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HomeMy WebLinkAbout195945 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 00350972 Page 1 of 1 fS ONE CIVIC SQUARE THE HERO'S CLUB INC CHECK AMOUNT: $50.00 CARMEL, INDIANA 46032 Po Box 4236 CARMELIN 45082 -4236 CHECK NUMBER: 195945 CHECK DATE: 3/29/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D 1701 4355100 50.00 PROMOTIONAL FUNDS 2011 Membership dues Renewal The Heroes Club For: Ms. Diana L. Cordray City of Carmel One Civic Square Carmel, IN 46032 Phone: 317- 571 -2414 E -mail: dcordray(o Amount of donation: 5d $150 Charter Membership $10.00 additional for a Spouse's Membership for Charter Members only Spouse's name for Charter Membership card (if applicable): $50 $149 Associate Membership Make checks payable to: The Heroes Club, Inc. Mailing address: P.O. Box 4236 Carmel, IN 46082 -4236 I am interested in running for election as a: Director I am interested in serving as a club officer as: President Vice President Treasurer Secretary Committee Chairperson All donations are tax deductible. Please return this form with your membership dues. Questions may be directed to Jennifer Fedor at 208 -3683. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Vvv ��J Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) DlAd P6 ,o Total 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 VOUCHER NO. WARRANT NO. l kb ML ALLOWED 20 IN SUM OF D jv- ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund