206297 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350077 Page 1 of 1
ONE CIVIC SQUARE INDIANA STREET COMMISSIONERS AS pc
HECK AMOUNT: $35.00
y,.�•io CARMEL, INDIANA 46032 C/0 JOHN SC HNADENBERG
1490 BROADWAY SUITE 1 CHECK NUMBER: 206297
CHESTERTON IN 46304
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4355300 35.00 ORGANIZATION MEMBER
INVOICE
INDIANA STREET COMMISSIONER'S ASSOCIATION
20121.S. C.A. MEMBERSHIPS ARE NOW DUE
SEND DUES ($35.00) TO:
John Schnadenberg Membership Director
1490 Broadway, Suite 1
Chesterton, IN 46304
219- 926 -2222
PLEASE NOTE NEW ADDRESS
2012 ISCA DUES $35.00
Only one $35.00 fee required for membership per community. If your assistant or
foreman needs a membership card, please note on yoarr application form.
APPLICATION FOR MEMBERSHIP
CITY /TOWN: Cc�
NAME: ali 1Q l dcic rr m-- a V1
E -MAIL
ADDRESS: �C C� �Ce d` e 1 Da
BUSINESS ADDRESS: L�� I3i s� S7
BUSINESS PHONE: FAX 4 31 Z 33 c�?W
DUES ENCLOSED: CLAIM FORM:
RENEWAL: X NEW MEMBER:
Call or send with this registration your suggestions for topics at this year's convention.
00 en
l/
VOU NO. WARRANT NO.
ALLOWED 20
I.S.C.A. Membership
IN SUM OF
Chesterton, IN 46304
$35.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
2201 43- 553.00 $35.00 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
/Thursday1/February 09, 2012
_)ox
Street Commissioner
streei (Trtie rT11SSIORer
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))
02/09112 $35.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
,20
Clerk- Treasurer