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327112 07/06/18
CITY OF CARMEL, INDIANA VENDOR: 365410 ® iI ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $*******339.00* CARMEL, INDIANA 46032 28 WEST EVENING ROSE WAY CHECK NUMBER: 327112 WESTFIELD IN 46074 CHECK DATE: 07/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 PGA 339.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.209(Rev.laa5) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 365410 BRIAN BALLARD IN SUM OF$ CITY OF CARMEL 28 WEST EVENING ROSE WAY 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. WESTFIELD, IN 46074 Payee $339.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Brookshire Golf Course Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT PGA 43-553.00 $339.00 1 hereby certify that the attached invoice(s),or 6/28/18 PGA 2018 PGA Dues $339.00 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 Friday,June 29,2018 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 OF C.4 pqr~�F( I 1 A r CITY OF CARMEL Expense Rspoe- (required for all travel expenses) CEEDIGHBOY "'Cl- 2 , EMPLOYEE NAME: DEPARTURE DATE: TIME: AM/PM DEPARTMENT: J.16 -7 RETURN DATE: TIME: AM/PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM �i Transportation Gas/Tolls/ �. Meals •.•�:. � Date Lodging Misc. Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem LEE] I 4. i Total — - - - - - --- - --- --— -- - - - -- _�_-- - 3� DIiRECTOWS STATEf�E T. ereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. �j Director Signature: Date: )--9 A t 9`34v of C..r .0 Gong 6/28/2018 PGA Member Portal' MENU Your Payment has been Approyed! 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, 27392746 Nan-Ie: PGA Reeeit #: A04cI2 PT`menMastercard Type: Cal.a xxxxxxxxxxxx02O9 Number: ar Brian S. Ballard Holder: Payn�ellt $339.00 Amount: Payment 06/28/2018 https://extranet.pgalink$.com/memberonly2/017/pgamemssadues.validcc_page 1/3 6/28/2018 PGA Member Portal Date: r, Description Amount 055 Member Sectional $175.00 Dues Member National Dues $1.00.00 Life Insurance Premium $44.00 Liability Insurance $15.00 Premium Member Assistance $5.00 Program Total: $339.00 Click here to return to PGA.or�_ PGA.org Login Forgot Password Apply to be an Employer How to Become a Member For PGA Members https://extranet.pgalinks.com/memberonly2/017/pgamemssadues.validcc_page 2/3 6/28/2018 PGA Member Portal"" Change Forms" Contact PGA Jobs In.Golf Additional Resources PGA.com PGA Magazine Merchandise Shop Careers at HQ Social Responsibility.Report © ® ► .o0 2018 The PGA of America https://extranet.pgalink$.com/memberonly2/017/pgamemssadues.validcc_page 3/3