210249 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 364188 Page 1 of 1
0 ONE CIVIC SQUARE AMERICAN PUBLIC WORKS ASSOCIATICPECK AMOUNT: $650.00
CARMEL, INDIANA 46032 PO BOX 802296
KANSAS CITY MO 64180 -2296 CHECK NUMBER: 210249
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 201999 650.00 ORGANIZATION MEMBER
Page 1 of I
OR
August 26 -29 1 Anaheim Corwcntion Ccntci
s 2012 APWA hiternational PukYlic Works Congress Exposition
INVOICE
Account Purchase Order Order Date Order Terms Invoice Date
No. No. Number
6/28/2012 2:54:24 31304 Due Upon 6/28/2012 2:54:24
201999 26539 PM Receipt PM
TO:
Badge Number: 201999
Reg Type: Pending Payment
Name: Michael McBride
Title: Director of Engineering
Company: City of Carmel, Indiana
Address 1: 1 Civic Sq
Address 2:
City: Carmel
State: IN
Postal Code: 46032 -2584
Country: United States
Phone: 3175712441
Fax: 3175712439
Email: mmcbride @carmel.in.gov
Badge Last Name First Name Registration Type Item Total
201999 McBride Michael PEND $650
(1) Full Member ($650)
(1) Sunday Lunch ($0)
(1) Monday Lunch ($0)
(1) Sunday Exhibit Floor Prize Ticket ($0)
(1) Monday Exhibit Floor Prize Ticket ($0)
(1) Tuesday Passport to Prizes ($0)
Remit Payment to:
American Public Works Association
P.O. Box 843742
Kansas City, MO 64184 -3742
Please remit payment in U.S. funds only..
TOTAL $650
Make all checks payable to APWA 2012
THANK YOU FOR YOUR BUSINESS!
Please direct credit card payments and bitting inquiries to 508 743 -8540 FAX 508 743 -9613.
EIN: 36- 2202880 GST -HST: 12356 5426 QST: 1012868568 All funds are $USD
https: /www.xpressreg. net register /apwaO82 /invoice.asp ?b= 201999 &o =31304 6/28/2012
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
American Public Works Association Purchase Order No.
POB 802296 Terms
Kansas City, MO 64180 -2296 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
6/28/2012 201999 Registration for 2012 APWA conference 650.00
Total 650.00
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.
American Public Works Association ALLOWED 20
POB 802296 IN SUM OF
Kansas City, MO 64180 -2296
650.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 201999 2200- 4355300 650 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
6/18/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund