215673 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 353810 Page 1 of 1
ONE CIVIC SQUARE INDIANA PARK&RECREATION
`�? CARMEL, INDIANA 46032 PO BOX 3906 CHECK AMOUNT: $554.00
CARMEL IN 46082 CHECK NUMBER: 215673
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 1079 554 . 00 ORGANIZATION & MEMBER
Invoice
Indiana Park& Recreation Assoc.
f PO Box 3906
IPj� Carmel, IN 46082 Date' Invoice#.
1P RA 11/15/2012 1079
Bill To..
Carmel Clay Parks& Recreation RFCF1 J �
1411 E. 116th Street
Carmel, IN 46032 NOV 2 6 Z012
--Due"Dat'e—
Net 30 12/15/2012
Item Description Quantity .` Rate; Amount
2013 Agency ... 2013 Annual Membership Dues(up to 6 individuals, including 1 365.00 365.00
1 board member)
2013 Agency ... 2013 Annual Membership Dues(additional professional 3 63.00 189.00
membership to current agency)
Purchase
Description-
P.O.# PorF
G.L.# PIS— I- oo — 43 VS300
Budoet
Line Descr
Purchaser Date
Approval Date
Total $554.00
Phone# 317.573.4035
Fax# 317.353.3991 Balance Due $554.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
353810 Indiana Park & Recreation Assoc. Terms
P.O. Box 3906
Carmel, IN 46082
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/15/12 1079 2013 IPRA Membership dues $ 554.00
Total $ 554.00
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
Voucher No. Warrant No.
353810 Indiana Park & Recreation Assoc. Allowed 20
P.O. Box 3906
Carmel, IN 46082
In Sum of$
$ 554.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 1079 4355300 $ 554.00 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
13-Dec 2012
Signature
$ 554.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund