HomeMy WebLinkAbout232032 04/30/14 %' CITY OF CARMEL, INDIANA VENDOR: 364085
;; ® i. ONE CIVIC SQUARE MADISON COUNTY COUNCIL OF GOVTSHECK AMOUNT: $"*""""85.00"
_., ?� CARMEL, INDIANA 46032 16 E 9TH STREET CHECK NUMBER: 232032
,,�,,oN�� ANDERSON IN 46016 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 0 85.00 EXTERNAL INSTRUCT FEE
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ANNUAL MS4 MEETING
INVOICE
*Multiple registrants from one community/organization can submit a single check for
total payment. However, please include an invoice for each individual registered for the
Annual MS4 Meeting.
Make checks payable to:
Madison County Council of Governments
MCCOG TID#0002012189
Mail checks and a copy of the invoice to:
Attn: Jan Ford—2014 Indiana Annual MS4 Meeting
Madison County Council of Governments
16 E. 9' St.
Anderson, IN 46016
Questions:
Phone: 765.641.9482
jford@mccog.net
PO/Check#
Date 2�
Description 2014 Annual MS4 Meeting Registration—
May 13th, 2014
Issued for(insert registrant names, address and contact information here):
e !✓I'L 9uG./off p� /IG4 n
31?-57/- Zy
Re istrant Name Description Amount Due
Conference Registration $85.00
Total $85.00
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
Madison County Council of Governments Purchase Order No.
16 E. 9th Street Terms
Anderson, IN 46016 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
412512014 0 MS4 meeting dues-Gary Duncan $ 85.00
I.
Total $ 85.00
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
VOUCHER NC WARRANT NO.
Madison County Council of Governments ALLOWED 20
16 E. 9th Street IN SUM OF $
Anderson, IN 46016
$ 85.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 0 2200-4357004 S 85.00 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
4/28/2014
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
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