HomeMy WebLinkAbout206296 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350077 Page 1 of 1
ONE CIVIC SQUARE INDIANA STREET COMM ASSOCIATION
CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 ATTN: LARRY LEE
1301 LAFAYETTE AVE
CHECK NUMBER: 206296
LEBANON IN 46052
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 240.00 EXTERNAL INSTRUCT FEE
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2012 Annual Street Commissioners Convention
Registration Form:
Augu t 14th 15 th 15 th
Name of
Reg istrant
C 1�
Address: f) o
Phone: S 3 3 i f
Spouse's Name (if attending):
E -Mail Address: u a ��r`'"`► 1 �V
REGISTRATION FEE MUST BE ENCLOSED WITH FORM
Current ISCA Member $120.00 (Convention Package)
1 Asst. Commissioner /Forman $120.00 (Convention Package)
Other Additional Registrant $120.00 (Includes Meals)
Vendor Registration $300.00 (Includes Meals Vendor Cookout)
Booth Space (Includes 5 -ft table and two chairs) $200.00
(Limited booth area no more then 30 booth areas)
Note(s): Vendors must purchase a registration for each additional person in their
Group at the cost of $120.00:
LOCATION OF THIS YEARS CONVENTION WILL BE DETERMINED AT THE ISCA
MEETING AT ROAD SCHOOL THURSDAY MORNING MARCH B
MAIL: CONVENTION REGISTRATION WITH PAYMENT TO
LARRY LEE SECRETARY /TREASURER
LEBANON STREET DEPARTMENT
1301 LAFAYETTE AVE
LENANON, INDIANA 46052
IF YOU HAVE ANY QUESTIONS, PLEASE CALL LARRY LEE OR ANY OTHER
MEMBER:
JOE EWING PRESIDENT
RAYMIE ECKERLE 1 VICE PRESIDENT
DAVID HUFFMAN 2 VICE PRESIDENT
DAVE JONES 3 VICE PRESIDENT
JOHN SCHNADENBURG MEMBERSHIP/ DIRECTOR
JACK ANTROBUS ADVISORY BOARD MEMBER (PAST 2011 PRESIDENT)
VOUCHER NO. WARRANT NO.
ALLOWED 20
ISCA Convention Registration
Larry Lee, Secretary/Treasurer Lebanon St. De IN SUM OF
1301 Lafayette Avenue
Lebanon, IN 46052
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #[TITLE AMOUNT Board Members
2201 43- 570.04 $240.00 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
Thursday, February 09, 2012
v Street Commissiorer��
Street tTft e '?missioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
02/09/12 $240.00
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