225897 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 00352856 Page 1 of 1
ONE CIVIC SQUARE MIKE MCBRIDE
*. CHECK AMOUNT: $216.71
i�l CARMEL, INDIANA 46032 C/0 ENGINEERING
C/O ENGINEERING CHECK NUMBER: 225897
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 216 . 71 EXTERNAL INSTRUCT FEE
TRAVEL / EXPENSE
REIMBURSEMENTS For: November 4, 2013 /
f`n�
Mileage to Mileage Back Parking Other Total Miles Total
Date Meeting Description Start Finish Start Finish Cost Costs Other Description Miles x $.5 Expense
9/16/2013 Illinois Street Progress Meeting-Job Trailer 82127 82138 $0.00 $0.00 11 $6.11 $6.11
9/30/2013 Illinois Street Progress Meeting-Job Trailer 82994 83006 $0.00 $0.00 12 $6.66 $6.66
10/6/2013 TACT Conference(Home To JW&Return 83288 83339 $0.00 $0.00 51 $28.31 $28.31
Home)
10/7/2013 TACT Conference(Home to JW,to Carmel for 83339 83421 $27.00 $0.00 Parking 82 $45.51 $72.51
Illinois St Mtg,To JW,to home)
10/9/2013 111th&Penn Pre Construction Mtg(INDOT 83491 83558 $0.00 $0.00 67 $37.19 $37.19
Greenfield District Office)
10/16/2013 MPO]RTC Meeting(INDOT Traffic 84002 84039 $0.00 $0.00 37 $20.54 $20.54
Management Center)
10/24/2013 INDOT ERC Certification Training(Home to 84676 84727 $16.00 $0.00 Parking 51 $28.31 $44.31
IGC South&Return)
$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
$0.00 $0.00 $0.00 $0.00
Refund Total 63
I
nRaLr-AUr-
l ,1 11 O F C,as o TO k-e N4C, 2A DR.
(Governments nit
y��c On Account of Appropriation No. 2 2-00 for
(office,E3oafd,Department or stitution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @.5 6S-
20_LS Point Point Start Finish I I TRAVELED PER MILE
s - u2 T 11 z
/o tttrre X32 f c t I
/o t�ayv�i (A) gb 3
�o r Do Z O(V
I
4
1
I
Auto License No. ! TOTALS 3
* 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
i 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
(�
1A0- d r -n r"✓Ci
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
2.2ot�
Board Members
PO#or# INVOICE NO. ACCT#!TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
43S7-0t-)q i ,o0 materials or services itemized thereon for
oD�f a,cp which charge is made were ordered and
received except
w � �,1� �y 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund