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186371 06/09/2010 (9) CITY OF CARMEL, INDIANA VENDOR: 362490 Page 1 of 1 ONE CIVIC SQUARE INDIANA GOLF COURSE SUPERINTENDENICK AMOUNT: $80.00 CARMEL, INDIANA 46032 ASSOCIATION 4815 SOUTH 100 WEST CHECK NUMBER: 186371 KOKOMOIN 46902 CHECK DATE: 61912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 164825 80.00 ORGANIZATION MEMBER t A +r Indiana Chapter SA GOLF COURSE SUPERINTENDENTS ASSOCIATION OF AMERICA 2010 Dues Statement Name: Company: <A Address: /JQ0 &bok_S GCSAA Member Phone Numbers Office: 31� ,)q? !b Cell: 31 S01 Fax: 317 84a e t 960 Home: Email Address: b hr .a Co Q im_P I, Membership Status: Complete membership classifications can be found. on IndianaGCSAA.com. Class A: Employed as a superintendent for more then 3 years requires dual membership with GCSAA) Superintendent Member: Employed as a superintendent for less then 3 years (requires dual membership with GCSAA) Class C: Employed as an assistant superintendent (does not requires dual membership with GCSAA) Affiliate: Empolyed by a business or governmental body involved with golf course or turf management. (does not requires dual. membership with GCSAA) Associate: Individual employed in golf course or turf management. (does not requires dual membership with GCSAA) Retired: Dues 40.00 Student: There are no dues for student members Honorary: There are no dues for honorary members Amount Due: $80.00 unless other wise noted. Please remit payment W/ INVOICE to association address provided below. Indiana Golf Course Superintendent Association 4815 South 100 West Kokomo, IN 46902 Aga r. 4: 1 w vi `i {5,? .VOUCHER NO. WARRANT NO. ALLOWED 20 IN Golf Course Superintendent Assoc. IN SUM OF 4815 South 100 West Kokomo, IN 46902 $80.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 164825 43- 553.00 $80.00 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 Wednesday, June 02, 2010 Director, Brooksh Golf Club Title 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 property 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)) 05131/10 164825 Dues $80.00 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