241363 1 /22/2015 Coq
CITY OF CARMEL, INDIANA VENDOR: 369044
ONE CIVIC SQUARE PURDUE EXTENDED CAMPUS CHECK AMOUNT: $'".....540.00`
4 CARMEL, INDIANA 46032 126 MEMORIAL MALL,STEWART ROOM 110 CHECK NUMBER: 241363
Mr6n Via. W LAFAYETTE IN 47907-2034 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 396978 540.00 EXTERNAL INSTRUCT FEE
PURDUE 2200 — L435-400'-J Invoice
U N I V E R S I T Y
Invoice Number: 39697
Purdue Extended Campus Date: 1/15/2015
128 Memorial Mall,Stewart Center, Room 110
West Lafayette, IN 47907-2034 Invoice Total: 540.0
Business Office 765-494-7213 Payment Due Date: 1/15/2015
Distance 800-830-0269 Conferences 866-515-0023 Amount Due: 540.0
Federal Tax ID Number:35-6002041 PO Number:
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Phone: (317) 571-2441
Fax: (317) 571-2439
Group: City of Carmel #15629
Comments:
Items:
Type Description Amount Paid Due
Charge Anderson,Kurt 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Sectional Term:15FY Dates:2/12/2015
Charge Boone,Tiffany 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Section:1 Term:15FY Dates:2/12/2015
Charge Duncan, Gary 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Section:1 Term:15FY Dates:2/12/2015
Charge Greskamp, Daniel D. 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Section:1 Term:15FY Dates:2/12/2015
City of Carmel Invoice Number: 39697
One Civic Square Date: 1/15/201
Carmel, IN 46032
Invoice Total: 540.0
Payment Due Date: 1/15/2015'
Amount Due: 540.0
Remit To:
Payment Amount:
Purdue Extended Campus Credit Card Payment: Visa_ MC_ Disc_ Amex_
128 Memorial Mall, Stewart Center, Room 110 Card Number:
West Lafayette, IN 47907-2034
Business Office 765-494-7213 Expiration Date:
Distance 800-830-0269 Conferences 866-515-0023 Signature:
General Information 800-359-2968
Returned checks,drafts,or orders are subject to a service charge of$20 or the maximum allowed by law.
Page 1 of 3
PURDUEInvoice
U N I V E R S I T Y
Invoice Number: 396978
Purdue Extended Campus Date: 1/15/201
128 Memorial Mall,Stewart Center,Room 110
West Lafayette, IN 47907-2034 Invoice Total: 540.00
Business Office 765-494-7213 Payment Due Date: 1/15/20
Distance 800-830-0269 Conferences 866-515-0023 Amount Due: 540.0
Federal Tax ID Number:35-6002041 PO Number:
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Phone: (317) 571-2441
Fax: (317)571-2439
Group: City of Carmel #15629
Comments:
Items:
Type Description Amount Paid Due
Charge Hoover,Aaron 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Section:1 Term:15FY Dates:2/12/2015
Charge Jordan,Alex 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Sectional Term:15FY Dates:2/12/2015
Charge Kashman,Jeremy M. 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Sectional Term:15FY Dates:2/12/2015
Charge Litchford,Julia 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Section:1 Term:15FY Dates:2/12/2015
City of Carmel Invoice Number: 39697
One Civic Square Date: 1/15/201
Carmel, IN 46032 0-1
Invoice Total: 540.0
Payment Due Date: 1/15/2015
Amount Due: 540.0q
Remit To: Payment Amount:
Purdue Extended Campus Credit Card Payment: Visa_ MC_ Disc_ Amex_
128 Memorial Mall, Stewart Center, Room 110 Card Number:
West Lafayette, IN 47907-2034
Business Office 765-494-7213 Expiration Date:
Distance 800-830-0269 Conferences 866-515-0023 Signature:
General Information 800-359-2968
Returned checks,drafts,or orders are subject to a service charge of$20 or the maximum allowed by law.
Page 2 of 3
PURDUE Invoice
U N I V E R S I T Y
Invoice Number: 396978
Purdue Extended Campus Date: 1/15/2015
128 Memorial Mall,Stewart Center, Room 110
West Lafayette, IN 47907-2034 Invoice Total: 540.0
Business Office 765-494-7213 Payment Due Date: 1/15/2015
Distance 800-830-0269 Conferences 866-515-0023 Amount Due: 540.00
Federal Tax ID Number:35-6002041 PO Number:
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Phone: (317) 571-2441
Fax: (317)571-2439
Group: City of Carmel #15629
Comments:
Items:
Type Description Amount Paid Due
Charge Thomas,John 60.00 0.00 60.00
03-Government Attendee Registration Fee
Stormwater Drainage Conference/2015-Schedule#:15629 Area:1284
Number:399 Subtitle:00 Section:1 Term:15FY Dates:2/12/2015
City of Carmel Invoice Number: 396978
One Civic Square Date: 1/15/2015
Carmel, IN 46032 Invoice Total: 540.00
Payment Due Date: 1/15/2015
Amount Due: 540.00
Remit To: Payment Amount:
Purdue Extended Campus Credit Card Payment: Visa_ MC_ Disc_ Amex_
128 Memorial Mall, Stewart Center, Room 110 Card Number:
West Lafayette, IN 47907-2034
Business Office 765-494-7213 Expiration Date:
Distance 800-830-0269 Conferences 866-515-0023 Signature:
General Information 800-359-2968
Returned checks,drafts,or orders are subject to a service charge of$20 or the maximum allowed by law.
Page 3 of 3
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
Purdue Extended Campus Purchase Order No.
128 Memorial Mall, Stewart Room 110 Terms
West Lafayette, IN 47907-2034 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
1/15/2015 396978 Indiana LTAP Stormwater Drainage Conf-9 ppl $ 540.00
Total $ 540.00
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 NO WARRANT NO.
Purdue Extended Campus ALLOWED 20
128 Memorial Mall, Stewart Room 110 IN SUM OF $
West Lafayette, IN 47907-2034
$ 540.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 396978 2200-4357004 $ 540.00 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
1/20/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund