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190325 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 356295 Page 1 of 1 0 ONE CIVIC SQUARE INTERNATIONAL CODE COUNCIL CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 ATfN: MEMBERSHIP 900 MONTCLAIR ROAD CHECK NUMBER: 190325 BIRMINGHAM AL 35213 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 2799708 100.00 ORGANIZATION MEMBER Ej��I�CEDAqTE INVOICE Jim Blanchard 8 City nfCarmel You can now renew online! Go to 1 Civic Square www.iccsafe.or and L Canne[|N 48032 log in for your information. L INTERNATIONAL mDEmowur Confirm To MEMBER NO. INVOICE NO. DESCRIPTION AMOUNTDUE 5066197 2799708 Governmental Member Dues Pop $100.00 up to 50,000 Paopie Helping Peopie Build a Safer VVmrid= 049J82044070 International Code Council s o 00.440 Birmingham District Office d 09/6312010 goo Montclair Road c Mailed From 35224 Birmingham, AL 35213 US POSTAGE Jim Blanchard City of Carmel 1 Civic Square Carmel, IN 46032 Iilf Ft i iiii�lii3li llFlilil3li 111}17 }1}}171 }l�i�f!IIiiFI VOUCHER NO. WARRA NO. ALLOWED 20 ICC IN SUM OF 4051 West Flossmoor Road Country Club Hills, IL 60478 -5795 $100.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department 1 PO# l Dept. INVOICE NO. ACCT #rrITLE AMOUNT Board Members 1192 2799708 43- 553.00 $100.00 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 Mon y, S tembe 27, 2010 Director, D S 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 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)) 09/02/10 2799708 Jim Blanchard dues $100.00 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