304948 11/09/16 E1 CITY OF CARMEL, INDIANA VENDOR: 356653
ONE CIVIC SQUARE ALEXIA LOPEZ CHECK AMOUNT: $*******220.00*
CARMEL, INDIANA 46032 1265 E 106TH STREET CHECK NUMBER: 304948
INDIANAPOLIS IN 46280 CHECK DATE: 11/09/16
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 110716 220.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED- 20 ACCOUNTS PAYABLE VOUCHER
ALEXIA LOPEZ
1265 E 106TH STREET IN SUM OF$ CITY OF CARMEL -
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46280 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$220.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
ULI Dues 43-553.00 $220.00 I hereby certify that the attached invoice(s),or 1112/16 ULI Dues Alexia Lopez ULI dues $220.00
1192 101 1192 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, November 03,2016
Mike Hollibaugh
Director
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
(http://uli.org)
Thank You!
Your order number is: 2170967
You may want to print this page for your records.
ULI has also sent an email acknowledgement to:alopez@carmel.in.gov
Purchased for:
Alexia Lopez
City of Carmel, Planning&Zoning
Carmel, IN
United States
alopez@carmel.in.gov
Purchased from:
Urban Land Institute
2001 L Street NW
Suite 200
Washington, DC 20036
CC Billing Address
1 Civic Square
DOCS
Carmel, IN,46032
United States
Date of Purchase: Nov 02,2016
Items Price
Associate Membership $220.00
TOTAL: $220.00
Payment via Credit Card XXXXXXXXXXXX7873 $220.00
Balance due: $0.00