230202 03/12/14 Cqy
CITY OF CARMEL, INDIANA VENDOR: 00350077
® ONE CIVIC SQUARE INDIANA STREET COMMISSIONERS ASCVCCK AMOUNT: $.....***35.00*
CARMEL, INDIANA 46032 JOHN SCHNADENBERG-MEM DIR CHECK NUMBER: 230202
"M...._�o.? 1490 BROADWAY SUITE 1
�. *on CHESTERTON IN 46304 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4355300 STREET 35.00 ORGANIZATION & MEMBER
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INDIANA STREET COMMISSIONER'S ASSOCIATION
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2014 I.S.C.A. MEMBERSHIPS ARE NOW DUE
MAKE CHECKS PAYABLE TO: I.S.C.A. (Indiana Street Commissioners Assc.)
SEND DUES(535.00) TO: John Schnadenberg - Membership Director
1490 Broadway, Suite 1, Chesterton, IN 46304
Ph. 219-926-2222
*PLEASE NOTE NEW ADDRESS*
s a a a a s o n a a a s e s o s a a a a a a a a a a a a a a n s a a a a a 6 a a a a a a a M a a a s a a a a a a a n a a a a a a a s a a i a a a a l
2014 LS.C.A. DUES - $35.00
MEMBERSHIP APPLICATION
Only one $3 .00 fee required for membership per community.
If your assistant or foreman needs a membership card, please note on your application form*.
CITY/TOWN: C Cl r tc, -e,/
NAME: aaol
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E-MAIL: �lr LN-cv�t C 1PI& - --214
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BUSINESS ADDRESS:
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BUSINESS PHONE:37 -'73,3 "096e)/ FAX# 7'
DUES ENCLOSED: X CLAIM FORM:
RENEWAL: /I\/- NEW MEMBER:
*ADDITIONAL MEMBERSHIP CARD (NAME)
**Call or send with this registration your suggestions for topics at this year's convention.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Street Commissioners Association
John Schnadenberg
IN SUM OF $
1490 Broadway, Suite 1
Chesterton, IN 46304
$35.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-553.001 $35.00 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
F iday arch 07, 2014
VVV1
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 $35.00
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