156321 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 354732 Page 1 of 1
ONE CIVIC SQUARE THE SEASIDE INSTITUTE
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CARMEL, INDIANA 46032 PO Box 4730 CHECK AMOUNT: $100.00
SANTA ROSA BEACH FL 32459 CHECK NUMBER: 156321
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 100.00 ORGANIZATION MEMBER
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Yes! I WANT TO HELP IN THE FIGHHT FOR BETTER COMMUNITIES BY JOINING THE SEASIDE INSTITUTE
Name �77I L��� Q 6 CYMMU19141 1�1//�Q� $5,000 Angel
Company of L/ y /c $2,500 Benefactor
o/i e t I L 4 CGa
$1,000 Visionary
Address
El $5 Patron
City �meD State -E Zip Code 603
.$250 Sustainer
Telephone 3 17 5_11 E -mail mhOII/ Lq UC{7 (7arm //J !V A $Io0 Supporter
Credit Card Number (if applicable) $5o Member
Expiration Date Signature (required) 'Other
Please use the enclosed envelope to return this form, along with your tax deductible membership contribution, to:
The Seaside Institute
P.O. Box 4730, Santa Rosa Beach, FL 32459 www.theseasideinstitute.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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/00.00
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.
ALLOWED 20
ai )'SA
IN SUM OF
&k 130
/oo 0 0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5L;3 /00 CO 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund