206044 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00351829 Page 1 of 1
ONE CIVIC SQUARE INDIANA ARBORIST ASSOCIATION INC CHECK AMOUNT: $480.00
CARMEL, INDIANA 46032 ATTN: JULIE RUBSAM
PO BOX 5304 CHECK NUMBER: 206044
LAFAYETfEIN 47903
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMB IN NUMBER AMOUNT DESCRIPTION
1192 4357004 480.00 EXTERNAL INSTRUCT FEE
INDIANA ARBORIST ASSOCIATION I nvoice
PO Box 5304
Lafayette, IN 47903 Date Invoice
1/31/12 1258
Bill To
Daren Mindham
City of Carmel
One Civic Square
Carmel, IN 46032
Terms
30 Days
Item Quantity Description Rate Amount
2012 1 Single Day 150.00 150.00
2012 1 2012 IAA Membership 40.00 40.00
Thank you for attending our
Annual Conference! �0��0 $190.00
Phone E -mail Web Site
765/807 6334 jerubsam @yahoo.com www.indiana arborist.org
Indiana Arborist Association Tax Identification Number is 35- 1669800
FINDI IAA Annual Conference Registration 2 ®12
Indianapolis Marriott East
7202 East 21st Street Indianapolis, Indiana 46219 USA Jan. 24 -26
A
Name
Company
I
Address pal eik��(
e n State
City Y4 M Zip
Phone 7&j—S_71-o7 Email G.SS IC).OxzU
Workshop Rigging Concepts Ken Palmer Arbor Master January 24 8:30-12:00 Amount
$40 IAA member
$80 Non member
Full Conference Attendance (Does Not Include Workshop) January 24-26
250 IAA member O
300 —Nop- member
125 Spouse or Tradeshow Assistant
25 Full -time student (w /school ID)
Single Day Attendance
$150 IAA member
200- Non member
Circle the day: January 24 January 25 January 26
Wednesday Evening Dinner ladvanced reservations required)
$15 IAA member
35- Non member
2012 IAA Membership Dues 40 t�
_Check if you DO NOT want your name to appear in the member directory.
OTAL
Check Number (Payable to Indiana Arborist Association) Visa MasterCard
Account number
Expiration date
Printed Name on Card:
Sec. Code
Billing Address and zip code
Authorized signature
Indiana Arborist Association Registration Form
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))
01/24/12 Daren /Nichole conference $290.00
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.
Indiana Arborist Association ALLOWED 20
IN SUM OF
195 Marsteller Street
West Lafayette, IN 47907 -2033
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 43- 570.04 �299'60
I hereby certify that the attached invoice(s), or
I I
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 January 30, 2012
U irector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund