HomeMy WebLinkAbout194191 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 359978 Page 1 of 1
ONE CIVIC SQUARE GOLF COURSE SUPER. ASSOC OF AMER I
CARMEL, INDIANA 46032 PO BOX 219004 CCK AMOUNT: $80.00
KANSAS CITY MO 64121 -9004 CHECK NUMBER: 194191
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 80.00 ORGANIZATION MEMBER
Indiana Chapter
GCSA T
GOLF COURSE SUPERINTENDENTS ASSOCIATION OF AMERICA
1 Does State ment
Name: .0 c.4-
Company: r06 C'_ "i r
Address: Ol d o roy i �,Q uJ o� C q6 3
GCSAA Member 4
Phone Numbers
Office: 3 Z a q Cell: S D l 1 Fax: N1; f 80 Home:
Email Address: r n r
Membership Status: Complete membership classifications can be found on lndianaGCSAA.com.
V Class A: Employed as a superintendent for more then 3 years requires dual membership with GCSAA)
Superintendent Member: Employed as a superintendent for less then 3 years
(requires dual membership with GCSAA)
Class C: Employed as an assistant superintendent (does not requires dual membership with GCSAA)
Affiliate: Empolyed by a business or governmental body involved with golf course or turf. management.
(does not requires dual membership with GCSAA)
Associate: Individual employed in golf course or turf management.
(does not requires dual membership with GCSAA)
Retired: Dues 40.00
Student: There are no dues for student members
Honorary: There are no dues for honorary members
Amount Due: $80.00 unless other wise noted.
Please remit payment W /INVOICE to association address provided below.
Indiana Golf Course Superintendent Association
4815 South 100 West
Kokomo, IN 46902
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ALLOWED 20
GCSAA
IN SUM OF
4815 South 100 West
Kokomo, IN 46902
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 43- 553.00 $80.00 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
Monday, January 24, 2011
Director, Brooks4ri Golf Club
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))
01/01/11 Super Dues $80.00
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