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
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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