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223015 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 354600 Page 1 of 1 4 � ONE CIVIC SQUARE INDIANA HIGH SPEED RAILS ASSOC IN&ECK AMOUNT: $500.00 CARMEL, INDIANA 46032 2645 RIDGE ROAD HIGHLAND IN 46322 CHECK NUMBER: 223015 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 500 . 00 ORGANIZATION & MEMBER i Indiana High SPeed a ail Association 2645 Ridge Road Highland, Indiana 46322 USA Telephone: (219) 887-1351 Email: dennis @indianahighspeedrail.org Invoice City of Carmel Carmel, Indiana Membership Donation.........Government.........................$150.00 Corporate...............................................................$500.00� Golden Spike Club.......................................... Please chose one Please make check payable to Indiana High Speed Rail Association 2645 Ridge Road Highland, Indiana 46322-1663 Thank you! VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana High Speed Rail Association. IN SUM OF $ I 2645 Ridge Road Highland, IN 46322-1663 $500.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS i PO#/Dept. INVOICE NO. I ACCT#(TITLE AMOUNT Board Members 1192 43-553.00 $500.00 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, August 07, 2013 zoo I Title i Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 07/30/13 Corporate Membership $500.00 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