166758 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352899 Page 1 of 1
f ONE CIVIC SQUARE ADRIENNE KEELING
CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 cio Docs
C /ODOCS CHECK NUMBER: 166758
CHECK DATE: 12/10/2008
CCPARTM ACCOUNT P O NUM INVOICE NU MBER AMOUNT DE SCRIPTION
1192 4355300 250.00 ORGANIZATION MEMBER
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Make checks payable to: ULI The Urban Land Institute Dues Renewall
Mail to Department 186, Washington, DC 20055 -0816
li) tt Pay online www.uli.org in MyULI section
Fax to 800. 248 -4585 or 202 -624 -7140 Inv
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Second Notice Invoice Date: 10/30/2008
Member Information (please check the following information and submit corrections with payment): Payment Information:
Member ID: 283993 Tel.: (317) 571 -2417 Email: akeeling @carmel.in.gov Member ID: 283993
Member Since: 11/8/2005 Fax: (317) 571 -2426 Member Type: YL YL
Expiration Date: 11/30/ Annual Dues: [P11 Year: $250.00
2 Years: $475.00
ULI Foundation Contribution"
po� Check enclosed
Adrienne Keeling Visa ❑MC Amex Diners Club
Planning Administrator 1 `a Discover
City of Carmel Card
One Civic Square
Carmel, IN 46032 Exp. Date
Name
Return top portion with payment
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http /my. uli. org /my %20ull[ULIEdit. aspx ?d= Renew %2OMemb ership &u =http /commerc... 11/19/2008
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
r� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total G� v
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9 �`5 3 o�, 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 0
ignatur'p,
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claim paid motor vehicle highway fund