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250729 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 356295 ONE CIVIC SQUARE INTERNATIONAL CODE COUNCIL INC CHECK AMOUNT: $"`*"""135.00' CARMEL, INDIANA 46032 900 MONTCLAIR ROAD CHECK NUMBER: 250729 +M o, BIRMINGHAM AL 35213 CHECK DATE: 10/21/15 UH� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 MEMBERSHIP 135.00 ORGANIZATION & MEMBER t frt,r� �E � it i�:. Y�,�` ti h`„�t�S�vke � i z -�r,:�"y �4r7” '�•�,,'t�' ��': See Reverse Side For *njPstrucfions i rt z F 'ti 049J82044070 International Code Council ,15Birmingham District Office y 00.48 900 Montclair Road M 2 L a �' e F� M 10/07/2015 Birmingham, AL 35213 { C Mailed From 35224 US POSTAGE James Blanchard City of Carmel 1 Civic Sq Carmel, IN 46032-2584 I I el E: E ;°=i1,I„!itt�t��l1!'��I�' 'l��I�I'll'll�llil,t'll!►!'ll'il'tlt�ll,1! B James Blanchard City of Carmel For Governmental Members Only:Each Governmental Member 1 Civic Sq om\ renewing its ICC Membership hereby agrees that its Primary Carmel, IN 46032-2584 ��®® Representatives and Governmental Member Voting L ®�®® Representatives may receive communications from ICC by ®®® electronic mail or other means of electronic communication,or by 1 INTERNATIONAL posting of such communications to ICC's website,together with ` Confirm To CODE COUNCIL' separate notice of such posting. MEMBER.NO. INVOICE NO. DESCRIPTION AMOUNT.DUE. E 5066197 3066614 Governmental Member Dues Pop up to $135 50,000 i People Helping People Build a Safer WorldrM I 1 •----------------------- ....................... ....................... : .�':- - �."�ES '^na' - �.. ..•. - ._.,..Wx:3 _. _a, .r..-,.- �a .. - .,.��'�st. ..,,. 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)) 10/07/15 Dues Jim B. $135.00 V 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 VOUCHER NO. WARRANT NO. ALLOWED 20 International Code Council, Inc. Membership IN SUM OF $ 900 Montclair Road Birmingham, AL 35213 $135.00 i ON ACCOUNT OF APPROPRIATION FOR I Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r 1192 I I 43-553.00 I $135.00 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 Thursday, October 15, 2015 Direct Title Cost distribution ledger classification if claim paid motor vehicle highway fund