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183042 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 359089 Page 1 of 1 `1 ONE CIVIC SQUARE US GREEN BUILDING COUNCIL CHECK AMOUNT: $500.00 CARMEL, INDIANA 46032 P O BOX 404296 ATLANTA GA 30384 -4296 CHECK NUMBER: 183042 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 90455292 500.00 ORGANIZATION MEMBER U.S. GREEN BUILDING COUNCIL Invoice Dear Christine Barton- Holmes, Thank you for your order. Please print or save this email for your records. Your Order is currently open until USGBC receives payment. Invoice payment is due upon receipt, if payment has already been submitted please await receipt confirmation email. Please send all check payments to: U.S. Green Building Council P.O. Box 404296 Atlanta, GA 30384.4296 Please include your Invoice with payment. Invoice Date:02 /12/2010 Invoice :90455292 Order :10913599 Please see below for your order details: Product Description Order Shipping List Sales Total Quantity Handling Price Tax Price USGBC Membership Renewal 1 EA 0.00 500.00 0.00 500.00 Total Invoice 500.00 Thank you, USGBC 2101 L Street NW Suite 500 Washington, DC 20037 202 -828 -7422 Please detach this stub and return with payment. Make check payable to U.S. Green Building Council USGBC Customer Name Christine Barton Holmes P.O. Box 404296 Customer Account 10062268 Atlanta, GA 30384 -4296 Invoice# 90455292 Order# 10913599 Invoice Payment Due upon Receipt, Amount 500.00 i Order Receipt littps:// www.Lisgbc.org/Stoi /Reecipt.aspx ?renew =I &t— ck &orderid... Welcome, Christine! Sign Out I Your Account I USGBC Store I Directories Search Home Resources Receipt Thank you for your continued membership in the U.S. Green Building Council. Please feel free to contact member services at 1- 800- 795 -1747 or membership@usgbc.org with any questions. Please print this page for your records. Order Number: 10913599 Order Date: 2/12/2010 Order Name: Christine Barton Holmes Awaiting Check. Please check vour email for further instructions on completing your payment. For check payments please allow 10 Status: 15 business days for processing. You will be notified via email when payment is received. Exempt Status. Taxable Sales Tax, $0.00 Total $500.00 Order Contents Item Number Description Sales Tax Price Quantity Total 10 USGBC Membership Renewal $0.00 $500.00 1.000 $500.00 About USGBC I Policies Guidelines I Frequently Asked Questions I Contact Copyrght 2010 US. Green Building Council, AI! Rights Reserved. 1 of 1 2/12/2010 10:36 AM VOUCHER NO. WARRANT NO. USBGC ALLOWED 20 IN SUM OF P.O. Box 404296 Atlanta, GA 30384 -4296 $500.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department i PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT, Board Members 1192 90455292 43 -55300 $500.001 1 hereby certify that the attached invoice(s), or 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 I Fr da brua 26, 2010 i Director, CS Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) r ACCOUNTS PAYABLE VOUCHER t CITY OF CARMEL a 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/12/10 90455292 Yearly dues $500.00 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