190315 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00351637 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA NURSERY LANDSCAPE ASS EHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 6533 MARGARET COURT
INDIANAPOLIS IN 46237
CHECK NUMBER: 190315
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4355300 25.00 ORGANIZATION MEMBER
P7
INDIANA ACCREDITED HORTICULTURIST
r CEU FULFILLMENT TRACKING FORM AND ADDRESS UPDATE
INDIANA NURSERY AND LANDSCAPE ASSOCIATION Name: It l 5ki `-j
Sponsoring Company: C I `N o C_M -1_ dTP -E
Address: 34cc LJ I s 6T Check One: Home Work v
City: W 6_5 T (L L' b State IM Zipcode
Phone: Z l ?3 -aQD) Fax:
E mail: V-5 W4 dcr a C n 1vI V
Manual (if available) Certification Expiration Date: 1 ,301 ,,201 D
Recertification Guidelines: Certified individuals must submit (via CEU forms) 7 hours of Continuing Education
Units per two year certification period OR must re -test. Non -INLA CEU programs must be pre approved by
the IAH committee. Please note that CEU program costs will vary.
YOU M. ST SUBMIT PAYMENT WITH RECERTIFICATION.
Recertification Fees: INLA or NWINLA M $25 each Non Members $45 each
Check or credit card payment must be enclosed.
Credit card: Master Card Visa Discover Card number:
Expiration date: 3 digit security code:
Name on card:
Billing address:
Reinstatement: Following two or more years of inactive status, you must retest. Retesting is an additional fee.
Continuing Education Units: May be earned by attending approved education only sessions of the following:
Indiana Green Expo January of each year www.inlal .orb or www.indiana2reenexpo.com
INLA Summer Meeting July /August of each year www.inlal .ors
Indiana Nursery and Landscape News CEU bi- monthly quiz
The INLA will log your attendance for all INLA attended events. If your status is ACTIVE, you can access your
C EU record at www.inlal.or and click on `certification' and then `Active'.
NOTE: If you are requesting credit for programs other than those listed above, you must provide proof of attendance
and a copy of the program.
1) Name of Program: 66 J 613 "o 0— 14 G�lJ G4Po
Number of Hours: r- 7 (S k A c� w
2) Name of Program:
Number of Hours:
3) Name of Program
Number of Hours
4) Name of Program
Number of Hours
5) Name of Program
Number of Hours
Indiana Nursery and Landscape Association 7915 S. Emerson Ave., Ste 247 Indianapolis, IN 46237
Phone 317.889.2382 Toll Free 800.443.7336 Fax 317.889.3935 dsheets@inlal.org www.inlal.orl7
VOUCHER NO. WARRA NO.
Indiana Nursery and Landscape Association ALLOWED 20
IN SUM OF
'.15 S. Emerson Ave. Ste 247
Indianapolis, IN 46237
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 43- 553.00 $25.00 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
hursd�y1Sep �iber 23, 2010
U
Street CommissloYer
WIAG- l! ii EI11EJJ) I]
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
09/21/10 $25.00
1 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