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HomeMy WebLinkAbout202165 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOC OF CITIES TOWNS CHECK AMOUNT: $15.00 CARMEL, INDIANA 46032 CONFERENCE REGISTRATION 200 S MERIDIAN ST, SUITE 340 CHECK NUMBER: 202165 uM c INDIANAPOLIS IN 46225 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 15.00 OTHER MISCELLANOUS I X00 000' 000 00 C0 0 a Indiana Association of Cities and Towns 2011 IACI? WEDINA.R RECORDING /MA'T'ERIALS ORDER FORM Full Name d.L C J(01- Title AAA ma Municipality /Company 0 C .CQCCr\ A Address C 'rVe- C y City ca cvy State 01j Zip Code I L C)3 Phone z17'5 ZLa LS Email I Materials Fee ....$75.00 Method of Payment ®Check Visa MasterCard Discover Card Number Expiration Date 3 -Digit Security Code Billing Address Name on Card Signature Name or Webmar you wish to purchase: �)CAJ-k Wr(NI m6 f-, La u Return form to: IACT Fax: (317) 237 -62o6 Attn: Natalie Hurt Email: nhurt@citiesandtowns.org 200 S. Meridian Street Suite 340 Indianapolis, IN 46225 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 I Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ^I, ,6 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 VOUC,( -I f N WARRANT NO. V� lI b ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR i /U OA5M-- Board Members PC# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT 1 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund