HomeMy WebLinkAbout213828 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 363971 Page 1 of 1
0 ONE CIVIC SQUARE A P C O CHECK AMOUNT: $92.00
CARMEL, INDIANA 46032 351 N WILLIAMSON BLVD
DAYTONA BEACH FL 32114 CHECK NUMBER: 213828
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 92 . 00 OTHER CONT SERVICES
ANNUAL DUES INVOICE
co Federal ID Number 63-046-1885
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International 351 N INTERNATIONAL INC.
351 NORTH WILLAMSON BLVD.
DAYTONA BEACH,FLORIDA 32114
APCO International♦351 North Williamson Blvd.♦Daytona Beach,FL 32114 888-APC09-1-1 OR 336-322-2500
Janet Arnone
Office Administrator Statement Date: 10/16/2012
Carmel Clay Communications Center P.O.Number:
31 1 St Ave NW
Cannel,IN 46032-1715 Bill Code: 308659
Total Amount Due: $92.00
Von are being billed for: 2013 APCO Membership Dues
Note: o Return invoice with remittance.
• Please indicate those individuals no longer with your organization by drawing a line through their name.
• Each new member requires a new application. Please complete the application on the back. Duplicate application as needed.
Payment: Donations:
❑ Check Check: Silent Key:
❑ MasterCard Card #: $
❑ Visa Expiration Date: Sunshine Fund:
❑ Amex Cardholder's Name: $
❑ Discover Cardholder's Signature: Please add this to your
total amount due.
Please retain a copy for your records and mail invoice with payment.
MBR# CAT. NAME DESCRIPTION AMOUNT DUE
Primary Chapter Original Amt Amount Due AmountPaid Balance
96115 FULL Todd Luckoski IN $92.00 $92.00 $0.00 $92.00
Total Amount Due: $92.00
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VOUCHER NO. WARRANT NO.
ALLOWED 20
APCO International
IN SUM OF $
351 N. Williamson Blvd. —
Daytona Beach, FL 32114
$92.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I I 43-509.00 I $92.00 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
Monday, October 222012
�//v/V-01 /
i'ector
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))
10/16/12 $92.00
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