HomeMy WebLinkAbout194652 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00350825 Page 1 of 1
0 ONE CIVIC SQUARE ISCA CONVENTION REGISTRATION CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 LARRY LEE
1301 LAFAYETTE AVENUE CHECK NUMBER: 194652
LEBANON IN 46052
CHECK DATE: 2/16/2011
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 240.00 EXTERNAL INSTRUCT FEE
R_ _�u.
r IANA STREET �COMMISSIOXER'S ASSOCIATION`
4.x.,. ,h._.f t. ,a .r .3 A._.'�`t •.t _.iN' <.r�.1«Ta"r:�.�+'*,..'. F _T��
20 11 ANNUAL CONVENTION R EGISTRATION FORM
AUGUST 23 r 2�4 251h 2011
Name of Registrant ��V1 d (,t� r1 fln 0 r-_
Address: 1 1
Phone:
Spouse's Name (if attending): I
E -Mail Address: 11,�rvi�+��CQ�m�I I�. 00
R GISTRATIONI FEE MUST BE ENCLOSED WITH FORM
Current ISCA Member $120.00 (Convention Package)
Asst. Commissioner /Foreman $120.00 (Convention Package)
Other Additional Registrant $120.00 (Includes Meals)
Vendor Registration $300.00 (Includes Meals Vendor Cookout)
Booth (includes 6 -ft. table and 2 chairs) $200.00
(Limited booth area no more than 20 booths)
Note(s): Vendors must purchase a registration for each additional person in their group
at a cost of $120.00
All hotel accommodations must be made with a credit card at AZTAR Hotel
421 N.W. Riverside Drive
When making hotel reservations, let hotCl know you Evansville, IN 47708
are with the Indiana Street Commissioners Association Ph: (812) 433 -4000
(ISCA) or Block #5814. Ph: (800) 342-5386 or
(800) 544 -0120
l*VANSVILLE IS IN THE CENTRAL TIME ZONE Fax: (812) 433 -4398
*These rates will be guaranteed until July 11, 2011 (Check -in time is 4:00 p.m. Central Time
After July 11 rooms will be released to the public.
Cancellation must be made four days prior to arrival for full refund of deposit.
*Vendors who want thostsitality rooms) must gontact Michelle Horty at (812) 433 -4611 or
(mhorty0aztarindiana.com
Please complete and return ISCA form only with check by 3gly_11, 2011 to:
ISCA Convention Registration
Larry Lee, Secretary /Treasurer
Lebanon Street Department
1301 Lafayette Avenue
Lebanon, Indiana 46052
If you have questions, please contact Larry Lee, Secretary/Treasurer at (765) 482 -8870.
VOUCHER NO. WARRANT NO.
ALLOWED 20
ISCA Convention Registration
Larry Lee, Secretary/Treasurer Lebanon St. De IN SUM OF
1301 Lafayette Avenue
Lebanon, IN 46052
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 43- 570.04 $240.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
f Monday, /February 14, 2011
Street Commissioner'
1LI CG l,Ut t it It
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))
02/04/11 $240.00
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