192117 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350333 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIES /TOW
0 r HECK AMOUNT: $24,295.00
CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340
INDIANAPOLIS IN 46225 CHECK NUMBER: 192117
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4355300 2011- DUES -C1 24,295.00 DUES
F.
COPY
J
200 South Meridian Street Suite 340 Indianapolis, IN 46225
Phone (317) 237 -6200 Fax (317) 237 -6206 www.citiesandtowns.org
Indiana Association of
Cities and Towns
INVOICE
TO. Invoice Number
City of Carmel 2011- Dues -C19
One Civic Square
Carmel, IN 46032
2011 TACT DUES $24,295
Malre,'ehe'cks paya. e to.: Indiana 1�ssociatYon of Cttt aazd= Towns
OR:
lAC I :accepts the Following credit cards: (plea "se compete th'e follovaulg)
..IVlaster,Card Visa Dtscbv_er,
CardNutnber
Lx ration date 3 t secur code
p ty
Nameon Credit'C
13illu> `Address of Cxedtt Card 4
IACT Government Affairs Program Contribution (optional)
$2,000 $1,500 $1,000 ,$500 Other
IACT Foundation Contribution (optional)
$1000 $500 $250 $100 Other$
Total Remittance
T hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing all just credits, and
that no part of the sari has been paid.
Date: November 15, 2010
4 tthew C. Greller, ]ACT Executive Director
Please return a copy of this invoice with remittance by January 31, 2011 to.
Indiana Association of Cities and Towns, 200 S. Meridian St. Suite 340, Indianapolis, IN 46225
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Association of Cities and Towns
IN SUM OF
200 South Meridian Street, Suite 340
4
Indianapolis, IN 46225 t
$24,295.00 I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
T
1205 1 2011- Dues -C19 43- 553.00 1 $24,295.00 1 hereby certify that the attached invoice(s), or
I 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
Monday, November 22, 2010
Director, dministration
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))
11/15/10 I 2011 Dues -C19 $24,295.00
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