HomeMy WebLinkAbout206707 02/28/2012 CITY OF CARMIEL, INDIANA VENDOR: 00351637 Page 1 of 1
4 �t, ONE CIVIC SQUARE INDIANA NURSERY LANDSCAPE ASS EHECK AMOUNT: $25.00
®s CARMEL, INDIANA 46032 7915 S EMERSON AVE SUITE 247
INDIANAPOLIS IN 46237 CHECK NUMBER: 206707
CHECK DATE: 212812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4355300 25.00 ORGANIZATION MEMBER
INDIANA ACCREDITED HORTICULTURIST
CEU FULFILLMENT TRACKING FORM AND ADDRESS UPDATE
f
Name:
Sponsoring Company: �y. ci� C-45,:f
Address: a 00 k-e�a Check. On 1-lome Work
City: Lo- Statel Zipcode
Phone: b Fax: 3 1 7 1 d�� Vj
E -mail Go'c
Manual (if available) 4: Certification Expiration Date:
Recertification Guidelines: Certified individuals must submit (via CEU forms) 7 hours of Continuing Education
Units per two year certification period OR must re -test. Non -INCA CEU programs Must be pre approved by
the IAH committee. Please note that CEU program costs will vary.
YOU MUST SUBMIT PAYMENT WITH RECERT EE N.
Recertification Fees: INLA or N W INLA Mem rs $25 each Non Members $45 each
Check or credit card payment must be enclosed.
Credit card: Master Card Visa Discover Card number:
Expiration date: 3 digit security code:
Name on card:
Billing address:
Reinstatement: Following two or more years of inactive status, you must retest. Retesting is an additional fee.
Continuing Education Units: May be earned by attending approved echication only sessions of the following:
Indiana Green Expo January of each year www.inla l .orLY or wrw�w.i ►idianai�reenexpo.com
INLA Summer Meeting July /August of each year www.inla .M
Indiana Nursery and Landscape News CEU bi- monthly quiz
Northwest Indiana.NUrsery and Landscape Association Annual Meeting www.nwinla.or
The INLA will log your attendance for all INLA attended events. If your status is ACTIVE, you can access your
C EU record at www.inlal .orb and click on 'certification' and then `Active'.
NOTE: If you are requesting credit for programs other than those listed above, you must provide proof of attendance
and a copy of the program.
1) Name of Program Dates:
Number of Hours:
2) Name of Program Dates:
Number of [lours:
3) Name of Prograrn Dates:
Number of Hours
4) Name of Program Dates:
Number of Hours
5) Name of Program Dates:
Number of Hours
Indiana Nursery and Landscape Association 7915 S. Emerson Ave. Ste 247 Indianapolis, IN 46237
gone 317.889.2382 Toll Free 800.443.7336 Fax 317.889.3935 dsheetsRginlal.oro www.inlal.org
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Nursery and Landscape Association
6 IN SUM OF
S. Emerson Ave. Ste 247
Indianapolis, IN 46237
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 43- 553.00 $25.00 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; Vebruary`23, 2012
Street Commissioner
StreetTifle mmissfo; per
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))
02/21/12 $25.00
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