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Home My WebLink About224804 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1 ONE CIVIC SQUARE JAMES BRAINARD CHECK AMOUNT: $395.00 ?o CARMEL, INDIANA 46032 CHECK NUMBER: 224804 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4357004 227845 395 . 00 EXTERNAL INSTRUCT FEE 10/6113 American E)press US:Manage Your Card Account:Online Statement Transaction Date: 10/04/2013 Fri .................................................................................._..........................................................................................................--................................................................................................................................... Transaction Description: CONWAY DATA INC 5429PEACHIREE COR GA 000071526 7704466996 ..................................................................................... 7704466996 ..................................................................................... Description Price .................................................................................. BUSINESS SERVICES N $395.00 ......................................................................................................_....................................................................................................................................................................................................................................... ......... Cardmem be Name: JAMES C BRAINARD ......................................................................................................_................................................................................................................................................................................................................................................ Amount$: 395.00 .................................................................................................._...................................................................................................................................................................................................................................... .......... Doing Business As: CONWAY DATA ......................................................................................................_..................................................................................................................................................................................................................................... ........... Merchant Address: 6625 THE CORNERS PKWY STE 200 NORCROSS GA 30092-3334 UNITED STATES ......................................................................................................_................................................................................................................................................................................................................................................ Reference Number: 320132780062650947 Category: Other- Education https://online.americane)press.corrVrn yca/estnVusAist.do?request type=authreg Statement&Face=en_US&BPlnder-0&sorted inde)--0&intlink-SOAFins-Rece... 1/1 -- - - _ _ .� _.... ........ U ......... rage 1 01 1 f� � INTERNATIONAL II R A ® G ADMINISTRATION Home Hotel I Venue Program&Speakers Exhibitors Sponsors FAQs My Account Order 929 Title Unit price Quantity Total Register to Attend(SelectUSA-Registration) $395.00 1 $395.00 Order total $395.00 Billing information: Address: James C Brainard 12662 Royce Court Carmel,IN 46033 United States Home Pre-Register About Hotel 1 Venue Program&Speakers Exhibitors Sponsors FAQs Contact Us http://www.selectusasummit.com/user/2891/orders/929 10/4/2013 rage 1 01 1 e -NI ERNATIONAL U R A ® E 0 , AOMINISTNATION 04 *41.cf►0 Home Hotel/Venue Program&Speakers Exhibitors Sponsors FAQs My Account Checkout complete Your order is number 929.You can view your order on your account page when logged in. To participate in the matchmaking process please click on the button below. Matchmaking Home Pre-Register About Hotel/Venue Program&Speakers Exhibitors Sponsors FAQs Contact Us 0 http://www.selectusasummit.com/checkout/929/complete 10/4/2013 VOUCHER NO. WARRANT NO. ALLOWED 20 Mayor Jim Brainard IN SUM OF $ One Civic Square Carmel, IN 46032 $395.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 Receipt 43-570.04 $395.00 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 Mon ay, October 07, 2013 A Mayor Title 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)) 10/04/13 Receipt $395.00 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 5-11-10-1.6 120 Clerk-Treasurer