230201 03/12/14 > CITY OF CARMEL, INDIANA VENDOR: 00350077
® ONE CIVIC SQUARE INDIANA STREET COMMISSIONERS ASWCK AMOUNT: S......*300.00*
f ?� CARMEL, INDIANA 46032 C/O LARRY LEE CHECK NUMBER: 230201
1301 LAFAYETTE AVE CHECK DA'L'E: 03/12/14
LEBANON IN 46052
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 STREET 300.00 EXTERNAL INSTRUCT FEE
5
2014 Annual Street Commissioners Convention
Registration Form: August 19th, 20th, 21St, 2014
www.indianastreets.org /
Name of Registrant
Address: Cf L✓ i
Phone: 17 —73
Spouse's Name (if attending): /
E-Mail Address: e, •--i 661
':25" REGISTRATION FEE MUST BE ENCLOSED WITH FORM �
Current ISCA Member $150.00 per person (Includes Meals)
_j_ Asst. Commissioner/Foreman $150.00 per person (Include Meals)
Additional Registration $150.00 per person (Includes Meals)
Vendor Registration $300.00 (Includes Meals & Vendor Cookout) with NO BOOTH
Vendor Registration $500.00 (Includes Meals & Vendor Cookout) with BOOTH
Space and (1) employee
(Limited booth area - no more than 40 booth areas)
All hotel accommodations must be made with a credit card:
French Lick Resort
8670 West State Road 56
French Lick, IN 47432
(T) 812-936-9300 or 888-936-9360
(F) 812-936-5586
* When making hotel reservations, let the hotel know you are with I.S.C.A. and Group Code is
0813ISC
*The room rates are $119.00 dollars for I.S.C.A. members they will be guaranteed until July 18th
After July 19th rooms will be released to the public. Cancellation must be made four days prior to
arrival for full refund of deposit. Check-in time is at 4:00 p.m. Check-out is at 11:00 a.m.
* Vendors who want (hospitality rooms) must contact: Brandie Petry at 812-936-9300 or E-mail:
bpetry0frenchlick.com
* Please complete and return registration form with payment by July 18th 2014:
MAIL: CONVENTION REGISTRATION WITH PAYMENT TO
LARRY LEE SECRETARY/TREASURER
LEBANON STREET DEPARTMENT
1301 LAFAYETTE AVE
LEBANON, INDIANA 46052
VOUCHER NO. WARRANT NO.
ALLOWED 20
ISCA Qonv�e�n-tiignn Registration
Lara Ceee'Sec�et'ary/Tri u�reLebanon St. De IN SUM OF $
1301 Lafayette Avenue
Lebanon, IN 46052
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-570.041 $300.00 1 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
rid2014 A90 64
t��t��t �i�i�ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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))
03/07/14 $300.00
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