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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 ,�", xj 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 Page 1 of 1 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