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192470 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 141991 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOC OF BLDG OFFICIALS CARMEL, INDIANA 46032 250 FRANKLIN STREET CHECK AMOUNT: $300.00 COLUMBUS OH 47201 CHECK NUMBER: 192470 CHECK DATE: 1217/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 697 300.00 ORGANIZATION MEMBER Indiana Association of Building Officials Invoice No. 697 250 Franklin Street Columbus, Indiana 47201 INVOICE customer Misc Name Carmel Buildin Dept. Date 11/15/2010 Address One Civic Square Order No. City Carmel State In ZIP 46032 Rep Phone FOB Qty Description Unit Price TOTAL 6 2011 Active Dues for: $40.00 240.00 1. Jim Blanchard 2. William Hohlt 3. Darren Mast 4. Craig Miser 5. Brent Liggett 6. Adam Schriner 2011 Associate Membership 3 1. Beth Druley $20.00 60.00 2. Nick Mishler 3. Trudy Weddington ,d,,dd QAv� buy SubTotal 300.00 Shipping Payment Select One... Tax Rate(s) Comments Sorry, We do not accept credit cards TOTAL 300.00 Name CC Expires Serving Building Officials in Indiana since 1946 Building Excellence VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Association of Building Officials IN SUM OF 250 Franklin Street Columbus, IN 47201 $300.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOGS Department PO# I Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 43- 553.00 1 hereby certify that the attached invoice(s), or 1192 697 43- 553.00 $300.00 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, December 06, 2010 irector, DOS 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)) Beth, Nick, Pam 11/15/10 697 Dues: Jim, Bill, Darren,Craig, Brent, Adam $300.00 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