HomeMy WebLinkAbout186375 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00350077 Page 1 of 1
ONE CIVIC SQUARE INDIANA STREET COMM ASSOCIATION CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 ATTN: LARRY LEE
soH �0 1301 LAFAYETTE AVE CHECK NUMBER: 186375
LEBANON IN 46052
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
2201 4357004 240.00 EXTERNAL INSTRUCT FEE
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70-10 ANNUAL CONVENTION REGISTRATION FORM
AUGUST 24 25 26 2010
Name of Registrant �/Ct tit C� letq
Address: no
Jj "r,
Phone: 3(7 7aa g o f
Spouse's Name (if attending):
E -Mail Address:
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T ISTRATION FEE MUST BE ENCLOSED WITH FORM
Current ISCA Member $120.00 (Convention Package)
Asst. Commissioner /Foreman $120.00 (Convention Package)
Other Additional Registrant $120.00 (Includes Meals)
Vendor Registration $300.00 (Includes Meals Vendor Cookout)
Booth (includes table and 2 chairs) $200.00
Note(s): Vendors must purchase a registration for each additional person in their group
at a cost of $12b.bo
All hotel accommodations must be made with a credit card at Swan Lake Resort
5203 Plymouth- LaPorte Trail
When making hotel reservations, let hotel know You Plymouth, IN 46563
are with the Indiana Street Comr issioners Association Ph: (574) 935 -5630 or
ISCA) (800) 582 -7539
Fax: (574)'995 -4698
Register Early Limited Rooms I SQ
*These rates will be guaranteed until 3uly 30, 2010 (Check -in time is 3:00 p.m.)
After July 30 will be released''to" the public.
Cancellation must be made four days prior to arrival for full refund of deposit.
*Vendors who want (hospiLaiity rooms) must contact Britt Sigler bsigler(dswanlakeresort com
Direet PhonC Line: (574) 935 -6569
Please complete and _return ISCA form only with check by July 31; 2010 to:
ISCA Convention Registration
Larry Lee, Secretary/Treasurer
Lebanon'Street Department
1301 Lafayette Avenue
Lebanon, In' diana `46052
Iff you have questions, please contact Larry Lee, Secretary/Treasurer at (765) 482 -8870.
i
VOUCHER NO. WAR NO.
ALLOWED 20
ISCA Convention Registration
Larry Lee, Secretary /Treasurer Lebanon St. De IN SUM OF
1301 Lafayette Avenue
"Lebanon, IN 46052
$2 40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Member
2201 43- 570.04 $240.00 1 hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June /03, 2010
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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))
06/01/10 $240.00
f 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