HomeMy WebLinkAbout255616 02/26/16 M1/-4�?+:
c.. ,� CITY OF CARMEL, INDIANA VENDOR: 357005
® ONE CIVIC SQUARE DAVID LITTLEJOHN CHECK AMOUNT: $*******415.00*
;_� CARMEL, INDIANA 46032 4840 N.GUILFORD AVENUE CHECK NUMBER: 255616
M��TpN�°' INDIANAPOLIS IN 46205 CHECK DATE: 02/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 022516 415.00 EXTERNAL INSTRUCT FEE
Receipt THE LEAGUE
ORDER-89015 OF AMERICAN BICYCLISTS
Order Information since 1880.
Date 1/28/2016
PO Number
Status Paid
Balance Due $0.00
Credit Due $0.00
Customer Information
Full Name David Littlejohn
Business Phone
Mailing Street 1 Civic Sq
Mailing City Carmel
Mailing State/Province IN
Mailing Zip/Postal Code 46032-2584
Mailing Country
Order Line Items
Contact Product Unit Price Unit Discount Total
David Littlejohn Member-2016 National Bike Summit&Women's $415.00 $415.00
Forum
Registrant 1 Subtotal: $415.00
Tax Amount: $0.00
Total: $415.00
Payments
Date Received Type Authorization.ID/Check Number Amount
1/28/2016 Credit Card 7931055199 $415.00
The League of American Bicyclists, 1612 K St NW Suite 308,Washington, DC 20006
202-822-1333. EIN 36-6206225
The League is a 501(c)3 nonprofit organization.Donations are fully tax-deductible unless otherwise noted.Personal membership
dues are partially tax-deductible;a tax statement is included with the membership card.
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
uvhom, rates per day, number of hours,rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
02/05/16 0 Registration for Bike Summit $415.00
1192 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
DAVID LITTLEJOHN
4840 N. GUILFORD AVENUE
IN SUM OF$
INDIANAPOLIS, IN 46205
$415.00
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
043-570.04 $415.00 1 hereby certify that the attached invoice(s), or
1192 I I 101 I
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
Friday, February 05, 2016
/ � e
Cost distribution ledger classification if
claim paid motor vehicle highway fund