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245209 05/13/15 . ��4\f. CITY OF CARMEL, INDIANA VENDOR: 368046 ® �� ONE CIVIC SQUARE N T E A CHECK AMOUNT: $*******150.00* ,. ,_�; CARMEL, INDIANA 46032 37400 HILLS TECH DRIVE CHECK NUMBER: 245209 9,y- . FARMINGTON HILLS MI 48331-3414 CHECK DATE: 05/13/15 �roN co DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4355300 150.00 ORGANIZATION & MEMBER Affiliate Division of MZ A. --------------------- TA -- MENow— THE A—CIATION FOR THE WORN TRUCK rNOU8TRT MEMB-ERSHIP-APPLICATION COMPANY INFORMATIONANNUAL Membership is company based.This person will be NTEA's main contact for your company.All correspondences and NTEA Member inquiries will be sent to his/her attention. L( c�v�j� o Industry............................$40. O Today's D to �- . . Fleet*.... . ........................$i50 Name Title ' 16.r?�� 61 J,44�u S i0e? *Includes Educational Institution or Government Agency Company Cct✓'tu d _'S,�retill Address 3 y�0 l,E�� /,�3/S� �� Membership Dues are paid on an annual basis, are renewed one year from the date of application,and are non-refundable. Address Membership is contingent on membership of the NTEA. City C c1✓wi State Zip �) 7 �� AYMENT INFORMATIO Phone Fax 217-73,?��J Email ( (4 w, ,,,, Ccr.�k,�/,ori , ✓ Check enclosed(payable to NTEA) Website JWcJ• �GJ�wa t', iq . mor/ Ll Charge AmEx, VISA or MasterCard Billing Address O Same as above Acct# *CIV# This is required as an added safeguard for your Address credit card purchase Address Exp. Date Billing Zip Code City State Zip Name on Card NOTE: You will be sent a separate form for you to detail exactly how you want your company listed in our print and online directories. Signature Please return this application QUESTIONS? with payment to: NTEA Call 1 -800-441-6832 37400 Hills Tech Drive or (248) 489-7090 Farmington Hills, MI 48331-3414 GTAinfo@ntea.com We look forward to serving you. FAX: (248) 489-8590 Effective 3-15 Fees subject to change. COPYRIGHT©MARCH 2015 NTEA The Internal Revenue Code was amended In 1993 to reduce the business deduction for the portion of the trade association dues allocated to lobbying. A percentage(9.5%)of your dues payment is NOT deductible as an ordinary and necessary business expense. VOUCHER NO. WARRANT NO. ALLOWED 20 NTEA IN SUM OF$ 37400 Hills Tech Drive Farmington Hills, MI 48331-3414 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 2201 I I 43-553.001 $150.00 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 Thurs , M 20 5 f 01 Stre(8tiloner 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)) 05/05/15 $150.00 I 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