HomeMy WebLinkAbout248878 08/26/15 "f CITY OF CARMEL, INDIANA VENDOR: 141040
ONE CIVIC SQUARE INDIANA CPA SOCIETY
CHECK AMOUNT: $*****1,002.00*
CARMEL, INDIANA 46032 PO BOX 40069 CHECK NUMBER: 248878
9.yi,oN_�r INDIANAPOLIS IN 46240-0069 CHECK DATE: 08126115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 15554 501.00 OTHER EXPENSES
651 5023990 15554 501.00 OTHER EXPENSES
REGISTRATION
INDIANA\
CPA
MEMBER ID NO. AICPA ID NO. \SOCIETY//
FULL NAME
NAME TO GREET BY FIRM/COMPANY
3/-7- 5�/- L,7t 7i-)- 5 �/ - :1:2 5'
WORK PHONE NO. FAX NO.
EMAIL
S4, 0 CW0R HOME
(circle)
STREET ADDRESS no P.O.Boxes
CITY STATE
C(',JNTY ZIP CODE
COURSE DATE COURSE TITLE CITY CREDIT PRICE
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INCPAS MEMBERS:Are you registering for at least 40 hours of CPE on or before August 31? If so,take a 25%
discount off your total.For conferences—Early Bird Discount cannot be taken in addition to the ValuePlus discount. pp
ValuePlus excludes Professional Issues Update and tvebinars. 1 TOTALTo participate in the VahtePlus Program,registration fornns must be received before August 31,2015.
Valid only when registering for at least 40 hours of CPE.
I have read the ValuePlus Program policies and I agree to abide by them. I understand
that if I fail to follow these policies, my participation in the program will be revoked. TOTAL
(minus 25%discount)
SIGNATURE C�
Method of Payment AMEX Discover MasterCard Visa Check
CREDIT CARD NO. EXP. DATE CVV#(Iasi 3 digits on back ofcard)
NAME INDICATED ON CARD SIGNATURE
Payment must be submitted with the registration form. tllake checks payable to: Indiana CPA Society, P.O. Box 40069, Indianapolis, IN 46240-0069.
)*on map also register by phone:(317) 726-5000 or 1-800-272-205=1 o fax:(317) 726-5005. For snore information,entail:info@incpas.org or go to incpas.org.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
141040
Indiana CPA Society Purchase Order No.
8250 Woodfield Crossing Blvd. Terms
#305 Due Date 8/20/2015
Indianapolis, IN 46240-4348
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2015 15554 $501.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
3orrect and I have audited same in accordance with IC 5-11-10-1.6
Date icer
VOUCHER # 152892 WARRANT# ALLOWED
141040 IN SUM OF $
Indiana CPA Society
8250 Woodfield Crossing Blvd.
#305
Indianapolis, IN 46240-4348
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
15554 01-6040-08 $501.00
5 � l
Voucher Total $501.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
REGISTRATION
INDIANADA
��
MEMBER ID N0. AICPA ID N0. SOCIEN/�
FULL NAME `
NAME TO GREET BY FIRM/COMPANY
3/�� 5�1- � �jl i - 5i 5
WORK PHONE NO. FAX NO.
C,sir;c, i^�t r`/� (= �ti'd- !f•�) moi': tM ��.��'�, i? v•'
EMAIL
(WOR HOME
(circle)
STREET ADDRESS no P.O.Boxes
CITY STATE -
C(:JNTY ZIP CODE
COURSE DATE COURSE TITLE CITY CREDIT PRICE
I
t7 ll' LY'�c I �i ^`, )Ci LIt S' �, ����L, ' ✓�S Ih S�,'IIt� �S 32
t a�: - t
INCPAS MEMBERS:Are you registering for at least 40 hours of CPE on or before August 31? If so,take a 25%
discount off your total.ror conferences—Early Bird Discount cannot be taken in addition to the ValuePlus discount. 0t7
ValuePlus excludes Professional Issues Update and webinars. 1, JJ_7.
TOTAL
To participate in the ValuePlus Program,registration forms nnrst be received before August 31,2015.
Valid only when registering for at least 40 hours of CPE.
I have read the ValuePlus Program policies and I agree to abide by them. I understand TOTAL
that if I fail to follow these policies, my participation in the program will be revoked.
(minus 25%discount)
SIGNATURE
Method of Payment AMEX Discover MasterCard Visa Check
CREDIT CARD NO. EXP. DATE CVV#(last 3 digits on back of card)
NAME INDICATED ON CARD SIGNATURE
PaYment must be submitter/ with the registration form. Make checks potable to: Indiana CPA Societe, P.O. Box 40069, Indianapolis, hV 46240-0069.
Ion mai,also register by phone:(317) 726-5000 or 1-800-272-205.1 or far:(317)726-5005. For more information,entail:info@incpas.org or go to incpas.org.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
141040
Indiana CPA Society Purchase Order No.
8250 Woodfield Crossing Blvd. Terms
#305 Due Date 8/20/2015
Indianapolis, IN 46240-4348
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2015 15554 $501.00
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
Date Officer
h
VOUCHER # 156156 WARRANT # ALLOWED -
141040 IN SUM OF $
Indiana CPA Society
8250 Woodfield Crossing Blvd.
#305
Indianapolis, IN 46240-4348
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
15554 01-7360-0E $501.00
Voucher Total $501.00
Cost distribution ledger classification if
claim paid under vehicle highway fund