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