308310 02/13/17 *• CITY OF CARMEL, INDIANA VENDOR: 371497
'} ONE CIVIC SQUARE YOURMEMBERSHIP.COM, INC. CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 DEPT 3461 CHECK NUMBER: 308310
.ylrow.�o, P.O.BOX 123461 CHECK DATE: 02/13/17
DALLAS TX 75312-3461
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 R16801869 250.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371497 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
YOURMEMBERSHIP.COM, INC. IN SUM OF$ CITY.OF CARMEL
DEPT 3461 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
DALLAS, TX 75312-3461
Payee
$250.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Enaineerinq 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
R16801869 42-390.99 $250.00 1 hereby certify that the attached invoice(s),or 5/16/15 R16801869 Payment for Assistant City Engineer posting- $250.00
2200 201 Prior Year 2200 201 Indiana Soc.Of Prof.Eng.
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
Tuesday, February 07,2017
Kashman,Jeremy
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
0
yourmembership
YourMembership Inc ***Order Information***
541 Eastern Point Rd INVOICE#: R16801869
Suite 3
Groton, CT 06340 IO/PON#: --
Tel.727-497-6573 NUMBER OF PURCHASES: 1
DATE DUE: 05/16/2015
City of Carmel BALANCE DUE: $250.00
1 Civic Square
Carmel, Indiana 46032
United States ***Purchased By***
Attn: Jim Spelbring NAME: Jim Spelbring
PHONE: 317-571-2465
EMAIL: jpspelbring@carmel.in.gov
Date Description Job Board Product ID Paid Amount
04/16/2015 Assistant City Engineer Indiana Society of Professional Engineers 20751196 N $250.00
Subtotal: $250.00
Sales Tax: $0.00
Total: $250.00
***PLEASE NOTE OUR NEW REMITTANCE ADDRESS***
POSTAL MAIL:
YourMembership.com, Inc
Dept 3461
PO Box 123461
Dallas,TX 75312-3461
USA
ELECTRONIC:
Bank: Silicon Valley Bank
Routing #: 121140399
Swift Code: SVBKUS6S (International only)
Acct#: 3301167484
Acct Name: YourMembership.com, Inc
Please reference the invoice number with your payment. Checks should be made payable to
YourMembership.com, Inc.Thank you for your business.
2200— +ZS9091