HomeMy WebLinkAbout241308 01/22/15 1y�r CAgMf '
CITY OF CARMEL, INDIANA VENDOR: 152500
® ONE CIVIC SQUARE INDIANA LEAGUE OF MUN C-T CHECK AMOUNT: $*******320.00*
?4 CARMEL, INDIANA 46032 125 W MARKET ST SUITE 240 CHECK NUMBER: 241308
9M�TON, INDIANAPOLIS IN 46204 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355300 MEMBERSHIP 320.00 CORDRAY SHEEKS JOHNSO
Or 2015 ILMCT ANNUAL DUES NOTICE
r Claim and Invoice
1
r, Due Date: 2015 Dues for all Classes of Membership due on or before March 1,2015
J
r I`
This invoice and claim for payment is made upon the Clerk, Controller or Clerk-Treasurer of-the City or Town,_
for payment of membership dues for the Indiana League of Municipal Clerks and Treasurers. You may pay
from this invoice for any classes of membership. Please check the appropriate box to indicate the class of
membership and dues schedule which,applies.
Active Members:
(Clerk-Treasurer, Clerk, Controller)
Towns with population under 700 $ 60.00 ❑
Towns or Cities with population of 701 to 5,000 $ 80.00 ❑
Towns or Cities with population of 5,001 to 20,000 $110.00 ❑
Towns or Cities with population over 20,001 to 35,000 $150.00 ❑
Towns or Cities with population over 35,000 $200.00 L2'
Please indicate your municipality population
Active Member Name:
Title: L-2/Clerk-Treasurer ❑ Clerk ❑ Controller
Certification (Check all that apply): lJ IAMC ❑ CMC ❑ MMC ❑ CPFA
Name of Municipality: 1, (( County
Office Address: AVIC -SI u l(L
City/Town/Zip:
Office Phone: 2� Fax:
Office e-mail. ��d' ( v
Home Address: City/Town/Zip:
Home Phone:
Financial computer.software used ,6'�a�l _
(This question is being asked to assist the Merit&Committee in placing people with like software.)
ILMCT Membership Benefits Include:
• Notice of League events (includes training and professional development opportunities)
i A subscription to the QUEST, the ILMCT official print and digital newsletter
• In some cases, discounts for League sponsored events
Access to League website—www.ILMCT.org
• Access to League Listserve
• Membership Roster
Associate Members: $60.00 each member C
(Staff of an active member of the league):
• Associate Member Name: Title:
Address: CI,'If(C i j City/Town/Zip: (I(�,(1(yl�i� tO 4�,
• Associateember Name, Title:
Address: U Vic, U eL City/Town/Zip:
(Please copy form for additional Associate Members)
Associate Members: $60.00 each member ❑
(Retired or former active member):
• Associate Member Name: Title:
Address: City/Town/Zip:
• Associate Member Name: Title:
Address: City/Town/Zip.-
(Please
ity/Town/Zip:(Please copy form for additional Associate Members) '
Affiliate Members: $60.00 each member ❑
(Any person in municipal government(elected or appointed)who is not already qualified for another
membership class)
• Affiliate Member Name: Title:
Address: City/Town/Zip:
• Affiliate Member Name: Title:
Address: City/Town/Zip:
(Please copy form for additional Affiliate Members)
Checks to be made payable to:
TOTAL ACTIVE MEMBER $ �b (�� Indiana League of Municipal Clerks
TOTAL ASSOCIATE MEMBER $ �Q (��` and'Treasurers or ILMCT
TOTAL AFFILIATE MEMBER $ Please remit payment to:
ILMC T
.25 W. Market Street, Suite 240
TOTAL AMOUNT ENCLOSED $ r V• Indianapolis, Indiana 46204
I hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing for
just credits and that no part of the same has been paid.
✓`'airawg ✓?w§wa,Secretary-Treasurer
PLEASE RETURN A COPY OF THIS INVOICEICLAIM WITH YOUR REMITTANCE
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
IL V L-T Purchase Order No.
1 6 Vy V airj�L±% v ' Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
A „T ALLOWED 20
� (j� IN SUM OF $
24D
Iy iAL
ON ACCOUNT OF APPROPRIATION FOR
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 materials or services itemized thereon
for which charge is made were ordered and
received except
I
20
Signature
1
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund