HomeMy WebLinkAbout219877 05/07/2013I
CITY OF CARMEL, INDIANA VENDOR: 367121 Page 1 of 1
e` ONE CIVIC SQUARE NEIL REEVES
0 CARMEL, INDIANA 46032 C/O CFD CHECK AMOUNT: $65.00
CHECK NUMBER: 219877
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CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 65 . 00 EXTERNAL INSTRUCT FEE
Print and Mail Completed Form To Address Below. You can fill this out scan and email it to me
if you wish to pay via credit card. I will call you to complete the registration.
20% 13 KTA S"%ym--%osium itr tip
The 1013 Registration fee for KTA has increased to$65 ner attendee. Checks can be
made payable to City of Lewisville. If you wish to pay via credit card we can accommodate you.
The City charges a $1.50 for this transaction. If you wish to use a credit card please include
your phone number and I will contact you to get the necessary information. YOU WILL NOT
BE REGISTERED UNTIL WE RECEIVE YOUR PAYMENT! Each participant MUST complete
the form. Please choose between Pipes and Drums or Honor Guard but not both.
Name Cr R,e.e.les
Departmenf-Name Cole me t P/ 're- e 129114
Department City C LX
Department State 7
Cell Phone
Email Address Erer.VCS co"r V4!E I!a 0 V
Please circle the appropriate response:
What are you signing up for (Please Only Choose One)
Honor Guard
Honor Guard Commander Team Member
Pipes
Beginner Intermediate Advanced""
""Advanced players will be required to audition for this group on day one
Drums
Snare Tenor Bass
Beginner Intermediate Advanced
Will you require transportation from the airport Yes No
May 02 2013 12:08PM Carmel Fire Dept 3175712627 page 1
Huntington Online Banking Page 1 of 1
Transaction History
From 04/1712013 To _-....... .._....--
04/182013 QQ��
Dater Number Type Payee Category Debit Credit Account Balance
04/1812013 79 Debit Card BURGER KING $11.31 $32.56
04/18/2013 238445 Debit Card S O S STORAGE O -$83,00 $43.87
04/17/2013 10001 Debit Card CITY OF LEWISVI -$65.00 $126,87
https://onlinebanking.huntington.com/Accounts/AccountDetail.aspx?AcctId=1 5!212013
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))
Regis. Fee-Honor Guard School $65.00
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.
ALLOWED 20
Neil Reeves
IN SUM OF $
$65.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r'
1120 I I 43-570.04 I $65.00 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
MAY 6 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund