The URL can be used to link to this page

Home My WebLink About168050 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 353810 Page 1 of 1 t ONE CIVIC SQUARE INDIANA PARK RECREATION CHECK AMOUNT: $570.00 1, CARMEL, INDIANA 46032 269 WEST JACKSON STREET PO BOX 888 CHECK NUMBER: 168050 CICEROIN 46034 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4355300 2008 -308 570.00 ORGANIZATION MEMBER i NOV 0 7 2008 i BY: a Indiana Park and Recreation Assocra ion 269 W. Jackson; P.O. Box 888 INVOICE NO. 2008 -308 Cicero, IN 46034 IPRA MV010E Customer Misc Name Carmel Clay Parks and Recreation Date 3- Nov -08 Address 1411 E. 116th St P.O. No. City Carmel State IN Zip 46032 Telephone 317 -573 -4018 DUE DATE: 30- Nov -08 DESCRIPTION AMOUNT IPRA Annual Membership Dues December 1, 2008 November 30, 2009. 1 Agency 300.00 300.00 Individual(s) 80.00 3 Additional Agency Board Membership at $35.00 105.00 3 Additional Agency Professional Member at 55.00 165.00 Elected Official Membership 25.00 TOTAL 570.00 Method of payment: Check enclosed PO# Bill me Phone: Fax: Visa /MC Exp. Date E -Mail: 3 -Digit Security Code from back of card Total amt. to be charged: There is a 3% processing fee added when using a charge card Signature MAKE CHECKS PAYABLE TO IPRA Date: Please return copy of invoice with payment. 20� !PI{►ehasA a R A ('�Ce+ •yJ rte. f THANK YOU FOR YOUR CONTINUED SUPPORT DescriptIon r P.O. 0 or F Bud et Line V �oi. y ~p Vtr i® Pu Appmv AGENCY /ORGANIZATION /COMPANY Carmel Clay Park and Recreation J We have listed below those that are currently on your membership. Last year you paid Q as: Agency x 300.00 Director and 4 board members -.:4 A Individual(s) $60 or $70 or $80; based on salary IPRA Organization 100.00 Corporate 250.00 includes 2 individuals; additional are $35 each ME Associate 25.00 Please circle how you wish to be billed this year and return this form to IPRA by September 15, 2008. We will invoice you based on the information you provide. If you use a credit card to pay there will be a 3% processing fee. Please verify all information, make corrections for each individual you want to include and return to /PRA. Cross off anyone you do not wish to include. Check here if there are no changes. (A) Agency (1) Individual (0) Organization C Corporate Check One Name Address Phone E -Mail Address Board Staff Patricia Chester 5041 Deer Ridge Ct., Carmel, IN 46033 x Sue Dillion 1055 Third Avenue SW, Carmel, IN 46032 317 848 -7275 sWillon(Windyrr.com x Jim En ledow 1055 Third Avenue SW, Carmel, IN 46032 317 848 -7275 x Judith Hagan 110946 Spring Mill Lane, Carmel, IN 46032 x Lindsay Hola'ter 1411 E. 116th Street, Carmel, IN 46032 317 573 -4020 Iholaiter(a)carmel.in.gov x Ben Johnson 1411 E. 116th Street, Carmel, IN 46032 317 848 -7275 biohnson(a�carmel.in.gov x Michael Klitzing 1411 E. 116th Street, Carmel, IN 46032 317- 573 -4018 mklitzing(aD-carmelclayparks.com x Audrey Kostrzewa 1411 E. 116th Street, Carmel, IN 46032 317 571 -4141 akostrzewa(cD-carmel.in.gov x Terry Myers 1411 E. 116th Street, Carmel, IN 46032 317 571 -4144 tmyers(a)carmelclayparks.com x Kate Schneider 1411 E. 116th Street, Carmel, IN 46032 317- 573 -5238 kschneider (aD-carmelclayparks.com x Todd Snyder 1411 E. 116th Street, Carmel, IN 46032 317- 848 -7275 msnvder(Wcarmel.in.gov x Mark Westermeier 1411 E. 116th Street, Carmel, IN 46032 317- 848 -7275 mwestermeier(a)_carmel.in.gov x Put line through any that need to be removed above and add any new ones below. i Given that we did not receive this form back the above is what your billing is based on. Please make any corrections and return to us with payment. Thank you. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 353810 Indiana Park Recreation Association Terms P.O. Box 888 Cicero, IN 46034 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1113/08 2008 -308 Membership dues 1211108 11/30/09 570.00 Total 570.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 353810 Indiana Park Recreation Association Allowed 20 P.O. Box 888 Cicero, IN 46034 In Sum of 570.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 2008 -308 4355300 570.00 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 12 -Jan 2009 Signature 570.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund