HomeMy WebLinkAbout155347 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358550 Page 1 of 1
ONE CIVIC SQUARE INDIANA COALITION AGAINST SEXUAL &ECK AMOUNT: $75.00
;.sly CARMEL, INDIANA 46032 55 MONUMENT CIRCLE SUITE 1224
INDIANAPOLIS IN 46204 CHECK NUMBER: 155347
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 75.00 ORGANIZATION MEMBER
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INCASA
IN COALITION AGAINST
SEXUAL ASSAULT
2008 MEMBERSHIP PACKAGE
Join the Fight to End Sexual Violence
You owe it to yourself, your community, your business to:
Be aware and know the FACTS
Access current information and education
Be a voice through effective prevention and intervention efforts
Network with other organizations involved in the anti sexual
violence movement
Business
Name C'.,,�
Contact
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If you are not already on INCASA list serve would you like to be
added
mail address for list serve
mail address for correspondence (if different)
By joining and/or renewing your membership with INCASA you acknowledge and
affirm that INCASA may communicate with you through your contact information
Via mail, phone, fax or a mail. INCASA affirms that your contact information will
not be distributed or marketed. Please make checks payable to INCASA.
Student Supporting Membership $35
Individual Membership $50
Organizational Level Membership $100 7 V C'
Bronze Level Membership $200',
Silver Level Membership $500
Gold Level Membership $800
Renewal Discount
o $5 discount for supporting and individual levels
$25 discount for organization, bronze and silver levels
Total
You must provide a billing address, pbone number and a mail address to be invoiced.
55 Monument Circle, Ste. 1224 Indianapolis, IN 46204 Phone: (317) 423 -0233 s Fax: (317) 423 -0237 9 www.incasa.org
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
INCASA Purchase Order No.
55 Monument Circle, Suite 1224 Terms
Indianapolis, IN 46204 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
paymen for Tnember dues 75.00
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.
Gt, t (r►1 1�1
ALLOWED 20
IN ASA IN SUM OF
55 Monument Circle. Suite 1224
indianapoli IN 4604
75 00
ON ACCOUNT OF APPROPRIATION FOR
pnli.ce gQrernl_ fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
11 553 75 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
rt 20
Signature
Acting Chief nf POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund