308285 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 314133
ONE CIVIC SQUARE UNITED STATES CONFERENCE CHECK AMOUNT: $*****5,269.00*
4' =a CARMEL, INDIANA 46032 OF MAYORS CHECK NUMBER: 308285
1620 EYE STREET NORTHWEST CHECK DATE: 02/13/17
WASHINGTON DC 20006
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355300 33950 5,269.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 314133 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
UNITED STATES CONFERENCE IN SUM OF$ CITY OF CARMEL
OF MAYORS 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.
WASHINGTON, DC 20006
Payee
$5,269.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Mayor's Office 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
33950 43-553.00 $5,269.00 1 hereby certify that the attached invoice(s),or 1/31/17 33950 $5,269.00
1160 101 1160 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
Tuesday, February 07,2017
Kibbe, Sharon
Executive Office Manager
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
THE UNITED STATES CONFERENCE OF MAYORS
c 1620 EYE STREET,NORTHWEST
ki
,o, WASHINGTON,D.C.20006
Telephone(202)293-7330
H� ,gild FAX(202)293-2352
DESCRIPTION .... _' „ .AMOUNT DUE
USCM Membership(January 1, 2017—December 31, 2017) $5269.00
Employer ID#53-0196642':� '- - .
The Honorable James Brainard INVOICE NOINVOICE DATE
City of Carmel 01/31/2017
One Civic Square 33950
Carmel, I N 46032 Please refer to the invoice number
on all correspondence.