173442 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $279.64
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C/O ENGINEERING CHECK NUMBER: 173442
CHECK DATE: 6/1012009
DEPARTMENT ACC OUNT PO NU INVOICE N AMOUNT DESCRI
2200 4343002 279.64 EXTERNAL TRAINING TRA
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MILEAGE CLAIM 1 1
(GO UNIT) TO f ��lCl C`� 1 [�T c n�\ SL� DR.
Qk`(`QA ,"V` QfV ACCOUNT OF APPROPRIATION N O- 1 Zen FO 4 �Z
(OFFICE. BOAkD, DEPARTMENT OR INSTIT�JTIONj
DATE FROM TO SPEEDOMETER AUTO ®IL�E MILES READING+
POINT START' FINISF'
POINT I NATURE OF euSINESS TRAVELED PER MILE
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.AUTO LICENSE NO. TOTALS Z Z�� F2-C)
+SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway nap.
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 that .no part of the same has been paid,
Date
t
_iairn No Warrant No. I have examined the within ckAm and hereby
IN FAVOR OF certify as follows:
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 apparenCly correct
incorrect
On Account of Appropriation No for Disbursing Officer
1: H M
M. n
Allow 19 m a.
in the sure of q k o 0
c
t n
Co
CD a- a
(Board or Commission) M co
FILED coo
(Offic' Title)
0 CD
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LAL ford M. ■nrcic. I.D. 41573 •fj M.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or biil 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 invoices) or bill(s))
nla nia Mileage April '09 244.20
Engineering Traffic Issue Lunch Madarin House $19.62
Cool Creek rail Project g. Lunch Isushi House
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
M McBr*de IN SUM OF
__Engineering Department
$279.64
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 279.6 4 bill(s) is (are) true and correct and that the
nla materials or services itemized thereon for
which charge is made were ordered and
received except
r �InF� 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund