168528 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350333 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIESITOW &ECK AMOUNT: $400.00
CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340
INDIANAPOLIS IN 46225 CHECK NUMBER: 168528
CHECK DATE: 214!2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER J AMOUNT DES CRIPTION
1160 4355300 09ICOM -19. T 400.00 ORGANIZATION MEMBER
Woo
200 South Meridian Street Suite 340 Indianapolis, IN 46225
C
India i es s a d To wn s A ss ocia tio n U� Phone 317.237.6200 Fax 317.237.6206 xv-,vw.citiesandtowns.org
C it i e s
INVOICE
January 20, 2009
TO:
Hon. James Brainard Invoice Number
Mayor 09`ICOM -19
One Civic Square
Carmel, IN 46032
2009 Indiana Conference of Mayors Dues 400.00
Mahe checks 1 aUle to Indiariz f��ssociatioii of Cities c` I o�vn5 n f
P ,Y;
CREDIT CARD lease compete the following)
Master Card Visa Discover
expitation date security code
(3 digits on back of card)
Name on Credit Card
Billing address of Credit Card
Signature
Please renut by February 27, 2009
X cribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 291 (Rev. 1995)
2/2/09 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
IACT Purchase Order No.
"00 So. Meridian St., Ste 340 Terms
Indianapolis IN 46225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1120109 2009 Indiana Conference o
Total $400.00
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 NO.
2/2/09
ALLOWED 20
IACT
IN SUM OF
200 So. Meridian St., Ste 340
Indianapolis IN 46225
400.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355300
Organization Membership Dues
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
QEPT. I hereby certify that the attached invoice(s), or
091COM 19 4355300 400.0 0 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
Sign r
-kd"V►
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund