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HomeMy WebLinkAbout333608 12/14/18 +u�c�qM �% \� CITY OF CARMEL, INDIANA VENDOR: 314301 :;• ONE CIVIC SQUARE URBAN LAND INSTITUTE CHECK AMOUNT: $*******100.00* ���; CARMEL, INDIANA 46032 PO BOX 418166 CHECK NUMBER: 333608 Miji�N•�a BOSTON MA 02241-8168 CHECK DATE: 12/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 2759998 100.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 314301 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER URBAN LAND INSTITUTE IN SUM OF$ CITY OF CARMEL PO BOX 418168 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. BOSTON, MA 02241-8168 Payee $100.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineering Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 2759998 43-553.00 $100.00 1 hereby certify that the attached invoice(s),or 12/11/18 2759998 Membership-Jeremy Kashman $100.00 2200 2200 2200 2200 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, December 11, 2018 Jeremy Kashman 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— Clerk-Treasurer 20Clerk-Treasurer ]_ � \ UrbonLand |noUbde-LBMemborship PDBox 4181GO ' Bnab�n MA 02241-8168 u Email: mamberehip��u|iorg 71, 1-800-321-5011or202-624-7109 Im Cuutomor#: 0}O85SG18| Invoice Mr. Jeremy Komhman Invoice#: 2759998 City ofCarmel, DOCS Invoice Date:� 12/11%3018 One Civic Square Canne|. |N 46032 ption Product Qty Price Discount Paid Amount Arno Code Miscellaneous Public Agency Member Addon M|SCAGNM 1 $100.00 $0.00 $0.00 s100.00 This invoice must be paid in full within 30 days of the invoice date. Questions Invoice Total $100.00 can be directed to customerservice@uli.org or by calling +1-800-321-5011 or +1-410'626'7500. /u^ Amount Paid $0.00 Balance $100.00 Please Pay $100.00 USD PLEASE DETACH AND REMIT WITH YOUR PAYMENT Cuotomer#: O0O85G810| Select Payment Method B11"Check Enclosed Mr. Jeremy Koahmon Card Provider Exp Date City ofCarmel, DOCS One Civic Square Card Conne|. |N 46032 Card Holder's Name Card Holder's Signature Remit Payment To: Urban Land Institute - LB Membership Total Due: $100.00 POBox 4181O8 Boston, N1AO2241 8168 Amt Remitted : -%100.0c)