307788 01/30/17 CITY OF CARMEL, INDIANA VENDOR: 00353324
ONE CIVIC SQUARE NATIONAL RECREATION & PARK ASSOCHECK AMOUNT: $.....`*360.00`
: ra. CARMEL, INDIANA 46032 CL#500007 CHECK NUMBER: 307788
Po box 5007
' CHECK DATE: 01/30/17
M�roN MERRIFIELD VA 22116-5007
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 41036 20084754 360.00 2017 ANNUAL FEE
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INRPAand
National Recreation Invoice
Park Association
National Recreation and Park Association
CL#500007
Date Account#
P.O. Box 5007
Merrifield, VA 22116-5007 ---�- -°
703-858-0784 R. 1/3/17 22594
JAN 1 7 2017
Carmel Clay
Parks and Recreation
Attn: Michael W.Klitzing ��' `°""""""
1411 E 116th St
Carmel, IN 46032-3455
Amount Enclosed $
Invoice PO
Date Number Number Description Amount Credits Balance
1/3/17 20084754 CAPRA 2017 Annual Fee $360.00 $0.00 $360.00
Total Due: $360.00
Make check payable to NRPA and remit to the address as indicated above. Include your invoice number and
your acct.#with your remittance. For your reference-Invoice Number: 20084754,Account Number: 22594 .
Thank you for your continued support of NRPA.
Method of Payment:
Please make checks payable to: National Recreation and Park Association Check Number:
Credit Card: F-� Visa 0 Mastercard 0 American Express 0 Discover
Credit Card Number:
Expiration Date: (mm&M) Name on Credit Card:
Signature: