HomeMy WebLinkAbout195138 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 358862 Page 1 of 1
ONE CIVIC SQUARE NATIONAL AFTERSCHOOL ASSOC CO YRECK AMOUNT: $3,690.00
CARMEL, INDIANA 46032 C/O MMc
8400 WESTPARK DR SECOND FLOOR CHECK NUMBER: 195138
MCCLEAN VA 22102
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 2011 CONFRN 3,690.00 EXTERNAL INSTRUCT FEE
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Your confirmation will be sent via e rnaii. Be sure to include an e -mail address.
Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG
Name S e t q JggtjSoti Badge Name
Organization CAM tiL.
Program /Agency (if applicable)
Address 1q11 E 11 VW S
City (or Military Base) GRRMEL
State (or County of Province) Zip y�0o3
Email 6jWiSOn (Armtid AmIT&IKS Phone 1 594 0 Fax 3
73
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Registration Cate gories Step 3 Advanced 1 On -Site
Tell LIS MOYC tl+
Earl Reg Reg
i
Sept 'l— Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31 2010 Mar 20, 2011
2010 31,2011
Member Rate )(Afterschool Program
$335 $385 $410
Full Convention�� Administrator /Director /Coordinator
E Trainer /Consultant/Curriculum Specialist
=�a°
College Instructor /Professor /Researcher
Member Rate a Sat/Sun $290 $340 $365 g
2 Days I 4 Sun /Mon I J Public School Administrator /Principal /School
Board
Join Now or Renew $395 $445 $470 j Government Employee
Your Membership Join
Full Convention Renew
For AfterSchool Program Staff, please indicate
Join Now or Renew Join $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days Sat/Sun t Youth Serving Organization
Sun /Mon U Teacher /Frontline Staff
Non Member '___T_$4""5_5'_ $505 $530
Full convention J Director /CEO
g
J Supporter /Researcher
Nornmember Sat/Sun 1 :,2 _$4i 5 $465 $490 x Parks and Recreation
2 Days I i Sun /Mon I i Private, for profit
J Private, not for profit
J Public School
A Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
Payment Information J C Car (Visa, MC, AM Discover) Check to NAA
istration
TOTAL Re 368o (jA-gE x #ylo Qa.. Make Checks Payable to:
9 National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703 610 -0203
registration @naaconvention.org
Billing address
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Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG
Name JENti1 ZOPim Badge Name JFNa1iFE2
Organization CAMEL WAZVO
Program /Agency (if applicable)
Address ���0 Sir
City (or Military Base) CAM
State (or County of Province) Zip
Email 140WO &_CA(4 C1 UT&[kT.CoM Phone 111- M-Sabo Fax 3s?- 571
P iStraation Categorie Step 3 Advanced On -Site Tee US r°s� ora
Eariy.Reg Reg Reg
Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31, 2011
Member Rate _t $335 $385 $410 Afterschool Program
Full Convention Administrator /Director /Coordinator
J Trainer /Consultant/Curriculum Specialist
Sun /Mon $3�5
2 Days College Instructor /Professor /Researcher
Member Rate
Sat/Sun a $2 $340 a public School Administrator /Principal /School
I Su
Board
Join Now or Renew $395 $445 $470 Government Employee
Your Membership Join
Full Convention Renew I
_...._,____y_._ For Afterschool Program Staff, please indicate
Join Now or Renew Join $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days
Sat/Sun
Youth Serving Organization
Sun /Mon
455 Teacher /Frontline Staff
$505
Non
Member $530
F It Convention Director /CEO
$415_ _$465_ �aso Parks
Supporter/Researcher
Non member
Sa f I and Recreation
2 Days Sun /Mon I I J Private, for profit
Private, not for profit
1L,' Public School
Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
I'aymenf inform tion 1 -.t Credit Card (Visa, MC, AMEX, Discover) Y Check to NAA
Q ql o Make Checks Payable to:
TOTAL Registration 3�qo (i eri tmr National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
McLean, VA 22102
Card Name (printed) Phone: 703 -610 -0257 Fax: 703- 610 -0203
Billing address registration @naaconvention.org
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Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG 1
Name V El t PER— t 1 4d4 M'0' J S Badge Name �JENN 1,
Organi zation CAMEL Ct.A`l
Program /Agency (if applicable)
Address 1q 11 E. 116
City (or Military Base) GRMEL
State (or County of Province) zip
Email ihjt Md OAG 0,CArt4gc(AtltALfI'LE.CoM Phone W-S??'5'a40 Fax 3
!ref istrntior tCf t it~5 Ste .3 Advanced On -Site 4 1 Ll
Early Reg Reg Reg
Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31, 2011
Member Rate Afterschool Program
$335 $385 i $410 Administrator /Director /Coordinator
Full Convention
J Trainer /Consultant/Curriculum Specialist
College Instructor /Professor /Researcher
Member Rate SaUSun $290 $340 $365 g
2 Days _i Sun /Mon I I ?Public School Administrator /Principal /School
Board
Join Now or Renew $395 $445 $470 Government Employee
Your Membership J Join
Full Convention Renew
For Afterschool Program Staff, please indicate
Join Now or Renew ,loin J $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days Sat /Sun a
::,5 Youth Serving Organization
t
Sun /Mon
_._...m_.� Teacher /Frontline Staff
Non•Member $455 $505 $530
Full Convention Director /CEO
3 Supporter /Researcher
Non member U Saysun f $415 f $465 $490 Parks and Recreation
2 Days I Sun /Mon I I; Private, for profit
Private, not for profit
J Public School
Wa Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
Pay,rnent lnfocMition J Credit Card (Visa, MC, AMEX, Discover) Check to NAA
r p Q
TOTAL Registration 3640 1f x qlo Make Checks Payable to;
National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 Floor
McLean, VA 22102
Card Name (printed) Phone: 703- 610 -0257 l=ax: 703 610 -0203
registration @naaconvention.org
Billing address
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5
G 3ylord Palms Resort �4 Convention Center y
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Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMC
t^r n,. l
Name 11M 1 Ivcpt-J&H4m Badge Name f y
Organization L d` �0
Program /Agency (if applicable)
Address M11 E. 11V
City (or Military Base) C AME L
State (or Countll Zip
�Email Q•\ i CA117149JA'T WkT CoM Phone Ill 5l3- Saito Fax
Registration Cate °icy Step 3 Advanced On -Site
EarlyReg Reg Reg
Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar E 20, 2011
2010 31, 2011
Member Rate AfterschoolProgram
$335 $3s5 $410
Full Convention Administrator /Director /Coordinator
6
4 Trainer /Consultant/Curriculum Specialist 1. _M_ e_r Rate Sat/Sun $34 4 0 $365 g
Colle e Instructor /Professor /Researcher
Member $290
2 Days I Sun /Mon f Public School Administrator /Principal /School
Board
Join Now or Renew $395 $445 $470 Government Employee
Your Membership Join
Full Convention Renew
For Afterschool Program Staff, please indicate
Join Now or Renew F Joan $360 $435 the type of program from the list below.
Your Membership Renew
2 Days Sat /Sun
Youth Serving Organization
Sun/Mon J Teacher /Frontline Staff
Non- Member $455 $505 $530
Full Convention Director /CEO
Supporter /Researcher
Non member saysun f $415 $465 $490 Parks and Recreation
2 Days i Sun /Mon I Private, for profit
FI Private, not for profit
i Public School
,.i Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
Payment Infor nation j Credit Card (Visa, MC, AMEX, Discover) Check to NAA
77�� pp Q Make Checks Payable to:
TOTAL Registration �IOlO x qjopa National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 Floor
McLean, VA 22102
Card Name (printed) Phone: 703 -610 -0257 Fax: 703 -610 -0203
Billing address registration @naaconvention.org
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Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchooi Association, c/o MMG
Name N I Badge Name CyAlb
Organization CAXWL d' WWTO
Program /Agency (it applicable)
Address 1q II E. 116-m
City (or Military Base) GRfU ELr
State(orCounty zip
Email CCQu1m CA`0 54 C(AgTW k -T. CoM Phone 1 M Fax 3 -:M
R;4e,istrntion Categories Step 3 Advanced i On -Site P us t e...
Early Reg Reg Reg
'Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31, 2011 11 It
Member Rate y Atterschool Program
$335 $385 $410
Full Convention Administrator /Director /Coordinator
Trainer /Consultant/Curriculum Specialist
Member Rate Sat/Sun $340 $365 College Instructor /Professor/Researcher
2 Days Sun /Mon I Public School Administrator /Principal /School
__..,.W Board
Join Now or Renew $395 $445 470 ,,,.4 Government Employee
Your Membership Join
Full Convention Renew For Afterschool Program Staff, please indicate
Join Now or Renew i Join $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days
Sat/Sun �=1 Youth Serving Organization
Sun /Mon
Teacher /Frontline Staff
Non Member W 'o I 'l l Full Convention Director /CEO
J Supporter /Researcher
Non member i satisun $415 $465 $490 Parks and Recreation
2 Days 1 Sun /Mon Private, for profit
I_f Private, not for profit
.J Public School
:j Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
f:layment lnfos miation ..i Credit Card (Visa, MC, AMEX, Discover) Check to NAA
r p Q ,A�r Make Checks Payable to:
TOTAL Registration Qo� 1��.G 1 X National Afterschool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703- 610 -0203
Billing address registration @naaconvention.org
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Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG
Name A M Y U LDA UP Badge Name AMY
Organization CAMSL CLM
Tol
4
Program /Agency (if applicable)
Address MI E. 116 S 1
City (or Military Base) CAME
State (or County of Province) zip 4t0o3
Email 0Lbf AA0+ i? C 009 CI "[J LT GM Phone �0� Sa�14 Fax 3
Registration CatE gori0S Step 3' Advanced On -Site i,€ LiS, f 0t
Early: Reg Reg Reg
Sept t Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31, 2011
Member Rate' )(Afterschool Program
Full Convention
$335 $385 $41 o Administrator /Director /Coordinator
Trainer /Consultant/Curriculum Specialist
Membe Day s 65 College Instr $3 uctor /Professor /Researcher
r Rate t satlSun ,a $290 $340
y I S u n/Mon J Public School Administrator /Principal /School
�W_ r.._ ..r 45 Board
Join Now or Renew $395 $4 $470 {government Employee
Your Membership Join
Full Convention Renew
For Afterschool Program Staff, please indicate
Join Now or Renew -Join $360. $435 the type of program from the list below.
Your Membership Renew
2 Days
sausun Youth Serving Organization
Sun /Mon
Teacher /Frontline Staff
Non Member $455 $505 $530
Full Convention €k Director /CEO
Supporter /Researcher
Non- member sausun I $415 $465 $a90 Parks and Recreation
2 Days Su /M on T Private, for profit
Private, not for profit Public School
Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
p Itiiol`ITisitiGii j Credit Card (Visa, MC, AMEX, Discover) Y Check to NAA
r p (iA -rri jw f Make Checks Payable to:
TOTAL Registration Vo x #qto pa) National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703- 610 -0203
Billing address registration @naaconvention.org
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Gaylord PaUrn Re5ort ,8 Co.nve tit ion Center
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Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG
Name 6Eow40 EA Badge Name &E00 L.,�
Organization CAXMSL CL -iflags a gggonotJ
Program /Agency (if applicable)
Address Iq II E. 116 -m
City (or Military Base) CAME
State (or County of Province) zip �1(003
Email �P,OIWACk t?CA(4C(A%IT&EIi Phone IeI 5;Lqa Fax 3i1-573-!L�
R eciistratiorf Cat eg ie Step.3 Advanced On -Site
EPHY Reg Reg Reg
fit
Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31, 2011
Member Rate r $335 $385 $410 Afterschool Program
Full Convention Administrator/Director/Coordinator
i Trainer /Consultant/Curriculum Specialist
College Instructor /Professor /Researcher
��nnemee� Rate sausun $290 $340365
2 Days Bun /Mon Public School Administrator/Principal/School
Board
in Now or Renew $395 $445 $470 f Government Employee
Your Membership Join
Full Convention Renew
For AfterSchool Program Staff, please indicate
Join Now or Renew Join $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days Sat /Sun
SunlMon
__f Youth Serving Organization
Teacher /Frontline Staff
Non
Member f y $455 $505 $530 Director/CEO
Full Convention
Non member SatlSun $ai 5 $ass $4e0 Parks aT SupporterlResearcher
and Recreation
2 Days _..i Sun /Mon `a Private, for profit
_......._W Private, not for profit
J Public School
i Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
l merit Information Credit Card (Visa, MC, AMEX, Discover) Check to NAA
P p Q q 1 0 TOTAL Registration I Make Checks Payable to: National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703 610 -0203
Billing address registration @naaconvention.org
Aprt1 16 18` 2011
o
`Gaylnrd Pallms Resort '.Convention Center
Your iif' :3a pit "i, F. i:.:` w;3 k�lS<�w L'a ..51 t_9 'a�} °r �a
Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG
Name uOAw Love Badge Name /VA -ALIT
Organi zation C A E L C LA AMS M 0
Program /Agency (if applicable)
Address IqII 1E6 S�
City (or Military Base) CAMEL
State (or County of Province) Zip
Email V\ 10 \J e- C_CA(15 4C6 1D UI&T.CoM Phone 311- 5 Fax 3111-571 W
Registrntion €latc'gorit: Step Advanced On -Site
Early. Reg Reg Reg
Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Ste{] 2 Dec 31, 2010 Mar 20, 2011
.2010 31, 2011
'(Afterschool Program
Member Rate' $335 $385 $410
Full Convention Administrator /Director /Coordinator
J. Trainer /Consultant/Curriculum Specialist
J College Instructor /Professor/Researcher
�Membe� RaFe saysun J $290 �$340 $365 f Public School Administrator/Princ
ailSchool
Board
2 Days Sun /Mon I p
Join Now or Renew $395 $445 $470 Government Employee
Your Membership Join
Full Convention Renew
For Afterschool Program Staff, please indicate
�oT� Now or Renee Joifl� x$360 $410 1 $435 the type of program from the list below.
Your Membership Renew
2 Days
seusun Youth Serving Organization
Sun/Mon
$530 Teacher /Frontline Staff
Non Member, $455 $505
Full Convention Director /CEO
J Supporter /Researcher
Non- member saysun $415 I $465 $490 Parks and Recreation
2 Days I Sun /Mon I J J Private, for profit
—i Private, not for profit
Public School
Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
Payment fnfonrin lon- Credit Card (Visa, MC, AMEX, Discover) Check to NAA
o N A rromf ,r �r1 ice- Make Checks Payable to:
TOTAL Registration 3bgo x fto National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703 -610 -0203
Billing address registration@naaconvention.org
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A'pr11 1 -B 182011
C�ylord l?airns,Resort Convention Center
y 0 U r on f ir m3 i ion 'v t be ;11 1 '"n Wf41- ;:0 .'t11 1;9 °i...1 E ,k 6
Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG
Name AAW G (KEA- Badge Name
Organization EC. 4-
Program /Agency (if applicable) c�
Address 1q11 E. 116,W S I
City (or Military Base) CRMEL
State (or County of Province) Zip y(oo3a-
Email A Ca(M C(Atl11 k T C0M Phone 111-M- Salvo Fax 311'573
iGt3 atE to C ateF o ies Step 3 Advanced On -Site w i z
Early Reg Reg Reg
Sept 1 Dec 18 Apr 17 Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31, 2011 s
Member Rate $335 Program
$335 $385 $410
Full Convention Administrator /Director /Coordinator
e5 Trainer /Consultant/Curriculum Specialist
Me
Rat Sat/Sun $290 $3 0 $365 College Instructor /Professor /Researcher
2 Days SunfMon I i Ll Public School Administrator /Principal /School
Board
Join Now or Renew $395 $445 '.$470 Government Employee
Your Membership Join
Full Convention Renew
For AfterSchool Program Staff, please indicate
Join Now or Renew Join $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days
sausun m Youth Serving Organization
s i Teacher /Frontline Staff
m
Non Member $455 $505 $530
Full Convention Director /CEO
Supporter /Researcher
Non- member sausun $415 $465 $490 Parks and Recreation
2 Days Sun /Mon f Private, for profit
Private, not for profit
J Public School
;a Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
Payment! nronriat ion i Credit Card (Visa, MC, AMEX, Discover) X- Check to NAA
Q p,�r
q lo p Make Checks Payable to:
TOTAL Registration 6 o J l A +G l x ru�-� National AfterSchool Association
If c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703 610 -0203
Billing address registration @naaconvention.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.
358862 Nat'l AfterSchool Assoc Convention Terms
ATTN: Registrar
8400 Westpark Dr, Suite 200
McClean, VA 22102
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2116111 2011 NAA Convention registration 3,690.00
9 x 410.00
Meagan Decker
Natalie Love
Georgianna Edwards
Amy Baldauf
Cyndi Canada
Tiffany Buckingham
Jennifer Hammons
Jennifer Brown
Ben Johnson
Total 3,690.00
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
Voucher No, Warrant No.
358862 Nat'l AfterSchool Assoc Convention Allowed 20
ATTN: Registrar
8400 Westpark Dr, Suite 200
McClean, VA 22102 In Sum of
3,690.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 2011 4357004 3,690.00 1 hereby certify that the attached invoice(s), or
bi11(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Feb 2011
Signature
3,690.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund