HomeMy WebLinkAbout300018 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 365,410
fb `1 ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $*******334.00*
CARMEL, INDIANA 46032 28 WEST EVENING ROSE WAY CHECK NUMBER: 300018
MroN�. WES�FIEID IN 46074 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2016PGADU S 334.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
BRIAN BALLARD ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
28 WEST EVENING ROSE WAY IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
W ESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$334.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s).or bill(s)) AMOUNT
2016 PGA Dues 43-553.00 $334.00 1 hereby certify that the attached invoice(s),or 6/30/16 2016 PGA Dues 2016 PGA Dues for B.Ballard $334.00
1207 101 1207 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
Thursday,June 30,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
P S
Your Pagmenthas been Approved!
THIS IS YOUR PAYMENT RECEIPT
Thank you for renewing your membership in the PGA of America. This is your payment receipt.
Please PRINT IT NOW for. your records. Your membership credentials will be mailed separately. If
you do not receive them within a few weeks, please contact the PGA Membership Services .
Department at 800-474-2776.
Brian S. Ballard, PGA 27392746
Name: 1D:
A0435Y
Reference#:
Visa
Payment Type:
xxxxxxxxxxxx9807
Card umber:
Brian S. Ballard, PGA
Card Holder:
$334.00
Payment Amount:
06/30/2016 .
Payment Date:
Description Amount
055 Member Sectional Dues $175.00
Member National Dues $100.00
Life Insurance Premium $34.00