HomeMy WebLinkAbout163737 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T358101 Page 1 of 1
ONE CIVIC SQUARE FORESTRY NATURAL RESOURCES CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 RITA MCKENZIE
195 MARSTELLER ST CHECK NUMBER: 163737
WEST LAFAYETTE IN 47907 -2033
CHECK DATE: 9/1712008
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343002 225.00 EXTERNAL TRAINING TRA
2008 Workshop Registration Form
Diagnostic July 9, West Lafayette Tree Risk Assessment September 9, Indianapolis
Tree Appraisal September 10, Indianapolis Arborist Certification Oct 21 and 22, Indianapolis
Tree Identification December 2, Indianapolis
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Directions, maps and lodging information will be sent 3 weeks prior to date of event
Cancellation must a received ONE WEEK before the workshop to receive refund.
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Name
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Company
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City, State, Zip
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Work r Home Fax Please Circle
Email
Registration Fees Are For Each Person Att ending. (4 from the same company 5 Attendee Free!)
Diagnostic July 9 Tree Risk Assessment Sept 9. Arborist Certification Oct 21 and 22
130 —IAA Member $150 —IAA Member $225 —IAA Member
180 -Non- IAA Member $200 -Non- IAA Member $275 -Non- IAA Member
ADD $50 AFTER EARLY BIRD Tree Appraisal Sept 10 Tree ID December 2
$150 —IAA Member 125 —IAA Member
DATE ON PROGRAM. $200 -Non- IAA Member 175 -Non- IAA Member
IAA Membership $40 (per Individual) ISA Membership $105 (per Individual)
Include IAA membership with this form to receive IAA member rate. Register using PAY
Non members who register as members will have the membership fee added to invoice. PAL AT
TOTAL ,Z c j (Please include payment or PO number with registration) www.indiana-
Purchase Order Number arborist.org
Check Enclosed Make checks payable to Indiana Arborist Association
Visa MasterCard American Express. Discover
Account number Expiration date
Authorized signature
Billing address
Mail, fax or email registration to
Rita McKenzie Phone: 765 -494 -3625
Forestry and Natural Resources Fax: 765 -496 -2422
195 Marsteller St. Email: mckenzie @purdue.edu
West Lafayette, IN 47907 -2033
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 4 7 v 0
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
I'
VOUCHER NO. WARRANT NO.
ALLOWED 20
1N SUM OF
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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
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund