HomeMy WebLinkAbout204272 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 361196 Page 1 of 1
ONE CIVIC SQUARE INTERNATIONAL CODE COUNCIL CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 MEMBERSHIP
900 MONTCLAIR RD CHECK NUMBER: 204272
BIRMINGHAM AL 35213
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 2859434 125.00 ORGANIZATION MEMBER
1
049J82044070
International Code Council a,
Birmingham District Office a $00 .440
goo Montclair Road a�' o 11/15/2011
Birmingham, AL 35213 Mailed From 3522'
US POSTAGE
James Blanchard
City of Carmel
1 Civic Square
Carmel, IN 46032
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INVOICE DATE
INVOICE 11 17190 1 t—
B James Blanchard For Governmental Members Only: Each Governmental Member
City of Carmel renewing its ICC Membership hereby agrees that its Primary
I y Representatives and Governmental Member Voting Representatives
1 Civic Square may receive communications from ICC by electronic mail or other
L Carmel, IN 46032 0 means of electronic communication, or by the posting of such
m communications to ICC's website, together with a separate notice
L INTERNATIONAL of such posting.
CODE COUNCIL`
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 T11
REMITTANCE COPY RETURN WITH PAYMENT
Invoice Number Expiration Date Member Number Total Amount Due
10.131.12011 5066197 $19
ADDRESS CHANGES? ENCLOSE W /REMITTANCE
OR CONTACT MEMBER SERVICES. City of Carmel
REMIT El CHECK OR MONEY ORDER ENCLOSED (MAKE
INTERNATIONAL O CODE COUNCIL, INC. PAYABLE TO ICC; US ONLY)
ATTENTION: MEMBERSHIP CHARGE TO CREDIT CARD AMERICAN EXPRESS
900 MONTCLAIR ROAD MASTERCARD VISA DISCOVER
BIRMINGHAM, AL 35213
FED. ID 36- 3999004 CARD EXP
CREDIT CARD PAYMENTS ALSO MAY BE MADE BY:
PHONE: 1- 888 -ICC -SAFE, Ext. 33804 NAME ON CARD
(1- 888 422 -7233)
FAX: 1- 205 591 -0775
SIGNATURE
www.iccsafe.org
FIRST
0� N G PERFORATIO
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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))
11/07/11 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.
ALLOWED 20
International Code Council Inc
l ga, +C��,. IN SUM OF
ssmoor oa
A -1— 3 sz 3
$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
Mond
a December 05, 20 1.
t'
i
irector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund