220249 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 364085 Page 1 of 1
° ONE CIVIC SQUARE MADISON COUNTY COUNCIL OF GOVT
CARMEL, INDIANA 46032 16 E 9TH STREET HECK AMOUNT: $250.00
? ANDERSON IN 46016
CHECK NUMBER: 220249
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 0 250 . 00 STORM WATER PHASE II
tj
ANNUAL M4 MEETING
INVOICE
Make checks payable to:
Madison County Council of Governments
16 E. 9th St.
Anderson, IN 46016
Phone: 765.641.9482
Contact: Laura Sylvester
lylvester@mccog.net
PO/Check#
Date S s
Description 2013 Indiana MS4 Annual Conference
Registration—May 30`h, 2013
Issued to (insert your information here):
I
Registrant Description Amount Due
T�� o Conference Registration $50.00
Total $50.00
*Multiple registrants from one community/organization can submit a single check for total
payment. However, please include a copy of each individual registrant invoice with the check.
w ;
ANNUAL AL M 4 MEETING
INVOICE
Make checks payable to:
Madison County Council of Governments
16 E. 9' St.
Anderson, IN 46016
Phone: 765.641.9482
Contact: Laura Sylvester
lylvester@mccog.net
PO/Check# Cnr
Date:A20 (3 Description 3 Indiana MS4 Annual Conference
Registration—May 30", 2013
Issued to (insert your information here):
Registrant Description Amount Due
y Conference Registration $50.00
Total $50.00
*Multiple registrants from one community/organization can submit a single check for total
payment. However, please include a copy of each individual registrant invoice with the check.
-71
ANNUAL M MEETING
INVOICE
Make checks payable to:
Madison County Council of Governments
16 E. 9th St.
Anderson, IN 46016
Phone: 765.641.9482
Contact: Laura Sylvester
Isylvester@mccog.net
PO/Check# 0 C 0-y-AL�
Date
Description 201 Indiana MS4 Annual Conference
Registration— May 30", 2013
Issued to (insert your information here):
Registrant Description Amount Due
Conference Registration $50.00
Total $50.00
*Multiple registrants from one community/organization can submit a single check for total
payment. However, please include a copy of each individual registrant invoice with the check.
VJ
ANNUAL M 4 MEETING
INVOICE
Make checks payable to:
Madison County Council of Governments
16 E. 9' St.
Anderson, IN 46016
Phone: 765.641.9482
Contact: Laura Sylvester
lylvester@mccog.net
PO/Check# \A14 Q F
Date S
Description Ml Indiana MS4 Annual Conference
Registration—May 30`h, 2013
Issued to (insert your information here):
Registrant Description Amount Due
Conference Registration $50.00
Total $50.00
*Multiple registrants from one community/organization can submit a single check for total
payment. However, please include a copy of each individual registrant invoice with the check.
,J v
AN l A -Y n. " I S4 MEETING
INVOICE
Make checks payable to:
Madison County Council of Governments
16 E. 9' St.
Anderson, fN 46016
Phone: 765:641.9482
Contact: Laura Sylvester
lylvester@mccog.net
PO/Check# C voc
Date
Description 201 Indiana MS4 Annual Conference
Registration—May 30`h, 2013
Issued to (insert your information here):
Registrant Descri tion Amount Due
Conference Registration $50.00
Total $50.00
*Multiple registrants from one community/organization can submit a single check for total
payment. However, please include a copy of each individual registrant invoice with the check.
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
Madison County Council of Governments Purchase Order No.
16 E. 9th Street Terms
Anderson, IN 46016 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
5/15/2013 0 MS4 Annual Meeting; Kurt,John, Mike, Gary,Amanda $ 250.00
Total $ 250.00
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 NC WARRANT NO.
Madison County Council of Governments ALLOWED 20
16 E. 9th Street IN SUM OF $
Anderson, IN 46016
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 0 211-4462838 $ 250.00 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
auAL 5/20/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund