HomeMy WebLinkAbout230063 03/12/14 'C,q
CITY OF CARMEL, INDIANA VENDOR: 368046
® s' ONE CIVIC SQUARE N T E A CHECK AMOUNT: $***"***300.00*
CARMEL, INDIANA 46032 37400 HILLS TECH DRIVE CHECK NUMBER: 230063
FARMINGTON HILLS MI 48331-3414 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 43SS300 300.00 ORGANIZATION & MEMBER
TILE
WORK
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SHOW.
® SpecialjoiSite Promotion ��
HIP
Sign up to join the Association
MEMBE® during The Work Truck Show 2014,
THE ASSOCIATION FOR THE WORK TRUCK INDUSTRY and receive three additional months
APPLICATION
of membership free of charge!
'-------------------------------------=
• • • • • •
Today's Date This person will be designated as NTEA's primary contact for your
Company Cc:>~t e/ -1-e e, i'Yeo company.All correspondences and inquiries will be sent to his/her
Toll Free attention.
Local Phone 1 7 73 3 - a b U / r `l e r/`
Fax _ `7 3 3 - Q-00 5 Referred by !1 h J /
E-mail Ctpp �t 1 't/r� a n lE' C.Q✓-ps,
Web site U to G C 4 Name ���z al '0 cs
Mailing Address Title � ✓ � Civ l"2 SS/0 17 7°
Line 1 �3 /C>U
LE-mail
Line 2
City, State,Zip,Country Co"I—e- -7.4/ 6'07 Local Phone 3o - '733-Doe /
Fax 30 '7?
Billing Address A Same as above
Line 1
Line 2 Mailing Address JAI Same as above
City, State,Zip,Country Line 1
Line 2
NOTE: You will be sent a separate form for you to detail exactly how City, State, Zip, Country
you want your company listed in our print and online directories.
• • •AMATIO
Associate ❑ Check enclosed (payable to NTEA)
companies that are not distributors or manufacturers but
are affiliated with the truck equipment industry through ❑ Charge AmEx, VISA or MasterCard
an ongoing business relationship with distributor and/or
manufacturer members.
Acct#
ASSOCIATE CATEGORIES DUES
*Fleets <100 Vehicles..............................................$300 Exp. Date "CIV#
❑Fleets >100 Vehicles..............................................$600
'This 1,required as an added safeguard for your—&—d purchase.
❑International...........................................................$600
❑Truck Dealers.......................................................:.$400 Name on Card
❑Leasing Companies...............................................$800
❑Business Service Providers ...................................$800
❑Raw Materials Suppliers........................................$800 Signature
❑Shop Equipment Suppliers....................................$800
❑Component Parts Suppliers...................................$800
❑Chassis Manufacturers.......................................$1,750
❑Manufacturers Representatives.............................$300
Please complete this application and Questions?
return with payment to:
Call 1-800.441-6832 or (248)489-7090
NTEA, 37400 Hills Tech Drive FAx (248)489-8590
Farmington Hills, MI 48331-3414
We look forward to serving you.
The Internal Revenue Code was amended in 1993 to reduce the business deduction for the portion of trade association dues allocated to lobbying.
A percentage(4.7%)of your dues payment is NOT deductible as an ordinary and necessary business expense.
Effective 1-13 WTS2014 On-Site
Fees subject to change. 'Membership dues are paid on an annual basis and are non-refundable.
VOUCHER NO. WARRANT NO.
ALLOWED 20
NTEA
IN SUM OF $
37400 Hills Tech Drive
Farmington Hills, MI 48331-3414
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I I 43-553.001 $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
/I/Fri arc 07, 2014 t?I �v All
$tre91rre'0nCoJxfts@Toner
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
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