244533 04/21/15 ,�w.SQgMi
CITY OF CARMEL, INDIANA VENDOR: 364085
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ONE CIVIC SQUARE MADISON COUNTY COUNCIL OF GOVT§HECK AMOUNT: $""""'765.00'
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CARMEL, INDIANA 46032 16 E 9TH STREET CHECK NUMBER: 244533
a.;yoN-' ANDERSON IN 46016 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 103441 765.00 EXTERNAL INSTRUCT FEE
22®O - H-2,
3
ANNUAL T
INVOICE � � a
Registration Fees
Individual Registration $85
Silver Sponsor Registration $600
Platinum Sponsor Registration $1200
Please complete the following information:
Name Employer/Company Name Amount Due
John Thomas City of Carmel $85
Jeremy Kashman City of Carmel $85
Kurt Anderson City of Carmel $85
Shane Burnham City of Carmel $85
Dan Greskamp City of Carmel $85
Aaron Hoover City of Carmel $85
Alex Jordan City of Carmel $85
Total Amount Due $595
Make checks payable to:
Madison County Council of Governments
MCCOG TID#0002012189
Mail checks and a copy of this invoice to:
Attn:Jan Ford-2015 Indiana Annual MS4 Meeting
Madison County Council of Governments
16 E. Stn St.
Anderson, IN 46016 -- - -
Questions:
Phone:765.641.9482
jan@heartiandmpo.org
NOTE:. ALL REGISTRATION/SPONSOR FEES MUST BE RECEIVED BY MAY 8, 2015 OR THE
REGISTRATION WILL BE CANCELLED. IF YOU HAVE A LOCAL POLICY/REQUIREMENT THAT YOU NEED
TO ATTEND THE EVENT BEFORE SUBMITTING REGISTRATION PAYMENT,THE INDIVIDUAL WILL NEED
TO PAY AND SUBMIT FOR REINBURSEMENT THROUGH THEIR EMPLOYER. THE STATE BOARD OF
ACCOUNTS DOES NOT REQUIRE ATTENDANCE BEFORE PAYMENT.
ANNSAL MS4 MEETING
INVOICE
Registration Fees
Individual Registration $85
Silver Sponsor Registration $600
Platinum Sponsor Registration - $1200 ,
Please complete the following information:
Name Employer/Company Name Amount Due
Julia Litchford City of Carmel $85
Caleb Warner City of Carmel $85
Total Amount Due $ 170
Make checks payable to:
Madison County Council of Governments
MCCOG TID#0002012189
Mail checks and a copy of this invoice to:
Attn:Jan Ford—2015 Indiana Annual MS4 Meeting
Madison County Council of Governments
16 E. 911 St.
—Anderson, IN 46016
Questions:
Phone:765.641.9482
jan@heartlandmpo.org
NOTE: ALL REGISTRATION/SPONSOR FEES MUST BE RECEIVED BY MAY 8, 2015 OR THE
REGISTRATION WILL BE CANCELLED. IF YOU HAVE A LOCAL POLICY/REQUIREMENT THAT YOU NEED
TO ATTEND THE EVENT BEFORE SUBMITTING REGISTRATION PAYMENT,THE INDIVIDUAL WILL NEED
TO PAY AND SUBMIT FOR REINBURSEMENT THROUGH THEIR EMPLOYER. THE STATE BOARD OF
ACCOUNTS DOES NOT REQUIRE ATTENDANCE BEFORE PAYMENT.
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
4/17/2015 0 MS4 Meeting-10 Staff members $ 765.00
Total $ 765.00
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.
Madison County Council of Governments ALLOWED 20
16 E. 9th Street IN SUM OF $
Anderson, IN 46016
s
$. 765.00
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 0 2200-4357004 $ 765.00 bill(s) is (are) true and correct and that the
I
materials or services itemized thereon for
which charge is made were ordered and
received except �.
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4/20/2015
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City Engineer ;
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Cost Distribution ledger classification if Title
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