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HomeMy WebLinkAbout328892 08/14/18 (9, CITY OF CARMEL, INDIANA VENDOR: 129401 ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECKAMOUNT: S*******175.00* CARMEL, INDIANA 46032 ao DOCS CHECK NUMBER: 328892 CHECK DATE: 08/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4357004 175.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 129401 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MICHAEL HOLLIBAUGH IN SUM OF$ CITY OF CARMEL C/O DOCS 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. Payee $175.00 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 Hollibaugh 43-570.04 $175.00 I hereby certify that the attached invoice(s),or 8/8/18 Hollibaugh 2018 Indiana Bike and Walk Summit $175.00 1192 101 1192 101 Conference Registration-Hollibaugh 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,August 10, 2018 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 Receipt { Date Time:8/8/2018 10:31:59 AM'-4^----�-.�....___ -�-��--- P � I an you ` Details • Item:.IN BWS 2018-full conference-Michael Hollibaugh 0 Price:S175.00 P • Quantity: 1 • Total:$175.00 ! P ! Total Charge: $175.00 I i f i { II y— Transaction Summary Order Number: 21234-1808081031598494216 I � Processing Date: 8/8/2018 j Authorization Code: 04795Z II �1 I Transaction Number: 1344411878 I Name on Card/Account: Michael Hollibaugh Payment Method: MasterCard s i � 1 t � Billing Information a Michael Hollibaugh i City Hall 1 Civic Square DOCS-Third Floor R s . i Carmel,Indiana 46032 t �. ;i mhollibaugh@cannel.in.gov (317)571-2417 k { Comments& Other Information Terms&Conditions i Hollibaugh, Mike P From: Bicycle Indiana <info@bicycleindiana.org> Sent: Wednesday,August 8, 2018 10:32 AM To: Hollibaugh, Mike P Subject. Thank you for registering! Dear Michael Hollibaugh, Thank you for registering for theFZO18--Indiana Bike anC)Uk_S.ummt► We look forward to networking and learning together at the conference. Please continue to check back at www.INBikeWalkSummit.oras we will regularly update the site as information comes available. If you have any questions,please contact Jess Hall at jess(cr�,bicycleindiana.org (te1317.466.9701). See you in August! Nancy Tibbett Kim Irwin Executive Director Executive Director Bicycle Indiana Health by Design The following is the list of all registrations: Michael Hollibaugh- IN BWS 2018 - full conference 1