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HomeMy WebLinkAbout203046 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 361196 Page 1 of 1 ONE CIVIC SQUARE INTERNATIONAL CODE COUNCIL CARMEL, INDIANA 46032 MEMBERSHIP CHECK AMOUNT: $125.00 900 MONTCLAIR RD CHECK NUMBER: 203046 BIRMINGHAM AL 35213 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 2859434 125.00 ORGANIZATION MEMBER INVOICE DATE INVOICE James Blanchard For Governmental Members Only: Each Governmental Member B City of Carmel renewing its ICC Membership hereby agrees that its Primary Representatives and Governmental Member Voting Representatives 1 Civic Square may receive communications from ICC by electronic mail or other L means of electronic communication, or by the posting of such Carmel,lN 46032 communications to ICC's website, together with a separate notice L INTERNATIONAL of such posting. CODE COUNCIV Confirm To MEMBER NO. INVOICE NO. DESCRIPTION AMOUNT DUE 5066197 2859434 Governmental Member Dues Pop $125.00 up to 50,000 People Helping People Build a Safer World"' REMITTANCE COPY RETURN WITH PAYMENT Invoice Number Expiration Date Member Number T otal Amount Due 2859434 10/31/2011 5066197 $125.00 ADDRESS CHANGES? ENCLOSE W/ REMITTANCE OR CONTACT MEMBER SERVICES. City of Carmel CHECK OR MONEY ORDER ENCLOSED (MAKE REMIT TO: PAYABLE TO ICC; US ONLY) INTERNATIONAL CODE COUNCIL, INC. ATTENTION: MEMBERSHIP CHARGE TO CREDIT CARD El AMERICAN EXPRESS 900 MONTCLAIR ROAD Cn MASTERCARD VISA DISCOVER C U BIRMINGHAM, AL 35213 -0 FED. ID 36-3999004 M� CARD# EXP Cn CREDIT CARD PAYMENTS ALSO MAY BE MADE BY: -z- PHONE: I-888-ICC-SAFE, Ext. 33804 NAME ON CARD (1-888-422-7233) FAX: 1-205-591-0775 SIGNATURE www.iccsafe.org 1. I I L 11 IBM ►f 1 Ii r zi NiA r C Yti�� I I I :�+1 �f F I yy [rL y 4 g'�_ y� -�j( I 1 J F 'F� •1 75 f 1 �'t T "'Fj� Y� y� .e:,�.if: Ir- I �I/k,�1.�. I�wR� N k.` .=�1 1': ri.' �':••'t'�1�` f 1�i7J,x i �y���- 4.J.]f' dj T'l 4 Y f'F I l'���` G SV''.L y l IP:C Y.•''� 1_'l Y1 T I l ��w y r y; a 4 y y L' r Fy�� rt t r ti i T k I r 1 y r a yt r Y Lr i�l L r 1��1 s a S f�i�" yy 9 L.r.i -r �•.�N(Lr ;�l ti 7 i' •"�It .d.�ry.'� .E .t7 -a rt sd- '�T.'�•-`"- �.'+r �„4�n r�,9y '�'":c�F t' f'.'�' ��y� �r�;'i "��iL���{^►:s1 .7F,��i�L 'y'4�Y,. f 'r,'���y�l�t�'�;:•1'.y4:� j��.�4 .7F :��j'3rLt ..1.,`s'�Y. �Y. I i Jb�_ 4j i V Y� i Rv S S' 1 �r S'+� f t Y 1 I 5. =��1 �;t• Sy�•� .:5 iF. �,11� ti�1. -rR� t:T .\i 'b��,j± f ..5 4 ���',0'r'�_ ��,�{:rij' Its+%- L��"F+ i- 3 ".l:l_��I'�•,�I�L���.�F*- r�r�ia ♦.\�►^�P y:. ���t'�'`.L'��� 1' S1 •',11 �'Y�ij'�C:�� L1 F r r �La 7[yw4 i I y T �+,.�Y' I., r.' ��1 r �Jjp J r!.{ I a�'�i„•}�._rT01,` �..��LFI, l y 2y �.1 R:�� r 1��4 i "i� y.a 4 -•IL. 7r �iR J rr �i �"il•�� I r 1 r�.y r. 1 ��y!� I �J' w r j t_- 1 a 'S..•o f�` ....ter a. ��'w`i r s w ,t;., --r'v_ Tj,��� .1- a i a� �`''1 dl"'�� 4>'`'.” w Z,� "{'v +I^ /i w F fi'": r 1 '1 r I �w-4.��p k s I i r ,�M' S.r,�� J �f'�.� rT I k j �.ysTt.�iy i�- �LYi�f.`!I s 5 �r'r�'i�.. t r� *.�,CI��'�1 G,f�7�c. 1•-�..�'�'a.�, '1 j� >:�'.y4`A4+ }4 �'wa j fri o +c`.`� #,'1,��i� �r� ti r'� T t�; t •y I ti.,. ;�V� fir a'i H 1' 'a fi .Yj r �F I r- ti•41�'1r c y1rY: "L• i r rt` _.�L��i Ni r 1 r 1 I I 't T_.. I L f r Y 1.[e� c fir t.rn+ .w at4 flr r I f }rY' '1.[f fit "ut+ t .s r �t� +fi t t tir rtr° i 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)) 10/05/11 2859434 Dues Jim Blanchard $125.00 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. ICC ALLOWED 20 t rti� IN SUM OF q 00 G et��# -kl 1Lfi.0478 5795 $125.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 I 2859434 I 43- 553.00 I $125.00 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 Monday, October 24, 2011 Directo Title Cost distribution ledger classification if claim paid motor vehicle highway fund