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206426 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 358477 Page 1 of 1 s` 10� ONE CIVIC SQUARE CAROL SCHLEIF v+ CARMEL, INDIANA 46032 10517 HYDE PARK CHECK AMOUNT: $356.00 CARMEL IN 46032 CHECK NUMBER: 206426 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4343004 356.00 TRAVEL PER DIEMS oil a 3 u. a a 01TOUXXXXXXXXX OOTT A TpNi OOTT 841i AMR �&21T OW (,T/TT/T(," T T T 6 P iT dc 0-4 UN ff4l! /y" -:7zg-1 4 L 70 4 'A _17 T.1 w}, b r r r V,'i+K1 .1�, "`d 1'w a .l t,_ %'��4 �'9 et IR +twa i:.: 9q 1 i y a y ...r F �Q,�t m rr�w.1 -L.. ��,�P a�.,rw:. .,1� a�1+�e•.f"; .4 p h!. y„ ,OC', t r ',k�. ,.,t Y C. i. .'1•`1� '1 I /r ✓c r' a I. _Qr f LPL. r�': '4�s+*f�� ;,i`A.` s i t ,�,�,"�```.�g, 7c�. r: sx;•,+.. ��"vy�,v'�S $5 y j a �C. �.,r, c?� a� rr" '�...��t' yc•'kt#`".t: •�Y �a rt atl�j"< u. kY r. �•:C YC bb ti c •Q4 t t g 7 �F 4 3*`'. 'a -'.x 9� J .�7�A i t e# r 3`V ��..i tt *Ve 7''x' ,r rjk F ii 1 t,. ti', v r. a t :��,r+" .nk. l+t tfi�q; f, j "Cn. A 4,.,.`� r _4 i �a s ,fi 3s y a j 4 p r r a C'` -tea c S s fE n y (yV•t ....,q.-.,. `2 Fd,_'2".•1,*: f f j tf•• t a h c 3 .a r ��...�,r�, C• I ��7 t �t Y �J .�y r�, t ts .z S F.s s l,j ti. ,��,Z t i 1 k YL l: 't,J •v� t^.. s `..�d� k' 1 i 9 3 Sc T �k �<4 Tr ,r ��L1��d o v Jt J .A. J 4^ f ��fi+ Ta r k f` s !'f y 1�,�"s i pp�,,A �r z f t y. r` rs ,y�,�`t� e •L�'�:' .ri" e �'ir� 1 ~at t r4 sTE'.y.*:." i 3S �a? t'�`,¢-. r, 4 Sri r� a �r ;fir o •a t t .K t 'w,K• 3 s. t,`�� :t yr" 4 t r i' �.r r�; Y c'' ?'o �F. J•a' t� l. }3 ,y -a {,s :rr t 't ate, ry .r bt �y R r,, .t ��s•Y Y.. ��1 r x� 't' �t r I G'" T+ s ^f I �S, t e ��r -a �..J ma y �r r 4 r r r AWO AN %L MW LAW SCHEDULE AT A GLANCE 1:30 p.m. 7:00 p.m. Exhibit Hall Open 2:00 p.m. 5:00 p.m. Registration 2:30 p.m. 3:30 p.m. Concurrent Workshops 4:00 p.m. 5:00 p.m. Early -Bird Workshops 3:45 p.m. 4:45 p.m. Concurrent Workshops 5:00 p.m. 7:00 p.m. Welcome Reception 5:30 p.m. 7:00 p.m. Exhibit Hall Reception 7:00 p.m. TACT Dinner Keynote Address 8 :00 a.m. 9:00 a.m. Registration Wednesday, Janbary 1 1 8:00 a.m. 9:00 a.m. Continental Breakfast 7:30 a.m. 8:30 a.m. Continental Breakfast 9:00 a.m. 10:00 a.m. Opening General Session 8:30 a.m. 9:30 a.m. Peer Networking Sessions 10:15 a.m. 11:30 a.m. Concurrent Workshops 8:30 a.m. -12:00 p.m. Guest Lounge Open 10:15 a.m. 11:45 a.m. Guest Lounge Open 9:45 a.m. 10:45 a.m. Concurrent Workshops 11:45 a.m. -1:15 p.m. Luncheon 11:00 a.m. 12:00 p.m. Concurrent Workshops 1:30 p.m. 3:30 p.m. Guest Lounge Open 12:15 p.m. 1:45 p.m. Closing Luncheon VY E efe ff"t, d YOUR MOST IMPORTANT assIrts. t f t •.I. K F; i Y� t c LEGAL COUNSEL FOR PUBLIC ENTITIES He Whe eler 255 East Carmel Drive Carmel, Indiana 46032 Telephone: 317 844 -4693 Fax: 317 573 -5385 www.chwiaw.com IACT BOOT CAMP FOR NEWLY ELECTED OFFICIALS 7 Page 1 of 2 R E C E I P T back To: "Carolyn Schleif' schleif@Jndy.rr.com From: ladcock@citiesandtowns.org Subject: Conference Registration Date: Nov 18, 2011 9:28 AM Tracking CONF4061321626508 Thank you for registering for the IACT Boot Camp for Newly Elected Officials. If you.selected the "Invoice Me" option, please print off this page as your invoice and mail your check, made payable to TACT, to the address below. If you paid by Credit Card please print a copy of this page for your records. This will serve as your receipt: There is a printer friendly option on the upper right -hand side of the page. Cancellations Only written cancellations will be accepted. Please mail your written cancellations to 200 South Meridian Street, Suite 340, Indianapolis, IN 46225; fax to (317) 237 -6206 or send to nhurt@citiesandtowns.org. Written cancellations received five business days prior to the event will be refunded less a $40 processing fee. Refunds will not be provided after this date. IACT is not responsible for hotel reservations or cancellations. Transaction Summary Item Cost Qty Total Contact Information First Name: Carolyn Last Name: Schleif Municipality: Carmel Telephone: (317)580 -1658 Email: Schleif @indy.rr.com Address: 10517 Hyde Park City or Town: Carmel State: IN ZIP Code: 46032 IACT Boot Camp 1 Registration Type: 275 275.00 1 275.00 First Name: Carolyn Last Name: Schleif Preferred name for badge: Carol Schleif Title: City Councilor Municipality: Carmel Monday Welcome Reception: 'Yes' Tuesday Continental Breakfast: 'Yes' Tuesday Luncheon Governor's Address: 'Yes' Tuesday Reception in the Exhibit Hall: 'Yes' 11/18/2011 A COLUMN LIGHT STERNBERG LIGHTING, MODEL 8930 CLASSIC, ABZ, CSA 36" SQUARE SLOPED PIER CAP, TYP. R4' -5" BRICK SOLDIER COURSE, TYR 3" CAST STONE SILL, TYP. El 2 5 LANE KEVIN K PARSONS ASSOCIATES, INC. Ian m rchib,=e I p g fta d dace a nd larmn u eslgn izwmri ,x srnar.��rz�- zco.wo .w, nazaz ai�assaiss r.. ai�es PREPARED FOR: DREES HOMES 6650 TELECOM DRNE, SURE 200 5' TALL IRON FENCE INDIANAPOL IN ++6278 MASTER HALCO, a 317 3+7- MONUMENTAL IRON SERIES F 317.347.7318 E-MAIL WANVDREESHONUSCOM 3' 8' 3' 0 REVISION: OL26.06 NENV BASE 022$06 STREET' TREE5 03 09.06 EKISTNG TREES 04..19.06 NEW BASE LAYOUT LEVATION CERTIHCATION "NOTE: FLARE ROOT NEEDS TO BE NOT FOR "NOTE: FLARE ROOT NEEDS TO BE PLANTED AT GRADE LEVEL CONSTRUCTION PLANTED AT GRADE LEVEL TRUNK WRAPPING MATERIAL TO EXTEND FROM LOWEST BRANCH TO FOOTBALL O 3' GRADE A SHREDDED HARDWOOD MULCH STAFFORD TOPSOIL in WIDTH OF LANE ROOT BALL FINISHED GRADE SHREDDED HARDWOOD BARK MULCH 3' IN DEPTH 3'O NOT PLACE MULCH WITHIN CARMEL, IN 3" OF TRUNK. MULCH FULL III DIAMETER OF PIT. I- III -i I I- III -I! II -III -I I_{ I I PLANTING A BACKFILL MIxTURE AS SPECIFIED III III III —III SITE DETAILS PROTECT; 06501 III I I I III III —III PLANTING BACKFILL SOIL FOR PIT DRAWN. ,MG III -1 I- III -i III I III -1 OF BURLAP AND ANY CT�� ML TOP SHOWN BINDERS FROM FOOTBALL SCALE AS 0.06 ISSUE DATE 0120.06 UNDISTURBED SUB GRADE PLANTING AND SITE DETAILS STAFFORD LANE PLANTING DETAIL 01 SHADE TREE PLANTING DETAIL L1.03 1-1.03 NOT TO SCALE Page 2of2 Tuesday TACT Dinner Keynote Address: 'Yes' Wednesday Continental Breakfast: 'Yes' Wednesday Luncheon: 'Yes' Sub -total 1 275.00 Shipping /Handling /Access Fee 0.00 0.00 Total Cost 275.00 Billing Contact Carolyn Schleif 10517 Hyde Park Carmel, IN 46032 schleif@indy.rr.com Payment Details Paid: online Method: Credit Card Card Type: VISA xpiration Date: March 2012 Indiana Assocation of Cities and Towns Station Place 200 South Meridian Street, Suite 340 Indianapolis, IN 46225 (317) 237 -6200 ra Site Design and Content 2007 Content Management System by eGov Strategies LLC 11/18/2011 PLAN NOTES; BUFFERYARD PLANTING TABLE LOCATION LEVEL REQUIRED PROPOSED 10 6' BENCH ANCHORED ON 32'184' CONC. PAD, BL INC., 58 COATED EAST ALONG RESIDENTIAL 'B' 10 SHADE TREES BSHADE TREES BLACK POLYESTER COATED STEEL 332 LF 10 ORNAMENTAL TREES 5 ORNAMENTAL TREES O SIGN WALL, SEE DETAIL 04/11.0.3 SO SHRUBS or 17 EVERGREEN 28 SHRUBS EAST ALONG COMMERCIAL "D' 49 SHADE TREES 0SHADE TREES 964 LF 49 ORNAMENTAL TREES 0 ORNAMENTAL TREES 261 SHRUBS or e7 EVERGREEN 0 SHRUBS L EGEND. NORTH ALONG COMMERCIAL "O 23 SHADE TREES 10 SHADE TREES ,.,�a� 443 LF 23 ORNAMENTAL TREES 6 ORNAMENTAL TREES EXISTING TREES TO REMAIN WHERE 120 SHRUBS a 40 EVERGREEN 39 SHRUBS POSSIBLE KEVIN K PARSONS K ASSOCIATES, INC NORTH ALONG 146TH ST. 'D' 12 SHADE TREES 7 SHADE TREES EXISTING TREES TO BE REMOVED 232 LF 12 ORNAMENTAL TREES 10 ORNAMENTAL TREES landscape arcina chxe tend planning urban design 63 SHRUBS or 21 EVERGREEN 64 SHRUBS 83 EVERGREEN gT 1O TM 3TMe 'F 90 ""'��w es umuw aazoz NOTE: ALL EXISTING FENCER EES TO BE SAVED WEST ALONG RESIDENTIAL "B' 39 SHADE TREES 39 SHADE TREES TND USED TOWARD SUFFERYARD REQUIREMENTS 1287 LF 39 ORNAMENTAL TREES 40 ORNAMENTAL TREES H. WHERE POSSIBLE. PREPARED FOR 195 SHRUBS or 65 EVERGREEN 55 SHRUBS 855 EVERGREEN jJREFS HOLIES 3 EXISTING FENCE A— ARISES T 6650 TELECOM DRNE SUITE 200 3 i0 REMAIN WHERE Po55I l E INDIANAPOLLS. RJ 46278 TR AL r P', 317.347.7300 3 3 3 3 1 J F. 317.347.7318 SP E-MAIL WWWOR6HOMESCONI VT w 6 iECONSTRl1CTION BEGINS TO WP SEEM O HANDLE STRESS FROM SON PO w I RBORIST AT THE SITE PRIORTO FI w I A NO ND HAUL ROUTES, ANDTREE 7 12 ECRU ses E Cau l J .INE(WHERE POSSIBLE) OF THE TR 7/ i rWD D EF ZONE' SIGNS AFFIXED. If EA AL 1 L ?ERMINE STRUCTURAL INTEGRITY. B i I I I I t I U WITHIN THE PRESERVATION A VB NSULTINGARBOWST(RCA)CR `A Ill FC -EC SAID I -1 WITHIN 6 HOURS 50 STONE OATH POND AL TO TREE WIT 1 4L TO TREE HEALTH. 3 I I T, (ESPECIALLY CONCRETE I SP RKED WITHIN THE TREE PROTECTION EA ACED WITHIN THE TREE PROTECTION I I L ED THAT THE SPOIL BE PLACED IN A TG I I VILL R ECEIVE S- 1.5INCHES OF 3 ASIBL )R IRRIGATION UNES AND CC I 3 IN OTECTION ZONE 1 3 KIND WITHIN THE TREE PROTECTIVE AL REVISION 012606 -NEW 8,15E RFORMED BY A QUALIFIED �1 02.28.06 STREET TREE TO MAINTAIN TREE HEALTH, o 03.09.06 EXISTING TREES N MAY BE NECESSARY, FOR ANY �400 1E, 4. 0419.06 NEW BASE LAYOUT ALLY THOSE WITH ANY COMPACTED W F AREAS IS RECOMMENDED FORTREES CH WILL GIVE THE TREES OPTIMAL OF CONSTRUCTION. I 1 OFSMP'SMAY BEMADEONLYWITH ..Ll `v /N 11 EXI51NG FENCEROWAREFS OR.EMAINYMEREP0 IKE i CERTIFICATION NOT FOR I. a CONSTRUCTION r i II v 0 I I it p o0 CA STAFFORD J L t J Tr w 1 2 2 I 2 2 3 4 3 LANE OB CK I LS Ti CA PP Al PA cn w Ljj /c/) CARMEL, IN z SITE LANDSCAPE U PLAN 2 5 4 3 3 a 10 5 4 PROJECT: 06501 CK PD Z8 ZS PM CC Vi 3 EA LS CK OB 2 DRAWN: JMG 2 CHECKED JAIL SCALE AS SHOWN EXISTING FENCE ROW TREES 1 ISSUE DATE 0120.06 TO REMAIN WHERE P05GIBLE QR SITE LANDSCAPE PLAN F L 0 2 Page 1 of 2 E C E I PT back To: "Carolyn Schleif' schleif -indv.rr.com From: ladcock@citiesandtowns.org Subject: Conference Registration Date: Nov 18, 2011 9:39 AM Tracking CONF4451 321 6271 47 Thank you for registering for the TACT Regional Training, presented by Vectren. If you selected the "Invoice Me" option, please print off this page as your invoice and mail your check, made payable to TACT, to the address below. If you paid by Credit Card please print a copy of this page for your records. This will serve as your receipt: There is a printer friendly option on the upper right -hand side of the page. Cancellations Only written cancellations will be accepted. Please mail your written cancellations to 200 South Meridian Street, Suite 340, Indianapolis, IN 46225; fax to (317) 237 -6206 or send to nhurt@citiesandtowns.org. Written cancellations received five business days prior to the event will be refunded less a $40 processing fee. Refunds will not be provided after this date. IACT is not responsible for hotel reservations or cancellations. Transaction Summary Item Cost Qty Total Contact Information First Name: Carolyn Last Name: Schleif Municipality: Carmel Telephone: (317)580 -1658 Email: Schleif @indy.rr.com Address: 10517 Hyde Park City or Town: Carmel State: IN ZIP Code: 46032 IACT Regional Training Registration 1 Please choose the location you'd like to attend: 'Nov. 30 Columbus' Registration Type: 45 45.00 1 45.00 First Name: Carol Last Name: Schleif Title: City Councilor Municipality: Carmel Sub -total 1 45.00 Shipping /Handling /Access Fee 0.00 0.00 Total Cost 45.00 11/18/2011 TREE AND SHRUB SCHEDULE KEY OTY. PLANT NAME SIZE SPACING NOTES KEY Ott. EUONYMOUS ATROPURPUREUS I W MINIMUM HT. AT PLANTING KEY CITY, PLANT NAME SIZE SPACING NOTES ,2 BURNING BUSH 18 -24' B88 48 O.C. NO LESS THAN 6 MAIN BRANCHES SP 2 ARIES CONCOLOR FORSYTHIA x I'LYNWOOD GOLD' AC 3 LAMARCKI SEFVICEBERRY S' HT. AS SHOWN FULL, STRONG STRAIGHT TRUNK Fl 12 LYNWOOD GOLD FORSYTHIA 18 -24' B &B 48' O.C. NO THAN.AMAIN PLA NCHES TO 9 AMELANCHIER CANADENSIS JMARCKI' GLEOITSLARllACANTHOS SKYCOLE AL ,0 LAMARCKI SERACEBERRY 3' CLUMP AS SHOWN FULL, STRONG STRAIGHT TRUNK GT 9 SKYUNE HONEYLOCUST 2112' CAL. 50' O.C. FULL, STRONG STRAIGHT TRUNK TG 9 ARONIA MELANODARPA VIKING' 1B' MINIMUM HT. AT PLANTING JUNIPERAS VIRGINIANA'CANAERTII' AM 25 VIKING BLACK CHOKEBERRY 18-24' B &S 48' O.C. NO LESS THAN 6 MAIN BRANCHES JV 14 CANAERTII JUNIPER e HT. AS SHOWN FULL, STRONG STRAIGHT TRUNK TO 17 ACER RUBRI IWAUTUMN BLAZE' LIOUIDAMBAR STYRACIFLUA AR 9 AUTUMN BLAZE RED MAPLE 21/2' CALL AS SHOWN FULL, STRONG STRAIGHT TRUNK LS 6 SW<ETGUM 21/2' CAL. AS SHOT FULL, STRONG STRAIGHT TRUNK TR 26 CORNUS ALTERNIFOUA MALLS'PRAIRIE FIRE CA 11 1 PAGODA DOGWOOD 1 1/2' CAL. AS SHOWN FULL, STRONG STRAIGHT TRUNK MP 19 PRAIRIE FIRE CRABAPPLE 1 1/2' CAL. AS SHOWN FULL, STRONG STRAIG;-(T IRUNK TT 17 CERCIS CANADENSIS PICEA gBIES CC 21 EASTERNREOBUD 11/2'CAL. ASSHOWN FULL, STRONG STRAIGHT TRUNK PA 23 NOR WAY SPRUCE e'HT, AS SHOWN FULL, STRONG STRAIGHT TRUNK V8 15 CORNUS MAS PLATANUS OCCIDENTALIS CM 14 CORNEUAN CHERRY DOGWOOD 1 1/2' CAL. AS SHOWN FULL, STRONG STRAIGHT TRUNK PO 9 21/2' CAL. AS SHOWN FULL, STRONG STRAIGHT TRUNK V7 12 AMERICAN SYCAMORE CELTS OCCIDENTAUS OUERCUS PALUSTRIS CO 2 COMMON HACKBER.RY 21(7 CAL AS SHOWN FULL, STRONG STRAIGHT TRUNK 08 15 OAK 21/2' CAL. AS SHOWN FULL STRONG STRAIGHT TRUNK WE PIN CORNUS SERICEA BAILEY= 19• MINIMUM HT. AT PLANTING OUERCUS RUBRA CS 12 REO NJIG DOGWOOD 1 &24' 6 &B 48' O.C, NO LESS THAN 6 MAIN BRANCHES OR 13 RED OAK 21/2' CAL, AS SHOWN FULL, STRONG STRAIGHT TRUNK ZS 20 4 2 3 3 2 1 Ofl MP AR CA pg EXISTING FENCE R IB TREES i0 flEMNN VMEREn" LE N g y L DD AM AM Yf TO V J 16 E%ISTING FENCE E POW= UE CM 4 TO REMNN WHERE POSSIBLE pA w I I I J✓ w I LLJ C/)1 w Z d r Q I I 1 I i I _J I CV c 2 i M I OR 4 B AL OB I Ln x LS o l I 1 1 1 PA CV 20 p ,I W TL l C i I W w w Z g 3 1 a E%ISTINGFENCEROW TFZ TO flEMNN E REM FENCE FCW T U TO WHERE i POBBiBIE O REMNN \viERE FCS c Q L STAFFORD LANE 0 1 SITE LANDSCAPE PLAN L1.01 1 50' -0° 0 25 50 100 I Page 2of2 Billing Contact Carolyn Schleif 10517 Hyde Park Carmel, IN 46032 schleif@indy.rr.com Payment Details Paid: Online Method: Credit Card Card Type: VISA Date: March 2012 Indiana Assocation of Cities and Towns Station Place 200 South Meridian Street, Suite 340 Indianapolis, IN 46225 (317) 237 -6200 e 9 g 409i Site Design and Content 2007 Content Management System by eGov Strategies LLC 11/18/2011 em F m b aneof n SxebsE pr otim Dora Y 2J pw.M i3 -ti -�3 mdn6�=1 9 ynr Y.9 1� w (apwovmdtlY 1000 pem� me) m MY e� 6p b �ke0m o m e meXa r 4w Y vav x0etdiw 9or1A. a�At�rt uW ume ato qe u e a nq a naamr, eaY weelee 000x fM tlwe nvrcn o. poxNe. 5eeam9 Seloe l d�a mi pI a a.w„ 5-z). a xt mace pw r i��5 -3 VJ. cx� M mgoted m as 9+e 5-. qa .nxt eebe (nd ed «,m. tv Nxta Fq 5-2 Fmnmml SeM Wetux 5 �Xpeam sp.e seaa:y a pX Srt. witmaty erne. roan In iM vwaae owe le./ e. iODO rep O.oytr pe:va .wt n ui aa. ,e• r «lwaee s n Lora ma swing Opw nrew Incaax .seeYg epakmtkn Ey Sax I. call F.ecue 55 .B 5.9 -8.} 2 I 2 FIGURE 5 -3 .m pt swa tom sa. n. a e ma zee. wi m war ek.ye u 5.o-].s z 1 z S as s toe. emm, nv 1 e .o le ce......e 1 /o —xw•— Lean. ma Xqn ue.awmoe .y 2 1 rvet --y CIW�q Ra x.v. .a Psem„ p a 170 4.0 5.0 -7.5 TOP OF BANK a, 100 YR. ROOD ELEVATION mO NORMAL POOE ELEVATON EROSION CONTROL MATTING to NORTH AMERICAN GREEN S -]5 OR EQUAL BOTTOM ELEVATION TYPICAL LAKE SECTION Ac. ua. -o WATERSHED BOUNDARY SCAU: 1' =300' Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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)) 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. 0 /1 At) ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR &,Auk 4 -164:T �I q Board Members PO# or INVOICE NO. ACCT #!TITLE AM T DEPT. I hereby certify that the attached invoice(s), or I b �Q bill(s) is (are) true and correct and that the �7a) 37,U materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund I Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. 1 I Payee l CV� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ��77 �Jmo bt 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. n ALLOWED 20 IN SUM OF r ON ACCOUNT OF APPROPRIATION FOR A AjiztU 4 1%t/d 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 �a was g a ure Title Cost distribution ledger classification if claim paid motor vehicle highway fund