212773 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 287320 Page 1 of 1
ONE CIVIC SQUARE SISTER CITY INTERNATIONAL
CARMEL, INDIANA 46032 CHECK AMOUNT: $680.00
915 15TH STREET NW,4TH FLOOR
WASHINGTON DC 20005 CHECK NUMBER: 212773
CHECK DATE: 9/1212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355300 680 . 00 ORGANIZATION & MEMBER
Sister Cities International MV010E
DATE:
INVOICE#
915 15th Street NW 4th Floor Customer ID 336
Washington, DC 20005
(202) 347-8630
Fax: (202)393-6524
City of Carmel
One Civic Square
Carmel, IN 46032
�' 0 • r 0
Membership Dues July 1, 2012-June 30, 2013 $680.00
SUBTOTAL :.::wQQ' ;
OTHER $
TOTAL A m :
Payment Method
Check(Payable to Sister Cities International)
Wire Transfer(Please call for instructions)
Visa
MC
Amex
Discover
Card No.
Name on Card
Expiration Date
Security Code
Signature
If you have any questions about this invoice, please contact
Adam Kaplan -(202)347-8630 ext. 8634
tiO/10 39dd iSOd -1IVw 0990S8SLZE 66:80 ZLOZ/LO/60
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sister Cities International
IN SUM OF $
915 15th Street, N.W., 4th Floor
Washington, DC 20005
$680.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1160 Invoice 43-553.00 $680.00 I 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
Friday, September 07, 2012
ayor
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))
06/04/12 Invoice $680.00
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