168530 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362490 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF COURSE SUPERINTENDENT
CARMEL INDIANA 46032 ASSOCIATION CHECK AMOUNT: $80.00
4815 SOUTH 100 WEST
KOKOMO IN 46902 CHECK NUMBER: 168530
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1207 4355300 1648251 80.00 ORGANIZATION MEMBER
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INDIANA GOLF COUV8 ES�TPER I NTETDENTS ASSOCIATION
2009 \Q -ues Stye -ment
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Please fill out the following for remittance:
Name:
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Company Name: 'J C0 o V� �.14 (9`16 0 y h
Company Address: ('D i D roo Q Sk r-e -',mot q6 0?
Address (preferred):
Phone Numbers
Office: g 'tG `E ?o (o Cell: SDl d ly( Pager: Fax: Home:
Email Address: rd k, G 1 A
Membership Status: lass Supt. Member, Class C, Affiliate, Associate, Retired, Honorary
GCSAA Number (Class A and Supt. Members):
Do you have ANY access to email /internet? (circle one) EE NO
Amount Due: $80.00
Also Please.Register on Website and Update Member Roster Information.
Please remit payment W /INVOICE to association address provided above.
CONTACT ANY DIRECTOR WITH QUESTIONS/ CONCERNS
Please mail to:
Indiana Golf Course Superintendent Association
4815 South 100 West
Kokomo, IN 46902
Prescc^Ad 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
IGSCA Purchase Order No.
4815 South 100 West
Kokomo, IN 46902 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
IGSCA ���UCt��� ALLOWED 20
4815 South 100 West N)u IN SUM OF
Kokomo, IN 46902 C�
a 01)
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
00 A 1 /00L
n <�OZ/�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund