HomeMy WebLinkAbout214576 11/20/2012 F CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1
ONE CIVIC SQUARE JAMES BRAINARD
` CARMEL, INDIANA 46032 CHECK AMOUNT: $609.99
CHECK NUMBER: 214576
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4239099 9 . 99 OTHER MISCELLANOUS
1160 4355300 600 . 00 ORGANIZATION & MEMBER
CVS/Pharmacy'
1421 S. RANGE LINE RD, L:ARNI i., IN
(317 ) 894-2775 �-
REG#02 TRN#771 5 CSHR#1 043296 1 R 486(4
I KDK PHOTO PSSPRT 06 9.`.791 nQ Q
Survey ID # ` 1
0212 9312 6831 091 76
SUBTOTAL 9.99
IN 7.0% TAX
TOTAL 10.69
10.69
* * * MS
CHANGE 00
2508 6742 3127 7150 2r
RETURNS WITH RECEIPT THRU 01106J2013
NOVEMBER 7, 2012 7 ors PM
GET YOUR CVS EXTRACARE IJIRD
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Te l l us how we are do i ng and j ;u ct)u l d
WIN $1 , 000
or one of the HUNDREDS of oihei- cash
Prizes INSTANTLY'
CALL
1 -800-625-- 1703
Hablamos espahol
ill ;�r expires at the end of the month
See official rules in store for
tfri:,ils. Open to US residunls, age In
.url older. No Purchase ! ecessaru
Void where prohibited 1 ,'j law,
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UNITED STATES CONFERENCE OF MAYORS For USCM Use Only
1620 EYE STREET, N.W., WASHINGTON, D.C. 20006
REGISTRATION RECEIPT PLEASE PRESENT AT REGISTRATION) IDNo. 44
11/2/2012 Fee: $600.00
Date: Paid: Yes
Payment: CreditCard
RegType: Member Mayor
Meeting: 81st Winter Meeting,Washington, DC,January 17-19,2013
44
James Brainard
Mayor
City of Carmel
1 Civic Square
Carmel, IN 46032
Arrival Date: 1/16/2013 Departure Date: 1/22/2013
Original l The Capital Hilton
Kibbe, Sharon
From: Martin, Candy
Sent: Monday, October 22, 2012 2:07 PM
To: Kibbe, Sharon
Subject: FW: 81st Winter Meeting Registration Confirmation
FYI...
Candy Martin
City of Carmel
Office of the Mayor
317-571-2401 Direct
317-844-3498 Fax
From: USCM Meetings Department fmailto:agorman(@usmayors.orgl
Sent: Monday, October 22, 2012 1:47 PM
To: Brainard, James C; Martin, Candy
Subject: 81st Winter Meeting Registration Confirmation
Thank you for submitting your registration online.
NOTE: ALL Changes and/or Cancellations of your registration
must be submitted in writing and faxed to the USCM Meetings
Department at (202) 467-4276. (You cannot make changes/or
cancellations online)
Confirmation Number: 13Winter90532
Submission Date: 1012212012 1:41:56 PM
REGISTRATION INFORMATION
First Name: JAMES
Last Name: BRAINARD
Title: Mayor
Organization: City of Carmel
Address: 1 Civic Square
Address 2:
City: Carmel
State: IN
ZIP: 46032
Phone: 317-571-2401
E-Mail: jbrainard@( armel.in.gov
Fax: 317-844-3498
Country: USA
i
Name on Badge: Jim
Newly Elected: No
First Time: No
P ayment Amount: $600
2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mayor Jim Brainard
IN SUM OF $
One Civic Square
Carmel, IN 46032
$609.99
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1160 Receipt 43-553.00 $600.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1160 Receipt 42-390.99 $9.99
materials or services itemized thereon for
which charge is made were ordered and
received except
Fr y, November 16, 2012
A r(7
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))
11/02/12 Receipt $600.00
11/07/12 Receipt $9.99
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