205264 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 254452 Page 1 of 1
ONE CIVIC SQUARE PURDUE UNIVERSITY CHECK AMOUNT: $290.00
CARMEL, INDIANA 46032 C/O LINDSEY PURCELL
195 MARSTELLER ST FORS 110 CHECK NUMBER: 205264
WEST LAFAYETTE IN 47907 -2033
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 290.00 EXTERNAL INSTRUCT FEE
12/30/2011 12:15 3175712265 CARMEL UTILITIES PAGE 02/02
IAA Annual Conference Registration 2 012
Indianapolis Marriott .East
lan.24 -2G
7202 East 21st Street Indianapolis, Indiana 46219 USA
Name n �1'-�.? G�
Company C. a O *5 bE I"A A�FA46A J
Addres j
city 1 S State zip �IO 7
Phone 3 r r�322� Email °�2,ryyy��,
Workshop- Rigging Concepts Ken Palmer, Arbor Master- 24,8.30 Amount
$40- IAA member
$80 Non- member
Full Conference Attendance (Does Not In Nude workshool January 24
250 IAA member
300 Non member.,..
125 Spouse or Tradinhow Assistant
25 -Full-time student w/
schoollD)
Sin le Day Attendance
$150 IAA member
200- Non member
Circle the day: January 24 January 25 January 26
Wednesday Evening Dlnnei advanced reservations re uired
$15 IAA member,,,,,,,,,
35- Nan- member
2012 IAA Membership dues 40
Check it you DO NOT want your name to appear in the member directory.
Check Number (Payable to Indiana Arborist Association) Visa MasterCard
Account number Expiration date
Printed Name on Card: Sac, Code
Billing Address and zip code_
Authorized signature
Afail paymenttn:
Lindsey Purcell
Purdue Univrrsl(y
195Mar_stpue.rSL FORS 1.10
lN. La(avene.. IN 47907 -2033
A�
g
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))
12/30/11 $290.00
1 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 N
ALLOWED 20
Lindsey Purcell
Purdue U Ivn ersity IN SUM OF
195 M ra steller St FORS 110
W. Lafayette, IN 47907 -2033
$290.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 43- 570.04 $290.00 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
Tuesday,,,January 03, 2012
Au &I"O
Street Commissioner
V
Street om Titie SSioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund