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HomeMy WebLinkAbout215341 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00350077 Page 1 of 1 € ONE CIVIC SQUARE INDIANA STREET COMMISSIONERS ASNiCK AMOUNT: $35.00 CARMEL, INDIANA 46032 C/O JOHN SCHNADENBERG 1490 BROADWAY SUITE 1 CHECK NUMBER: 215341 CHESTERTONIN 46304 CHECK DATE: 12111!2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4355300 0863023 35 . 00 ORGANIZATION & MEMBER INVOICE INDIANA STREET COMMISSIONER'S ASSOCIATION 2013 I.S.C.A MEMBERSHIPS ARE NOW DUE SEND DUES ($35.00) TO: John Schnadenberg-Membership Director 1490 Broadway, Suite 1 Chesterton,IN 46304 219-926-2222 PLEASE NOTE NEW ADDRESS ■mmmmmmmmmmmmammmmmmmammmemmmmmmmmmmmmammmmmmmmmmmmmmmmmmmmmmmammammsmmm� 2013 ISCA DUES-$35.00 Only one $35.00 fee required for membership per community. If your assistant or foreman needs a membership card,please note on your application form. APPLICATION FOR MEMBERSHIP CITY/TOWN: � r/r) Lk NAME: (,c_�-(I'►�I -�1-n E-MAIL +- r ADDRESS: Y t ct �t-4 W-a a✓l(a) C G-rM L /l : 90 V BUSINESS ADDRESS: �(00 W, /� t J-1- BUSINESS PHONE: "I 3 3-- 00/ FAX# 13/ti 33 -900.5 DUES ENCLOSED: J 5, 0 0 CLAIM FORM: RENEWAL: NEW MEMBER: Call or send with this registration your suggestions for topics at this year's convention. VOUCHER NO. WARRANT NO. ALLOWED 20 I.S.C.A. Memb rship � /1��n����� IN SUM OF $ 1409 Broadway, Suite 1 Chesterton, IN 46304 $35.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I I 43-553.001 $35.00 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 Friday, December 07, 2012 Street Commissidner Girpr�f C nmmiccinnar 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)) 12/04/12 $35.00 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