190395 09/29/2010 CITY OF CARMEL, INDIANA VENDOR 360470 Page 1 of 1
ONE CIVIC SQUARE NATIONAL RECREATION PARK ASSOC
CARMEL, INDIANA 46032 PO Box 5007 CHECK AMOUNT: $108.00
MERRIFIELD VA 22116 -5007
CHECK NUMBER: 190395
CHECK DATE: 912 912 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4355300 196252 108.00 ORGANIZATION MEMBER
G's -National Recreation
Assoc
and Park Ms. Brooke Taflinger
Inclusion Supervisor Q O R °f p
R Membership Invoice
Carmel Clay Parks Recreation E X iration Date' 8/31/2010
1235 Central Pakr Drive East S E P 1 0 20 1 0 P
Carmel, IN 46032 -3455
Phone: (317) 848 -7275
Fax:(317) 571 -2468 BY'
Email: btaflinger @carmelclayparks.com
Website:
Tv"iember ii) Payment
Number: 196252 I Terms: I Upon Receipt
f
Quantity Item Description Unit Price Extended Amount
1 Professional -Add On $108.00 $108.00
Purchase
Description ME-MOERSH P.- 13 TAA F U NCB
P.O. Poo
G. L. !s 1=l I `I- 3J -2)0C::)
Une Des" h l z
cat
Approval Date Payments $0.00
Balance Due $108.00
Annual Fund Donation
Please consider a tax deductible donation to the Annual Fund. The Fund provides additional dollars to O $25
improve upon NRPA's opportunities for members including certification, education programming, and i7 $50
O $100
technical assistance.
O Other
J- Fax: 703.858.0794
Please Return Form and-Full Payment CL# 500007'
Mail: P.D. Box 5007
Merrifield, VA 22116 -5007
Credit Card: VISA MasterCard American Express Discover
Credit Card Number:
Expiration Date:
Name on Credit Card:
Signature:
Thank you for your continued support of NRPW
Membership Services 800.626.NRPA (6772) membership(a)nrpa.org
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
360470 National Recreation Park Assoc. Terms
P.O. Box 5007
Merrifield, VA 22116 -5007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8131110 196252 Membership B.Taflinger 23886 108.00
Total 108.00
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 -1.5
20_
Clerk Treasurer
Voucher No. Warrant No.
360470 National Recreation Park Assoc. Allowed 20
P.O. Box 5007
Merrifield, VA 22116 -5007
In Sum of
108.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT 4/TITLE AMOUNT Board Members
Dept
1091 196252 4355300 108.00 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
23 -Sep 2010
Signature
Is 108.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund