HomeMy WebLinkAbout157830 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 143250 Page 1 of 1
ONE CIVIC SQUARE 2008 INDIANA MS4 ANNUAL MEETING
CARMEL, INDIANA 46032 INAFSM CHECK AMOUNT: $25.00
115 W WASHINGTON STREET #1368
CHECK NUMBER: 157830
INDIANAPOLIS IN 46204
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 18320 25.00 REGISTRATION
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2008 INDIANA MS4 ANNUAL MEETING
REGISTRATION FORM ®c®
Thursday, April 3, 2008
Hendricks County
4 -H Fairgrounds and Conference Complex
Danville Indiana 46122
Send your registration to: BY MAIL: 2008 INDIANA MS4 ANNUAL MEETING
INAFSM
115 W. Washington Street, #1368
Indianapolis IN 46204
Attention: Unique Dahl
BY FAX: Unique Dah
317- 632 -33�
MAKE CHECKS PAYABLE TO: 2008 Indiana MS4 Annual Meeting INAFSM
REGISTRATION FEES
BY $17.00
AFTER MARCH 21 25.00
REGISTRATION FEE INCLOSED
�aar►� �u ca►�
NAME
C l y 0�
TITLE/MS4 ENTITY
61C Ci✓r`l UA r t,
ADDRESS
Carm C. 1 N
CITY/STATE/ZIP
317- 571 Z y y/ urr J
PHONE E AIL
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
a
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
INAFSM
Purchase Order No.
115 W. Washington Street, Suite 1368 South
Terms
Indianapolis, IN 46204
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/31108 n/a INAFSM Annual Meeting 2008 Indiana MS4 $25.00
Registration: Gary Duncan
Total $25.00
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
VOUCI IER NO. WARRANT NO.
_IadA-Fs-M
,,zoos, ALLOWED 20
SOi IN SUM OF
Indianapolis, IN 46204
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18320 Na 2200- 4357004 $25.00 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� l
Si nat e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund