HomeMy WebLinkAbout334076 01/04/19 a or_t,BM
CITY OF CARMEL, INDIANA VENDOR: 00352482
ONE CIVIC SQUARE IMPACT
CHECK AMOUNT: $********90.00*
CARMEL, INDIANA 46032 125 W MARKET STREET STE 240 CHECK NUMBER: 334076
INDIANAPOLIS IN 46204-2882 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4355300 01.03.19 90.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352482 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IMPACT IN SUM OF$ CITY OF CARMEL
125 W MARKET STREET STE 240 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.
INDIANAPOLIS, IN 46204-2882
Payee
$90.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Human Resources 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
01.03.19 43-553.00 $20.00 1 hereby certify that the attached invoice(s),or 1/3/19 01.03.19 Dues J Spelbring $20.00
1201 101 1201 101
01.03.19 43-553.00 $20.00 bill(s)is(are)true and correct and that the 1/3/19 01.03.19 Dues S Wolfgang $20.00
1201 101 materials or services itemized thereon for 1201 1 101
01.03.19 43-553.00 $50.00 1/3/19 I 01.03.19 I Dues B Lamb I $50.00
1201 101 which charge is made were ordered and 1201 101
received except
Wednesday,January 2,2019
Lamb, Barbara
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
2019 IMPACT Dues
IMPACT IMPACT
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PERSONNELS ANDT WXMS S
FOR CRIESAND TOWNS � PERSONNEL ADMINISTRATORS
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City: OA-Q,-M. LZ State:, �J Zip: &03 �7—
Phone: 3 1-7 5`7l ' a 4/7 Fax: 3 7-S��-i � 5
Email: L_AcrY1 T3 P (A-P-/h LZ, 6 Oy
Z Secondary Member-$20.00(Each additional person from a Municipality)
Name: SU( (Aj oL '6A4ij 6
Title:
Municipality: Q_i Tl1a� �c,Z.
Address: j Ci l Vic S U �.%
City: (',Pr2�1 Lam- State Zip: 41.4 032
Phone: 3/ `7 7/- 5T5_0 Fax:3 f-7-5-7l
Email: sl,c�bl-1�GAr RJ (� �C/t�2irn.�Z, �nl� GOi/
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Name:, .51�MLFt 'SP&--L32cA)6
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City: 0'40(- M L-Z State;/ Zip: G�J3b
Phone: 3l-7 `51/-024(R7 Fax:
Email; �?'S��'L(3� 1►u� C/k(�lYt c�`L, �/lll 6 o V
Mail completed forms and payments no later than May 31,2018 to:
Aim, 125 W. Market Street,Suite 100, Indianapolis, IN 46204
Paying By: IMPACT accepts the following credit cards(Please complete the following)
❑Check# ❑American Express ❑Discover ❑MasterCard ❑Visa Amount:
(Payable to Aim) Card Number:
Expiration Date: Verification Code:
❑Credit Card Name on Credit Card: Stab mitred To
Billing Address:
Signature: JAN 02 2019
Clerk Treasurer
2019 IMPACT Dues
IMPACT IMPACT
INDIANA MUNICIPAL
PERSONNELADMINISTRATORS INDIANA MUNICIPAL
FOR
CRIES AND TOWNS �imary Member-$50.00 (First person from a Municipality) `°FF°°ESAN°OW 5S
Name: A- O L—A Yyv4
Title: 1J pf j+U rv`A,,'j `:S 0 u 2 e-&---S
Municipality: C. Z7-Y Of «-!yYi G-L
Address: _ I 1 C- L
City: OA-P-M. C--, L State: Zip: `I&03
Phone: 3 1-7 571 " 417 / Fax: 317-S I- 410 5
Email: 131—Acm T6 P (A-z.rnLFL --r.N, 66V
Secondary Member-$20.00(Each additionaPperson from a Municipality)
Name: CU C L) 0LF(->A -
Title: '3(,`VJ��lT S ry�Y�/�-al► G L=�2
icipality:
Address:
City: r.Pr'1 -fn State Zip: 4( 032-
Phone: 3/ 7-.5"9/ .5es-0 Fax: '� )-7-5`7l-d2'/0`�
Email: 5l,Ub1-F6Ar1U —tAl, Go✓.
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Name:, ,I-AML� SPOLYS 2cN6
Title: 0 r-F( t° � 14�rn /,I/,Ij t 2
Company: L%7--t o F CA-k Cz
Address: 1, Ci V 1 c S A-f-.c%
City: 0- A'Q-M L-'-t- State. Zip:
Phone: '3,-7 ",r,11-,;2'1(,'7 Fax: 3 7-9?I�� y�
Email - TTSPa;-L(3R IPJE� C AM c--Z, -T:Al, 6 o V
Mail completed forms and payments no later than May 31,2018 to:
Aim, 125 W. Market Street,Suite 100, Indianapolis, IN 46204
Paying By: IMPACT accepts the following credit cards(Please complete the following)
1:1 Check# ❑American Express ❑Discover ❑MasterCard ❑Visa Amount:
(Payable to Aim) Card Number:
Expiration Date: Verification Co ffi dT,
❑Credit Card Name on Credit Card:
Billing Address: JAN 0 2 2019
Signature:
Clerk Treasurer
2019 IMPACT Dues
IM0 PACT IMPACT
WDEL MUNIQPAL
PERSONNELADMINISTfUTORS WDUWA MUNIUPAL
'°. jj-f-rimary Member-$50.00(First person from a Municipality)
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Name: A- A L-A-m4
Title: W- 14-u rv`A-,cj k��50 u 2��
Municipality: C SrY Of CIAI2n't.C2
Address: I C-1 V I
City: O,A-bZm. CSL State:, �J Zip: (oD3 Z
Phone: 3 1-7 5 7/ " 147 / Fax:
Email: 13LAM T3 P CA-kAL- _-E7/UI 6 0 V
Aff"Secondary Member-$20.00(Each additional person from a Municipality)
Name: >U C: (,u 0L F 6/4-rj 6
Title: Be7V ,' -iT S M"SGL—�
Municipality: 0-/ Ty O- 4-kmLZ
Address: VIC v �-'
City: (�,Ph2 f-n (%2 State Zip: 03L
Phone: 3/ -7-,-5-'7/- Fax:3 J-7-571-,2`1015
Email: 5L&)Ol--fF 64 AJ OCA-krM.&FL, —tAb Q oV.
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Company: Q- T'Y c) .e-.L-
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City: State./ Zip: G�3a
Phone: 3 i-7 -611- z4(P7 Fax:
Email - 3'T'SPOL P' IC/gym c--L I ---F-/l/, 6 01/
Mail completed forms and payments no later than May 31,2018 to:
Aim, 125 W. Market Street,Suite 100, Indianapolis, IN 46204
Paying By: IMPACT accepts the following credit cards(Please complete the following)
❑Check# ❑American Express ❑Discover ❑MasterCard OVisa Amount:
(Payable to Aim) Card Number:
Expiration Date: Verification 8medTo
❑Credit Card Name on Credit Card:
Billing Address:
Signature:
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