, San Antonio, Texas 78205 210.224.4555 Marriott.com /SATDT
RIVERWALK
2023 MCBRIDE /MICHAEL 199.00 08 /13/09 12:00 548
Room Name Rate Depart Time ACCT
GK 08/08/09 00:01
Type Arrive Time
40
MR
Address Payment
REFERENCE, CHARGES CREDITS BALANCE DUE
08/08 ROOM GRP 2023, 1 1
08/08 STATE TX 2023, 1 7.02 A
08/08 COUNTYTX 2023, 1 2.05 B
08/08 CITY TAX 2023, 1 10.53 F
08/09 ROOM GRP 2023, 1 117.00
08/09 STATE TX 2023, 1 7.02 A
08/09 COUNTYTX 2023, 1 2.05 B
08/09 CITY TAX 2023, 1 10.53 F
08 /I0 ROOM GRP 2023, 1 117.00
08/10 STATE TX 2023, 1 7.02 A
08/10 COUNTYTX 2023, 1 2.05 B
08/10 CITY TAX 2023, 1 10.53 F
08/11 ROOM TRN 2023, 1 199.00
.08/11 STATE TX 2023, 1 11.94 A
08/11 COUNTYTX 2023, 1 3.48 B
08/11 CITY TAX 2023, 1 17.91 F
08/12 ROOM TRN 2023, 1 199.00
08/12 STATE TX 2023, 1 11.94 A
08/12 COUNTYTX 2023, 1 3.48 B
08/12 CITY TAX 2023, 1 17.91 F
08/13 $874.46
TO BE SETTLED TO: CURRENT BALANCE .00
THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK —OUT,
PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR
TV REMOTE CONTROL TO ACCESS VIDEO CHECK —OUT.
DESCRIPTION TAXED AMOUNT TAX
0 COUNTY OCC INC 1.75% .00 .00
NET CHARGES TAX CREDITS FOLIO
874.46 .00 .00 874.46
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
MMCBRIDE @CARMEL.IN.GOV
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This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account, you will owe us such amount. If you
are direct billed, in the event payment is not made within 25 days after checkout, you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month (ANNUAL RATE 18 or the maximum allowed by law, plus the reasonable cost of collection, including attorney fees.
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tU1�lt'ial''n+ �J
5 -2955c Rev. 06/08
ftaba'a.d !f stat. Beard ei /4cee101+-
'•.a.tal pet3 Na 104 Cb01
MILEAGE CLAIM
(GOVERNMtNTAL UNIT) TO
o Vk vl C' D R.
ON ACCOUNT OF APPROPRIATION NO:�_FO y�; kC' V" C" Y SL
(OFFICE. BOARD. DEPARTMENT OR INSTITUTION)
DATE FROM TO I SPEEDOMETER
READING+ AUTO MILEAGE
POINT "MATURE OF EUSINESS TRAVELED MI
2C G
POINT I START FINISH I PER MILE
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.AUTO LICENSE NO. TOTALS
SPEEDOMMTER 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 credi'
and th at .na part of the same has been paid
Date
f
Claim Warrant No.--. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
�tt& AA That it is in proper form
1 That it is -duly autlwmd ated as required
by law.
That it is based upon statutory authority.
That it is apparently correct
incorrect
On Account of Appropriation No for is ur a icer
Ca
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0 Q n
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Allow 19 g W 5 ,E
o. 0oQ in the sum of S �a,
coniTm
c
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F co
a
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(Board or Commission)
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TRAVEL/EXPENSE
REIMBURSEMENTS
For: July -Aug. 2009
Miles a to Milea a Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.55 Expense
7/9/2009 Keystone Prj. Mtg. (Structurepoint Office) 3647 3659 $0.00 $0.00 12 $6.60 $6.60
7/14/2009 LTAP Technical Advisory Committee 4288 4305 $0.00 $0.00 17 $9.35 $9.35
(Pyramids)
7/29/2009 1 -465 Northeast Project CAC Mtg. (Haritage 4636 4654 $0.00 $0.00 18 $9.90 $9.90
Christian School)
7/30/2009 96th Keystone Project Mtg. w/ Indy DPW 4692 4740 $0.00 $5.45 Lunch Before Mtg. 48 $26.40 $31.85
(DPW Offices)
7/31/2009 96th Keystone Project Mtg. w/ INDOT 4771 4817 $10.00 $0.00 46 $25.30 $35.30
(Indiana Government Center)
8/6/2009 96th Keystone Mtg. w! INDOT FHWA 4980 5027 $12.00 $0.00 47 $25.85 $37.85
(Indiana Government Center)
8/9/2009 ITE Conference (To -From Airport) 5221 5302 $0.00 $0.00 81 $44.55 $44.55
$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 $0.00 $0.00
$0.00 $0.00 $o.00 $o.00
Refund Total $175.40
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 n/a ITE annual conference expenses (see detailed report) 046.16
Mileage July- August 147.95
Parking 96th and Keystone mtg. $12.00
Parking 96th and Keystone m g
Lunch and Keystone m g
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
$1,221.56
ON ACCOUNT OF APPROPRIATION FOR
Depa ment_of En-_ ineering
v} �7
Board Members
r'I
PO# or INVOICE NO. ACCT #!TITLE AM
DEPT. I hereby certify that the attached invoice(s), or
n/a 08/08-08/13/09 2200 435700 ill (s) is (are) true and correct and that the
n/a n/a 2200 435700 materials or services itemized thereon for
08/06 2200 435700 12.00 which charge is made were ordered and
07/31 2200 435700 10.00 received except
07/30 2200 4357001 5.45
20
Signature
-r Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
nla nia ITE annual conference expenses (see detailed report) ,199.46
Mileage July- August 147.95
7262 Parking 96th and Keystone mtg $12.00
Parking 96th and Keystone m g
Lunch and Keystone m g
Total 1 374.86
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
E Department
$1,374.86
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 08108 08/13/09 2200 4357OOz $1,199.46 bill(s) is (are) true and correct and that the
n/a n/a 2200 435700z $147.95 materials or services itemized thereon for
08106 2200 435700 12.00 which charge is made were ordered and
07131 2200 435700 10.00 received except
07130 2200 435700 5.45
20
)n-:2 24.
Signature
0 Cost distribution ledger classification if Tltle
claim paid motor vehicle highway fund