220255 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
CHECK AMOUNT: $107.91
CARMEL, INDIANA 46032 C/0 ENGINEERING
C/O ENGINEERING CHECK NUMBER: 220255
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 107 . 91 EXTERNAL INSTRUCT FEE
MOLIC- AUl- k;IL.OABM
o �' C�A.rr M TO I�� �C' ��A P DR.
Governmental Unit
!0P p �,n On Account of Appropriation No. 7 2p[ for 4Y0.ve`
J (Office, oar epartment or Institution 0.
DATE FROM TO
ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @ 5-6S-
20 Point Point Start Finish TRAVELED PER MILE
is N. (o?Zo +. C o ZZ (Oo
3 2Z (iJ r✓;o 3S 3R i TrcuviiviQ 2.
12 l 7 21 ao =i 10 �'
z vtm e)wz 7Z21/ o
l k Z c,
S c,l d 7. Z o z2
Auto License No. TOTALS
* SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
Date
TRAVEL / EXPENSE
REIMBURSEMENTS
For: May 20, 2013
Mileage to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start I Finish Start Finish Cost Costs Other Description Miles x$.Sfj�, Expense
3/18/2013 Mtg W/Lt.Govenor at Baker Daniels,300 N 69168 69208 $0.00 $0.00 40 $22.20 $22.20
Meridian
3/22/2013 Tensar Professional Development Training(JW 69354 69395 $0.00 $0.00 41 $22.76 $22.76
Marriott)
4/12/2013 Illinois Street-Pittman Property Meeting(John 72106 72116 $0.00 $0.00 10 $5.55 $5.55
Pittman Residence)
4/26/2013 MPO IRTC Orginazitional Discussion(MIBOR 72941 72978 $0.00 $0.00 37 $20.54 $20.54
Office)
4/30/2013 DLZ Congestion Mitigation&Safety Mtg(Le 73133 73156 $0.00 $0.00 23 $12.77 $12.77
Peep Castleton)
5/1/2013 MPO IRTC Quarterly Meeting(MIBOR Office) 73197 73237 $0.00 $0.00 40 $22.20 $22.20
$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 $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 $106.02
i9�
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
�'Yy-e. tAcC -y-' e Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 1 O'},R
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 $
$ \O,i-.91
ON ACCOUNT OF APPROPRIATION FOR
2--2-0C-)
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
�3s�ao 10 .9 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
51201 i 3 -� 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund