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253097 01/11/16 (9, CITY OF CARMEL, INDIANA VENDOR: 00350333 ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIES/TOVIA�HECK AMOUNT: S""27,344.00* CARMEL, INDIANA 46032 125 W.MARKET ST.#240 CHECK NUMBER: 253097 INDIANAPOLIS IN 46204 CHECK DATE: 01/11/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4355300 01.31.16 27,344.00 ORGANIZATION & MEMBER Indiana Association of Cities and Towns INN'Q,m 125 W.Market Street Suite 240•Indianapolis,IN 46204 � Im Phone(317) 237-6200•Fax(317)237-6206 •www.dtiesandtowns.org Indiana Association of Cities andTowns C (OP City of Carmel INVOICE One Civic Square 25267 Carmel, IN 46032 2016 IACT Dues: $273,3444.00 TACT Government Affairs Program Contribution (optional) ❑ $2,000 ❑ $1,500 ❑ $1,000 ❑ $500 ❑ Other$ TACT Foundation Contribution (optional) ❑ $1000 ❑ $500 ❑ $250 ❑ $100 ❑ Other$ TACT Ambassador Program (optional) ❑ $1000 ❑ $500 ❑ $250 ❑ $100 ❑ Other$ Total Remittance: SubmAted To I hereby cern y that the foregoing is just and correct,that the amount claimed is legally due after allowing all just credits, and that no p xt of the same has been paid. JAN 0 4 20 lork T recasurer Matthew C. Greller,IACT Executive Director Please return a copy of this invoice with remittance by January 31,2016 to: Indiana Association of Cities and Towns,125 W.Market Street Suite 240,Indianapolis,IN 46204 ---------------------------------------- Mak checks payable to: Indiana Association of Cities and Towns OR TACT accepts the following credit cards (please compete the following) ❑Master Card ❑Visa ❑Discover Card Card Number: Expiration date: 3-digit security code: Name on Credit Card: Billing Address of Credit Card: Signature: 'rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 01/31/16 01.31.16 2016 IACT Dues $27,344.00 1205 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 INDIANA ASSOCIATION OF CITIES/TOWN 125 W. MARKET ST. #240 IN SUM OF$ INDIANAPOLIS, IN 46204 $27,344.00 ON ACCOUNT OF APPROPRIATION FOR i /Y\__TTj PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members- I 01.31.16 I 43-553.00 I $27,344.00 1 hereby certify that the attached invoice(s), or 1205 101 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 Monday, January 04, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund