HomeMy WebLinkAbout198264 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 287320 Page 1 of 1
ONE CIVIC SQUARE SISTER CITY INTERNATIONAL CHECK AMOUNT: $680.00
CARMEL, INDIANA 46032 915 15TH STREET NW, 4TH FLOOR
WASHINGTON DC 20005 CHECK NUMBER: 198264
CHECK DATE: 6/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4355300 336 680.00 ORGANIZATION MEMBER
RENEWAL NOTICE
Remit Payment to:
IM M Sister Cities International
915 15th Street NW, 4th Floor
Washington, DC 20005
202-347-8630
SCI Fed Tax ID 952-0859021 www.sister-cities.org
City of Carmel
City of Carmel Customer ID: 336
Attn: Cindy Sheeks Invoice Date:5/25/2011
One Civic Square Due Date: 7/1/2011
Carmel, IN 46032
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Membership Renewal Due: Population 50.000 99.999 680.00
TOTAL DUE 680.00
Please include remittance form with payment
PROGAM INFORMATION SUMMARY AMOUNT
Membership Renewal Dues $680.00
Please complete or update program information:
Customer ID: 336 Payment Method
0 Check (Payable to Sister Cities International)
Chief Elected Official: James Brainard Wire Transfer (Please call for instructions)
Primary Contact: 11 Visa 0 MC 11 AMEX 11 Discover
Program Name: City of Carmel Card No.
Phone: (3 17) 845-5797 Name on Card
Fax: Expiration Date
Email: Security Code
Website:
Signature
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.
P
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
S ALLOWED 20
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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
6
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund