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207104 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 362490 Page 1 of 1 ONE CIVIC SQUARE INDIANA GOLF COURSE SUPERINTEND8 CARMEL, INDIANA 46032 ASSOCIATION NICK AMOUNT: $81.00 PO BOX 567 CHECK NUMBER: 207104 YORKTOWN IN 47396 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 BHIGGING3112 81.00 ORGANIZATION MEMBER Indiana Chapter GCSA GOLF COURSE SUPERINTENDENTS ASSOCIATION OF AMERICA 20 Dunes Statement Name: I G�J 6, !N S Company: 3 cm L h t l P 66 jr s e Address: lJ 1 a d 19 (ook S4, re Pki-i l GCSAAMember Phone Numbers Office: '3 1 7 ',,Wq "a) l 6 Cell: 3 i 5 d I di L16 Fax: 31 7 ,946 91 Home: 3i�? 996 /0 Email Address: h Ai «4 i in 5 to 06 r nay `n .G a �f JlT� Membership Status: Complete membership classifications can be found on IndianaGCSAA.com. Class A: Employed as a superintendent for more then 3 years requires dual membership with GCSAA) Superintendent Member: Employed as a superintendent for less then 3 years (requires dual membership with GCSAA) Class C: Employed as an assistant superintendent (does not requires dual membership with GCSAA) Affiliate: Empolyed by a business or governmental body involved with golf course or turf management. (does not requires dual membership with GCSAA) Associate: individual employed in golf course or turf management. (does not requires dual membership with GCSAA) Retired: Dues 40.00 Student: There are no dues for student members Honorary: There are no dues for hon or air ers Amount Due. SI.00 nless other wise noted. Please remit payment W/I CE to association address provided below. Indiana Golf Course Superintendent Association P. 0x 567 OR PAY ONLINE AP new Address Y IN 4 7 396 www.indianaGCSAA.com a a i r.. i g p i iy r SE t D` x I yi 5th �z r °s t r r VOUCHER NO. WARRANT NO. ALLOWED 20 IN Golf Course Superintendent Assoc. IN SUM OF P.O. Box 567 Yorktown, IN 47396 $81.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 I BHkGGING3 -1- I 43- 553.00 I $81.00 1 hereby certify thatthe 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 Monday, March 12, 2012 Director, BrooksQ Golf Club Title 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)) 03/01/12 BHIGGING3 -1 -12 Dues $81.00 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