155766 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351829 Page 1 of 1
ONE CIVIC SQUARE INDIANA ARBORIST ASSOCIATION INC CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 ATTN: RITA MCKENZIE
195 MARSTELLER ST CHECK NUMBER: 155766
WEST LAFAYETTEIN 47907 -1159
CHECK DATE: 1123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 125.00 EXTERNAL INSTRUCT FEE
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2008 IAA Annual Conference Pre Registration and Membership Dues
*Join IAA with registration to get the Member Rate
Early Bird Registration Rate: Received by December 21, 2007
(Submit a copy for each registrant)
Name (C� 062— /Y) /"C 5 6 2ac�-
Company CI O F
Address O rN.P— C101 C Sq u cP ry
City l ilr State IIJ Zip
Phone (3 1 7) S7� '�`7 Fax S i 7
Email QDa iYJo iO✓
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Workshops (Lunch NOT Included) Amount
Workshop 1- 8:30 -6:00 pm Pesticide Training Core and Exam
$90 (No membership differences for this workshop)
Workshop 2 9:00 -4:00- 20 Minutes in the Life and Death of a Tree
a 5_ oa
$125 IAA member ($175 after 12/ 21/ 07)
200 non member ($250 after 12/ 21/ 07)
Workshop 3 9:00 -4:00 pm Tree Climbing and Rigging for Arborists
$125 IAA member ($175 after 12/ 21/ 07)
200 non member ($250 after 12/21/07)
Full Conference (Does Not Include Tuesday Workshops)
$225 member ($275 after 12/ 21/ 07)
275 non member ($325 after 12/ 21/ 07)
100 retiree
20 full -time student (w /school picture ID)
Single Day
$140 member ($190 after 12/ 21/ 07)
190 non member ($240 after 12/21/07)
Circle the day: January 16 17 (CCH Credit January 17)
Spouse Registration (Meals Only)
$140 spouse of IAA member ($190 after 12/21/07)
IF YOU ARE PAYING FOR IAA AND ISA PLEASE SEND THE MEMBERSHIP TO ISA
2008 IAA Membership Dues 40
Check if you DO NOT want your name to appear in the member directory
2008 ISA Membership Dues $105
TOTAL Please check below which type of payment applies
Purchase Order Number
Check Enclosed Make checks payable to Indiana Arborist Association
Visa MasterCard American Express Discover
Account number Expiration date
Billing Address and zip code Pay by
Authorized signature PayPal
www.indiana-
Mail or fax to:
Rita McKenzie, Purdue University, FNR I West Lafayette, IN 47907 -2033 arborist.org
195 Marsteller St. Fax: 765 496 -2422
8
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
Qg' l �d rls SSOC. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
fry -tom /��9 W /ate. 00
Total /�J` O 0
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
aOI IN SUM OF
West La-Fct�
/a6. �d
ON ACCOUNT OF APPROPRIATION FOR
Lo
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5 70.(Y-1 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
S n re tu
S m�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund