209577 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00353282 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOC OF CITY ENGINEERS
ATM CHERYL MENCSIK CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032
PO BOX 273 CHECK NUMBER: 209577
LAGRANGE IN 46761
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 25.00 EXTERNAL INSTRUCT FEE
IACE
WORKSHOP/SCHOLARSHIP
GOLF OUTING
Regular and Affiliate Members
June 14, 2012
TO: Michael T. McBride, City Engineer
City of Carmel
One Civic Square
Carmel, IN 46032
Yes, I will be attending, please register me.
��Re l gular /Affiliate Member Fee: $25.00 Each
Name: M xi I ge. e ►b City /Town: 644gkL Workshop only Workshop and Golf
Please register these additional members from my organization.
Name: City /Town: Workshop only Workshop and Golf
Name: City /Town: Workshop only _Workshop and Golf
Name: City /Town: Workshop only Workshop and Golf
Total Cost: No. of registrants X $25.00
Mail or fax to Cheryl J. Mencsik, P.O. Box 273, LaGrange, IN 46761- Fax
Phone: 260- 463 -3045 Registration Form and Payment must be
received no later than Friday, June 8, 2012
2011 IACE REGULAR Workshop registration
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
Indiana Association of City Engineers Purchase Order No.
POB 273 Terms
LaGrange, IN 46761 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
6/1/2012 0 Workshop 25.00
rs
t
Total 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
VOUCHER NO WARRANT NO.
Indiana Association of City Engineers ALLOWED 20
POB 273 IN SUM OF
LaGrange, IN 46761
25.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PD# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200- 4357004 25 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
6/4/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund