219366 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 362490 Page 1 of 1
+L• ` ONE CIVIC SQUARE INDIANA GOLF COURSE SUPERINTENDENT CHECK AMOUNT: $81.00
CARMEL, INDIANA 46032 ASSOCIATION
TO BOX 567 CHECK NUMBER: 219366
YORKTOWN IN 47396
CHECK DATE: 412412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2013 DUES 81 . 00 ORGANIZATION & MEMBER
Indiana Chapter
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GOLF COUM SUKKINTENDE SF 0MTION OF AHMW ��� 6� ~NC
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GCSAA Member#: (o
Phone Numbers
Office: 31)-dqq-J' i to Cell: 317- 5-01 - a ?M..I4G Fax: 3 Il - $�6- Home:
Email Address: h hq s 0 00 t Fn A ✓ ,/
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Membership Status: Complete membership classifications can be found on IndianaGCSAA.com.
Class A: Employed as a superintendent for more then 3 years ( requires dual membership with GCSAA)
Superintendent Member: Employed as a superintendent for less then 3 years
(requires dual membership with GCSAA)
Class C: Employed as an assistant superintendent(does not requires dual membership with GCSAA)
Affiliate: Employed by a business or governmental body involved with golf course or turf management.
(does not requires dual membership with GCSAA)
Associate: Individual employed in golf course or turf management.
(does not requires dual membership with GCSAA)
Retired: Dues$40.00
Student: There are no dues for student members
Honorary: There are no dues for honorary members
Amount Due'$8100 unless other wise note
Please remit payment INVOICE to association address provided below.
Indiana Golf Course Superintendent Association
P.O. Box 567
Yorktown, IN 47396
[if you have already paid your 2093 Dues, thank you and please disregard this notice.
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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))
04/18/13 2013 Dues #164825 $81 00
I 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.
ALLOWED 20
GCSAA��;//
(W . 6�,��U I I IN SUM OF $
P.O. Box 567
Yorktown, IN 47396
$81.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept INVOICE NO ACCT#/TITLE AMOUNT Board Members
1207 I 2013 Dues I 43-55300 I S81.00 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
Thursday, April 18, 2013
l�
Director, BrookshirZ 6olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund