217255 02/13/2013 ,« CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
_ ` ONE CIVIC SQUARE MIKE MCBRIDE CHECK AMOUNT: $163.29
CARMEL, INDIANA 46032 CIO ENGINEERING
i+° C/0 ENGINEERING CHECK NUMBER: 217255
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 163 . 29 EXTERNAL TRAINING TRA
nnsLtAUt ULAIM
ill ( �,CV/�Iti2 __ TO_ Mti'\Ke �(�(�P DR.
Governmental Unit
Evi Q Lv'k' AC On Account of Appropriation No. 2200 for
( ice, Board, Department or Institution
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @S'
20 125 Point Point Start Finish TRAVELED PER MILE
2 Z O
—
(a 2
/ No r (oZ — Tr +
Auto License No. TOTALS
Z (0 2
* 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
Clcdm 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
(D
Allowed 20 (D o
Q
in the sum of $ o 15.
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0 ova
(Board or Commission) 0
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FILED o
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cam
(Official Title)
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TRAVEL / EXPENSE
REIMBURSEMENTS
FOP: Feb. 11, 2013
�ShS I
Mileage to Milea a Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $. Expense
1/8/2013 Meeting w whitestown City Officials re: 65703 65742 $0.00 $0.00 39 $21.65 $21.65
Transportation Planning(Town Hall)
1/13/2013 Indianapolis Airport for Conference In DC
(Flight Canceled-to&from 65849 65985 $0.00 $0.00 136 $75.48 $75.48
from twice)wice) .
1/14/2013 Indianapolis Airport for TRB Conference In DC(New Flight) 65996 66064 $0.00 $0.00 68 $37.74 $37.74
1/23/2013 SAC for SPR-3605 Updated Procedures for 66275 66321 $0.00 $0.00 46 $25.53 $25.53
Traffic Impact Analysis(IGC North)
$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 $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 $160.40
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.
`n n Payee,.
Purchase Order No.
—mac
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total (0 Z°J
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
Y V� ,l6e Mc 6✓0 Q IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
l
ZZoo
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I