208399 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360470 Page 1 of 1
ONE CIVIC SQUARE NATIONAL RECREATION PARK ASSOC
CARMEL, INDIANA 46032 PO Box 5007 CHECK AMOUNT: $600.00
MERRIFIELD VA 22116 -5007 CHECK NUMBER: 208399
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 22594 600.00 ORGANIZATION MEMBER
(�C3:st o o ►i =T&@W
Mr. 0 0 0 0 0 0 (p o o Qom o o o
APR 12 26 12 HEM OPO V
Director Mark Westermeier Expiration Date: 6/30/2012
Dir
Carmel Clay Parks Recreation By<
1411 E 116th St
Carmel, IN 46032 -3455 22594
0 I 0 D
R90
o U OU�'i1 D o D 1rC�+3 G�'Tt3; e. Cam'
1 Agency Package $600.00 $0.00 $600.00
Purchase
Description Q�,
P.O.# 3��0�3 P F Total Dues Billed Amount $600.00
G.L.
Line Uescr
Purchaser Date
$25
Support America's Backyard I Your donation provides a backyard big enough for the entire country empowering all $50
Americans to protect local parks and ensuring that parks will be here for generations to come. $100
Other
Combine the amount of donation with the total dues amount above. (P0 00
I @'PN"'eJ D'JJ d0@4 X11 ft bm WM U t D@A M'Eftb 2 o %WG9oM ad ftift &=awn own
CREDIT CARD: VISA MasterCard American Express Discover
CREDIT CARD NUMBER: EXPIRATION DATE: SECURITY CODE:
BILLING ADDRESS:
NAME ON CREDIT CARD: SIGNATURE:
Please update your contact information on the back of this invoice.
Thank you for your continued support of NRPAi
bPUTfiL� r .�rRnraoln o• e
To ensure the accuracy of our records, PLEASE UPDATE ANY NECESSARY INFORMATION BELOW and enclose
your changes with payment, o r visit www.nrpa.org/membership to update your profile online.
Primary Contact
Prof Professional Professional
ID: 96345 ID: 189854 ID: 29605
Name: Mr. Mark Westermeier Name: Ms. Susan Beaurain Name: Mr. Michael W. Klitzing, CPRE
Email: mwestermeier @carmelclayparks.com Email: sbeaurain@carmelclayparks.com Email: mklitzing @carmelclayparks.com
Citizen Citizen Citiz
ID: 130875 ID: 75571 ID: 211841
Name: Mr. Douglas Callahan Name: Mr. James L. Engledow Name: Ms. Wendy Franklin
Email: Email: jimengledow@engledow.com Email: wfrank]in @carmelclayparks.com
Citizen Citizen Citizen
ID: 101918 ID: 211840 ID: 189858
Name: Ms. Judith F. Hagan Name: Ms. Donna Cihak Hansen Name: Mr. Joshua Kirsh
Email: rll72jf @sbcglobal.com Email: dcihak _hansen @carmelclayparks.com Email: jkirsh @carmelclayparks.com
Citizen Citizen Citizen
ID: 211843 ID: 211847 ID: 101917
Name: Ms. Pamela Knowles Name: Mr. Richard Leirer Name: Mr. Joseph R. Miller
Email: pknowles @carmelclaypark Email: undefined Email: undefined
Citizen
ID: 211839
Name: Mr.
Email: undefined
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
360470 NRPA Congress Registration Terms
P.O. Box 5007
Merrifield, VA 22116 -5007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/12/12 22594 Annual membership 30663 600.00
Total 600.00
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
Voucher No. Warrant No.
360470 NRPA Congress Registration Allowed 20
P O .Box 5007
Mernfleltl VA '22116 ;5007
*New Address In Sum of
600.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1125 22594 4355300 600.00 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
19 -Apr 2012
Signature
600.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund