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HomeMy WebLinkAbout220384 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 359293 Page 1 of 1 r ONE CIVIC SQUARE UNITED AIRLINES CHECK AMOUNT: $1,781.95 s` �a CARMEL, INDIANA 46032 ATTN:UATP DEPT o� PO BOX 0201970 CHECK NUMBER: 220384 HOUSTON TX 77216-1970 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 043013 1, 081. 69 EXTERNAL TRAINING TRA 210 4357000 043013 463 . 65 TRAINING SEMINARS 651 5023990 043013 236 . 61 OTHER EXPENSES UNITED U SUMMARY STATEMENT REMITTANCE ADVICE For Statement Period Ending April 30,2013 ACCOUNT NUMBER: 10050479300000 Previous Balance $291.51 CITY OF CARMEL Payments ($291.51) Charges $1,790.20 Refunds/Adjustments $0.00 PAYMENT OPTIONS UA Rebate $0.00 OA Rebate ($8.25) Remit Payments by Check To: United Airlines New Balance $1,781.95 ATTN: UATP Department P.O.Box 0201970 Date Opened 02/13/2007 Houston,Texas 77216-1970 YTD Sales $8,385.41 YTD United Rebate ($6.46) Wire Transfer: ACH Transfer: YTD Other Airline Rebate ($35.03) JP MORGAN CHASE JP MORGAN CHASE YTD Total Rebate ($41.49) New York, New York 11245 New York,New York 11245 Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 F/C: United Airlines, Inc. F/C: United Airlines, Inc. Credit Limit $11,000.00 A/C:51-67795 A/C:51-67795 Ava ila bleCredit $9,218.05 ATTN: UATP Department-10050479300000 Please attach Remittance Advice to Payment For Questions relating to your statement,contact UATP Customer Service at 1-866-324-UATP UN ITED - STATEMENT SUMMARY For Statement Period Ending April 30,2013 ACCOUNT NUMBER: 10050479300000 PAYMENT IS DUE IN FULL BY 05/26/2013 CITY OF CARMEL ATTN DIANA L CORDRAY ONE CIVIC SQUARE CARMEL, IN 46032 Previous Refunds/ United Other Airline Credit Card Number Cardholder Name Balance Payments Charges Adjustments Rebate Rebate Balance Due 00004793000068 FIRE DEPARTMENT $291.51 ($291.51) $1,086.60 $0.00 $0.00 ($4.91) $1,081.69 00004793000084 POLICE DEPARTMENT $0.00 $0.00 $465.80 $0.00 $0.00 ($2.15) $463.65 00004793000126 UTILITIES DEPARTMENT $0.00 $0.00 $237.80 $0.00 $0.00 ($1.19) $236.61 PAYMENT OPTIONS Previous Balance $291.51 Remit Payments by Check To: Payments ($291.51) United Airlines Charges $1,790.20 ATTN: UATP Department Refunds/Adjustments $0.00 P.O.Box 0201970 United Rebate $0.00 Houston,Texas 77216-1970 Other Airline Rebate ($8.25) Wire Transfer: ACH Transfer: Balance Due $1,781.95 JP MORGAN CHASE JP MORGAN CHASE New York,New York 11245 New York, New York 11245 Date Opened 02/13/2007 Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 YTD Sales $8,385.41 F/C: United Airlines, Inc. F/C: United Airlines, Inc. YTD United Rebate ($6.46) A/C:51-67795 A/C:51-67795 YTD Other Airlines Rebate ($35.03) ATTN: UATP Department-10050479300000 YTD Total Rebate ($41.49) Credit Limit $11,000.00 Available Credit $9,218.05 5/4/2013 Page 1 of 1 UNITED lJ -P ACCOUNT NUMBER: 10050479300000 ACCOUNT STATEMENT CREDIT CARD NUMBER: 00004793000068 CITY OF CARMEL For Statement Period Ending April 30,2013 CARDHOLDER NAME: FIRE DEPARTMENT , 2 Other Airline Net Issue Departure Routing Agency Charges/ United Rebate Charges/ ' "� • `Q��;"� Date Date Passenger Name Ticket Number Origin To To To To Fare Class Airline Segment Number Credits Rebate Credits 04/12/2013 18739PMT ($291.51) $0.00 $0.00 ($291.51) 04/16/2013 HOFFMAN/MATTHEW F 89005992402014 15879323 $35.00 $0.00 $0.00 $35.00 04/16/2013 REEVES/NEIL P 89005992402025 15879323 $35.00 $0.00 $0.00 $35.00 '` 04/16/2013 04/20/2013 HOFFMAN/MATTHEW F 5262122557349 IND PHX IND LR WNWN 79200010 $218.00 $0.00 ($1.09) $216.91 04/16/2013 05/08/2013 REEVES/NEIL P 00171887500164 IND DFW IND QQ AAAA 15879323 $381.80 $0.00 ($1.91) $379.89 04/17/2013 KINNEY/JARED N 89005992402036 15879323 $35.00 $0.00 $0.00 $35.00 04/17/2013 06/06/2013 KINNEY/JARED N 00171887500341 IND DFW IND QQ AAAA 15879323 $381.80 $0.00 ($1.91) $379.89 '. %.`:`'' asx{�yR'iya -ra. yn3s+. t +'ESN.•� 05/04/2013 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)) Flights for Hoffman, Reeves, Kinney, $1,081.69 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 AIAVI� IN SUM OF $ ATTN: UATP Department P.O. Box 0201970 0 Houston, TX 77216 $1,081.69 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-430.02 I $1,081.69 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the h i materials or services itemized thereon for which charge is made were ordered and received except MAY 202013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund tJN1 °f' ED "NO A� ___ ® P STATEMENBT SUMMARY For Statement Period Ending April 30,2013 ACCOUNT NUMBER: 10050479300000 PAYMENT IS DUE IN FULL BY 05/26/2013 CITY OF CARMEL ATTN DIANA L CORDRAY ONE CIVIC SQUARE CARMEL, IN 46032 Previous Refunds/ United Other Airline Credit Card Number Cardholder Name Balance Payments Charges Adjustments Rebate Rebate Balance Due 00004793000068 FIRE DEPARTMENT $291.51 ($291.51) $1,086.60 $0.00 $0.00 ($4.91) $1,081.69 00004793000084 POLICE DEPARTMENT $0.00 $0.00 $465.80 $0.00 $0.00 ($2.15) $463.65 00004793000126 UTILITIES DEPARTMENT $0.00 $0.00 $237.80 $0.00 $0.00 ($1.19) $236.61 PAYMENT OPTIONS Previous Balance $291.51 Remit Payments by Check To: Payments ($291.51) United Airlines Charges $1,790.20 ATTN: UATP Department Refunds/Adjustments $0.00 P.0-Box 0201970 United Rebate $0.00 Houston, Texas 77216-1970 Other Airline Rebate ($8.25) Wire Transfer: ACH Transfer: Balance Due $1,781.95 JP MORGAN CHASE JP MORGAN CHASE New York, New York 11245 New York, New York 11245 Date Opened 02/13/2007 Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 YTD Sales $8,385.41 F/C: United Airlines, Inc. F/C:United Airlines, Inc. YTD United Rebate ($6.46) A/C: 51-67795 A/C:51-67795 ATTN: UATP Department-10050479300000 YTD Other Airlines Rebate ($35.03) YTD Total Rebate ($41.49) Credit Limit $11,000.00 Available Credit $9,218.05 5/4/2013 Page 1 of 1 U N I T E D !J UJV= P STATEMENT SUMMARY For Statement Period Ending April 30,2013 ACCOUNT NUMBER: 10050479300000 PAYMENT IS DUE IN FULL BY 05/26/2013 CITY OF CARMEL ATTN DIANA L CORDRAY ONE CIVIC SQUARE CARMEL, IN 46032 Previous Refunds/ United Other Airline Credit Card Number Cardholder Name Balance Payments Charges Adjustments Rebate Rebate Balance Due 00004793000068 FIRE DEPARTMENT $291.51 ($291.51) $1,086.60 $0.00 $0.00 ($4.91) $1,081.69 00004793000084 POLICE DEPARTMENT $0.00 $0.00 $465.80 $0.00 $0.00 ($2.15) $463.65 00004793000126 UTILITIES DEPARTMENT $0.00 $0.00 $237.80 $0.00 $0.00 ($1.19) $236.61 PAYMENT OPTIONS Previous Balance $291.51 Remit Payments by Check To: Payments ($291.51) United Airlines Charges $1,790.20 ATTN: UATP Department Refunds/Adjustments $0.00 P.O.Box 0201970 United Rebate $0.00 Houston,Texas 77216-1970 Other Airline Rebate ($8.25) Wire Transfer: ACH Transfer: Balance Due $1,781.95 JP MORGAN CHASE JP MORGAN CHASE New York, New York 11245 New York, New York 11245 Date Opened 02/13/2007 Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 YTD Sales $8,385.41 F/C: United Airlines, Inc. F/C: United Airlines, Inc. YTD United Rebate ($6.46) A/C: 51-67795 A/C: 51-67795 YTD Other Airlines Rebate ($35.03) ATTN: UATP Department-10050479300000 YTD Total Rebate ($41.49) Credit Limit $11,000.00 Available Credit $9,218.05 5/4/2013 Page 1 of 1 CREDIT CARD NUMBER: 00004793000084 CARDHOLDER NAME: POLICE DEPARTMENT Other Airline Net Issue Departure Routing Agency Charges/ United Rebate Charges/ Date Date Passenger Name Ticket Number Origin To To To To Fare Class Airline Segment Number Credits Rebate Credits 04/11/2013 05/12/2013 MILLER/MICHAEL G 5262121651307 IND LAS IND HW WNWN 79200010 $430.80 $0.00 ($2.15) $428.65 04/12/2013 MILLER/MICHAEL G 89005989510896 15879323 $35.00 $0.00 $0.00 $35.00 05/04/2013 Page 2 of 3 ITED Vffl �.. � SUMMARY STATEMENT REMITTANCE ADVICE For Statement Period Ending April 30,2013 ACCOUNT NUMBER: 10050479300000 Previous Balance $291.51 CITY OF CARMEL Payments ($291.51) Charges $1,790.20 Refunds/Adjustments $0.00 PAYMENT OPTIONS UA Rebate $0.00 OA Rebate ($8.25) Remit Payments by Check To: United Airlines New Balance $1,781.95 ATTN: UATP Department P.O.Box 0201970 Date Opened 02/13/2007 Houston,Texas 77216-1970 YTD Sales $8,385.41 YTD United Rebate ($6.46) Wire Transfer: ACH Transfer: YTD Other Airline Rebate ($35.03) JP MORGAN CHASE JP MORGAN CHASE YTD Total Rebate ($41.49) New York, New York 11245 New York, New York 11245 Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 F/C: United Airlines, Inc. F/C: United Airlines, Inc. Credit Limit $11,000.00 A/C:51-67795 A/C:51-67795 AvailableCredit $9,218.05 ATTN: UATP Department-10050479300000 Please attach Remittance Advice to Payment For Questions relating to your statement,contact UATP Customer Service at 1-866-324-UATP SALES PERSON: DT2 ITINERARY/INVOICE NO. 87425 DATE : APR 12 2013 ACCOUNT RHX1X4 PAGE : 01 FOR: FMILLER/MICHAEL G-7 TO: CITY OF CARMEL CITY OF CARMEL-POLICE DEPT ONE CIVIC SQUARE - 3RD FLOOR ATTN:LUANN MATES CARMEL IN 46032 THREE CIVIC SQUARE CARMEL IN 46032 ---- ----- - ------ --- ----- - --------- --- - - - ----------------- ------ --- ----- 12 MAY 13 - SUNDAY MILES- 1591 ELAPSED TIME- 4 : 05 AIR LV INDIANAPOLIS 1225P SOUTHWEST FLT: 1215 COACH CLASS CONFIRMED AR LAS VEGAS 130P NONSTOP 16 MAY 13 - THURSDAY MILES- 1591 ELAPSED TIME- 3 : 30 AIR LV LAS VEGAS 420P SOUTHWEST FLT: 207 COACH CLASS CONFIRMED AR INDIANAPOLIS 1050P NONSTOP "VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES EMERG. AFT HRS CALL 8776456373 CODE A09 $20 CALL - TRANSACTION COSTS A CANCEL FEE OF 15PCT ON TTL COST APPLIES . FOR TERMS/CONDITIONS/ AIRLINE LUGGAGE POLICIES AND OTHER SVCS . SEE WWW.TTA:TRAVEL THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING THIS SEE WWW.TZELL41l .COM THANK YOU. DEBBIE TUNSTILL 317 805 5762 AIR TRANSPORTATION 380 . 46 TAX 50 :34 TTL 430 . 80 PROCESSING FEE 35 . 00 SUB TOTAL 465 . 80 CREDIT CARD PAYMENT 465 . 80- TOTAL AMOUNT 0 . 00 2013 ARC-CSI Crash Conference °��► Attendee Registration Form Las Vegas, NV—May 13-16, 2013 First Name: Last Name: Mailing Address: City: State: I ti) Zip: W0031 Company: Email: f U Phone: _ I_ �T% How did you hear about the conference? 0 Name as you would like it to appear on your Certificate: Please select one: ® Yes,reserve me a seat on the bus to the crash test site O No, I will be providing my own transportation Conference Non-Members ARC Network Members NAPARS Members Early Registration (until December 21,2012) $699.00 $649.00 $649.00 Early Registration (until April 1,2013) $799.00 $749.00 $749.00 Late Registration(after April 1,2013) $999.00 $949.00 $949.00 ARC-CSI Boot Camp Experience(before April 1,2013) $1599.00 $1599.00 $1599.00 Includes ARC-CSI Conference registration ARC-CSI Boot Camp Experience(after April 1,2013) $1899.00 $1899.00 $1899.00 Includes ARC-CSI Conference registration PAYMENT INFORMATION: Conference Price(from table above) Quantity(#of attendees) Total 2013 ARC-CSI Crash Conference 2013 Boot Camp Experience TOTAL: $ PAYMENT METHOD: Check Purchase Order Check/PO# Make Payable to"Collision Publishing" Credit Card Type(check one): VISA MASTERCARD AMERICAN EXPRESS Card#: Ex.Date: Name on Card: Billing Address: City: State: Zip: Instructions:Please send the completed registration form and registration fees(made payable to Collision Publishing)to the following address: Collision Publishing LLC FAX:(866)966-7033 PO Box 33831 Kirkland,WA 98083-3383 Email:sbakerpcollisionpublishing.com Phone:(800)280-7940 Web:www.arcesi.com I certify all the above information is true,correct and complete to the best of my knowledge. I agree to the"Conference Refund and Cancellation Policy'stated below and I authorize Collision Publishing,LLC to verify the above information and charge my credit card(if paying by credit card). Conference Refund and Cancellation Policy Registration payment for the conference must be completed by submitting either a conference registration form along with tuition or a government signed and approved PO to"Collision Publishing LLC"or by registering using the online shopping cart. Full tuition or a government agency signed and approved PO must be received no later than 14 days prior to the start of the conference and should conference maximum enrollment level(s)be reached,no seat in the conference will be reserved or held until either a government signed and approved PO or full tuition is received. Refunds are available for paid registrations cancelled more than 45 days prior to the start of the conference.A$50 processing fee will be charged for each cancelled registration,all requests for refunds must be submitted in writing via US Mail or Fax.No tuition refunds are offered less than 45 days before the conference start date.Due to the worldwide appeal of this conference,Collision Publishing LLC cannot be held responsible and will not offer a refund or credit for those who cancel due to weather or other unforeseen circumstances out of our control less than 45 days prior to the start of the conference. (signature) (date) 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)) 05/15/13 air fare/M. Miller/training $463.65 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 United Airlines UATP Department IN SUM OF $ P.O. Box 0201970 Houston, TX 77216-1970 $463.65 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 -570.00 $463.65 I 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 Wednesday, May 15,2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund UNITED SUMMARY STATEMENT REMITTANCE ADVICE For Statement Period Ending April 30,2013 ACCOUNT NUMBER: 10050479300000 Previous Balance $291.51 CITY OF CARMEL Payments ($291.51) Charges $1,79020 Refunds/Adjustments $0.00 PAYMENT OPTIONS UA Rebate $000 OA Rebate ($8.25) Remit Payments by Check To: United Airlines New Balance $1,781 95 ATTN: UATP Department P O.Box 0201970 Date Opened 02/13/2007 Houston,Texas 77216-1970 YTD Sales $8,38541 YTD United Rebate ($6.46) Wire Transfer: ACH Transfer: YTD Other Airline Rebate ($35.03) JP MORGAN CHASE JP MORGAN CHASE YTD Total Rebate ($41 49) New York,New York 11245 New York,New York 11245 Wire Transfer ABA#021000021 ACH Transfer ABA#071000013 F/C:United Airlines,Inc. F/C United Airlines,Inc Credit Limit $11,00000 A/C:51-67795 A/C 51-67795 AvailableCredit $9,218.05 ATTN: UATP Department-10050479300000 Please attach Remittance Advice to Payment For Questions relating to your statement,contact UATP Customer Service at 1-866-324-UATP UNITED 11. U- ACCOUNT NUMBER: 10050479300000 ACCOUNT STATEMENT CREDIT CARD NUMBER: 00004793000068 CITY OF CARMEL For Statement Period Ending April 30,2013 CARDHOLDER NAME: FIRE DEPARTMENT Other Airline Net Issue Departure Routing Agency Charges/ United Rebate Charges/ Date Date Passenger Name Ticket Number Origin To To To To Fare Class Airline Segment Number Credits Rebate Credits 04/1212013 18739PMT ($291.51) $0.00 $0.00 ($291.51) 04/16/2013 HOFFMAN/MATfHEWF 89005992402014 15879323 $35.00 $0.00 $0.00 $35.00 04/16/2013 REEVES/NEILP 89005992402025 15879323 $35.00 $0.00 $0.00 $3500 04/16/2013 04/20/2013 HOFFMAN/MATTHEW F 5262122557349 IND PHX IND LR WNWN 79200010 $218.00 $0.00 ($1.09) $216.91 04/16/2013 05/08/2013 REEVES/NEIL P 00171887500164 IND DFW IND QQ AAAA 15879323 $381 80 $0.00 ($191) $379.89 04/17/2013 KINNEY/JARED N 89005992402036 15879323 $3500 $0.00 $0.00 $35.00 04/17/2013 06/06/2013 KINNEY/JARED N 00171887500341 IND DFW IND QQ AAAA 15879323 $381 80 $000 ($1.91) $379.89 05/04/2013 Page 1 of 3 CREDIT CARD NUMBER: 00004793000084 CARDHOLDER NAME: POLICE DEPARTMENT Other Airline Net Issue Departure Routing Agency Charges/ United Rebate Charges/ Date Date Passenger Name Ticket Number Origin To To To To Fare Class Airline Segment Number Credits Rebate Credits 04/11/2013 05/12/2013 MILLER/MICHAEL G 5262121651307 IND LAS IND HW WNWN 79200010 $430.80 $0.00 ($2.15) $428.65 04/12/2013 MILLER/MICHAEL G 89005989510896 15879323 $35.00 $0.00 $0.00 $35.00 05/04/2013 Page 2 of 3 CREDIT CARD NUMBER: 00004793000126 CARDHOLDER NAME: UTILITIES DEPARTMENT Other Airline Net Issue Departure Routing Agency Charges/ United Rebate Charges/ Date Date Passenger Name Ticket Number Origin To To To To Fare Class Airline Segment Number Credits Rebate Credits 04/1212013 04/22/2013 LEWISITERESA LYNN 00671887498730 IND ATL IND TT DLDL 15879323 $237.80 $000 ($1.19) $236.61 05/04/2013 Page 3 of 3 _ -4 ' IA F.O.G CONFRENCE AND INSPECTOR TRAINING COURSE REGISTRA... Page I of 2 00- R CU� Z0 k N F�I V'E;i;Et CD Em AN D L COU Pz�S E� RE Q ES TRVAMO[M For M 'April 2.'3rd thru 25'i.-h, 2013 F%Aede [Aal idvers 10"onfereince 0sriter- S-"Lockbrid'ge, Gra-cirgia "0281 Thank you for registering to attend the 4th Biannual Georgia FO.G Conference and Inspector Training Course.We want to make the process as easy as Possible.New for this year is the ability to pay for your registration online. You will need to complete a separate registration form for each individual attending this event and submit in individually. -n If you have any questions about registration,Please call 678-233-4353. Registration Information: First Name, Teresa Last llame Lewis LGA or —----------------------- Municipality or Company Hame:* City of Carmel,Indiana rJlanaper/Supervisor Street Address* ------ 760 Third Ave.S.W.-Ste-ji -i-6 Address Line 2 ------ ---------- City Cw rmef- IN- ---Cat Postal Code/Zip Code* 46032 Communication Iniormation: Fax Humber ------- 317-571-2265 Phone Humber* ....... 317-571-2477 E-mail, tiewis@carmel.in.gov VVeb-site: carmel.1n.gov Conference T-Shirt Color:- Navy Burgundy Conference T-Shirt Si::e:• Adult L '--'POC!al Class Registration: and also gives You Your certification in Confined Spac;ass on Confined Space Entry. This class has an extra cost because it requires a Certifled instructor Confined Space Entry Class: This class is a 6 Hour cl e Entry Please sign me up for the Confined Space Entry Class. I understand that this class is an extra fee class to the conference. There is a minimum of 25 People to have a full crass. This class will be taught Oil April 23rd,2012. Confined Space Entry $95-00(riltst be added to your registration fee) COnfOrrnce Fees: Registration Fees Early Registration Rate (Paid by 03-15-13) $240.00 (Must be paid by 03-16-13) Registration Rate(Paid after 03-1 Q $265-00 (Fee paid after 3-15-13) ---- ------ --- ------ -- R -------------------------- ----------------- -eg!s tration F ees r,,eni�e is: ------------ Early Registration Rate(paid by 03_15_13) Registration Rate(Paid after 03-1 $190-00 (Must be Paid by 03-15-13) $215-00 (Fee paid after 3-15-13) My current membership number is: (Membership number is located on the website) 1 wish to be a member of the Georgia F.0.G,4,Iliqnce arid my Yearly membership fee is included with my ClSss enrollnient. ---- -- ------------ --------------------------------------------------------------------------------------------------- ------- llttPs://adobeforiiiseelitral.COIII/?f=OGDPiiiUk-P\T.TfC,P\7,,DR,,]—,(-) 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 359293 CONTINENTAL AIRLINES Purchase Order No. ATTN: UATP DEPARTMENT Terms PO BOX 0201970 Due Date 5/15/2013 HOUSTON, TX 77216-1970 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/15/2013 041213 $236.61 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 Date Officer VOUCHER # 135495 WARRANT # ALLOWED 359293 �N 'f IN SUM OF $ ATTN: UATP DEPARTMENT PO BOX 0201970 HOUSTON, TX 77216-1970 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 041213 01-7040-01 $236.61 Voucher Total $236.61 Cost distribution ledger classification if claim paid under vehicle highway fund