HomeMy WebLinkAbout170981 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
b 11 ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $884.69
CARMEL, INDIANA 46032 C/O ENGINEERING
CIO ENGINEERING CHECK NUMBER: 170981
CHECK DATE: 4/1612009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBE AMOUNT DESCRIPTION
:2200 4343002 884.69 EXTERNAL TRAINING TRA
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MILEAGE CLAIM
(GOVERNMENTAL UNIT) TO i L Q l� ��`�g� �Q�� DR.
ON ACCOUNT OF APPROPRIATION NO. FO 1' SGO ,"Z
(OFFICE. BOARD. DEPARTMENT OR INSTITUTI
2 �DATE FROM TO SP READ E R AUTO M[
NATURE. OF BUSINESS MILES
POINT POINT POINT START FINISF+ TRAVELED PER MILE
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+SPEEDOME'T'ER 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 a-nount claimed is legally due. after allowing all just credi,
and that .no part of the same has been paid
Date 1 C�
r
^,lain No Warrant No. I have examined the within claim 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 rased upon statutory authority.
That it Is apparendy correct
Incorrect
On Account of Appropriation No for D isbursing Officer
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TRAVEL IEXPENSE
REIMBURSEMENTS
For: March 2009
Mileage to Milea a Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.55 Expense
2/4/2009 MPO IRTC Mtg (Indy DPW Office) 38011 38058 $0.00 $0.00 47 $25.85 $25.85
2/4/2009 Road School Presentation Meeting 38058 38071 $0.00 $0.00 13 $7.15 $7.15
2/512009 Keystone Prj. Mtg. (Structurepoint Office) 38088 38101 $0.00 $0.00 13 $7.15 $7.15
2/12/2009 Keystone Prj. Mtg. (Structurepoint Office) 38346 38359 $0.00 $0.00 13 $7.15 $7.15
2/23/2009 I -465 NE Corner Traffic Management Mtg 38452 38495 $0.00 $0.00 43 $23.65 $23.65
(IGC North)
3/5/2009 Keystone Prj. Mtg. (Structurepoint Office) 38773 38786 $0,00 $0.00 13 $7.15 $7.15
3/9/2009 Road School Conference /Presentation 38848 38911 $0.00 $0.00 63 $34.65 $34.65
(Purdue, West Lafayette)
3/11/2009 Chamber of Commerce Lunch Presentation 38911 39047 $0.00 $0.00 136 $74.80 $74.80
(Purdue to Carmel Return Purdue)
3/22/2009 ITE Technical Conference (Home to Airport) 47721 47789 $0.00 $0.00 68 $37.40 $37.40
3/25/2009 ITE Technical Conference (Home to Airport) 47904 47976 $0.00 $0.00 72 $39.60 $39.60
$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 $0.001 $0.00 $0.00 1
Refund Totall $264.55
T.1
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANi
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 3/22/2009 TIME: 4 m AM PM
DEPARTMENT: Engineering RETURN DATE: 25 -Mar TIME: 11 m AM/PM
REASON FOR TRAVEL: Phoenix ITE Conference DESTINATION CITY: Phoenix, Arizona
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE x REIMBURSEMENT PER DIEM
Transportation Gas/Tolls/ Meals
Date parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
3/22/09-
3/25/09 $561.18 $561.18
3/24109 1 $8.99 $8.99
3/25/09 $7.22 $7.22
$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
Totall $0.00 -$0.001 $0.00 $0.00 $561.18 $8.991 $7.22 $0.00 $0.001 $0.001 40.001 $577.39
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 Carmel Form ER06 Revision Date 4/10/2009 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 following 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.
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 4/10/2009 Page 2
I
�o I
Last Name First Name Folio Page
MCBRIDE MICHAEL 1 1
Street Room
14227 TURNER HOLLOW PL 463
Rate
160.00
City State Zip Arrival
FORTVILLE IN 460408113 03/22/09 Sun
Departure
317 -336 -4228 1 03/25/09 Wed
Bonus Type
CCARD
DATE DESCRIPTION AMOUNT DATE DESCRIPTION AMOUNT
03/22 GROUP ROOM 160.00
03/22 *ROOM TAX n84
03/23 IN ROOM BKFST
03/23 IN RM LNCH /POOL
03/23 GROUP ROOM 160.00
03/23 *ROOM TAX 19.63
03/24 GROUP ROOM 160.00
03/24 `ROOM TAX 19.63
03/25 561.18
Total 0.00
MASTERCARD 67041030016
No frequent traveler account has been credited for this stay.
To enroll in Gold Passport, call 1- 800- 51- HYATT.
WE WANT TO HEAR FROM YOU
Our goal is to provide every guest with
an enjoyable stay. We are constantly
looking for ways to improve our guest service.
Please share any comments or suggestions at:
E -mail: quaIityphxrp@hyatt.com
Phone: 1.877.402.0555 Fax: 1.602.254.9472
For billing inquiries, please contact
1.602.252.1234, extension 4306
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Mike McBride DEPARTURE DATE: 319/2009 TIME: AM PM
DEPARTMENT: Engineering RETURN DATE: 12-Mar TIME: AM/PM
REASON FOR TRAVEL: Purdue Road School DESTINATION CITY: West Lafayette, IN
TRAVEL EXPENSES ARE FOR (check all that apply): ADVANCE x REIMBURSEMENT PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
3/9/09-
3/12/09 $0.00
3/12/09 $3.84 $3.$4
3/10/09 $3.60 $3.60
$0.00
$0.00
$o.00
$o;oa
$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 $0.00 $0.00 $OAO $7.44 $0.00 $0.00 $0.00 $0.00 $0.00 $7.44
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 Carmel Form ER06 Revision Date 4/10/2009 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 following 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 4/1012009 Page 2
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 February /March '09 $264.55
ITE conference expenses 577.39
Road school expenses $7.44
Parking 1 -465 Meeting 2/23/09 1.50
ASCE Meeting Lunch 3/26/09 4.24
Engineering Breakfast Meeting w/ Gary Duncan 2/23/09 $19.57
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
IN SUM OF
Engineering Department
$884.69
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. H I hereby certify that the attached invoice(s), or
n/a 2200 4343002 $884.69 bill(s) is (are) true and correct and that the
n/a materials or services itemized thereon for
which charge is made were ordered and
received except
13 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund