215341 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
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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