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226712 12/03/2013
CITY OF CARMEL, INDIANA VENDOR: 361196 Page 1 of 1 ONE CIVIC SQUARE INTERNATIONAL CODE COUNCIL CHECK AMOUNT: $125.00 �.? CARMEL, INDIANA 46032 MEMBERSHIP 900 MONTCLAIR RD CHECK NUMBER: 226712 BIRMINGHAM AL 35213 CHECK DATE: 12/312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 2966895 125 . 00 ORGANIZATION & MEMBER • • • �• • �. • a Total • `DD' • • REMITTANCE •• CONTACT MEMBER SERVICES. 1 ` 1 :,a + ,..��:`ary -as a: If�' w t.. °"�f t ':+T^ � >w ar r x ` t '.a. .^g'•-a a sd;-s� l .: �, ♦t.f � �Yrr r'r`° �, ,w.a.• rf t �e T �' t'�J�7�,�i €s `��Yi �{t?4'� '�)E sae•;a.�.S..�gr. ��.,.I,�` �.,d'+,�►i � ,.,p, r:p:.✓. �.1�, r".°.. � ` r :'� •�gi.. ...vast ,��.%Jj,�`> y i-. ) � ,.# yl f �s°(d� ID� *.. ..t� - c"k � t�'• rr, .�k)�"..:�tr ti, ,t •�',}�'rtsGi ►' t.�` ;.s •`. ,.Igt �a!r♦�� 'is��• �,4- a"°' t`21 ..�..s,�..•k}•.;{ : €-y •,r, �5}�k'�t C r.t. • t`t.' �,::�Syyt. :R�'aa�sSk;�. .� i ,. ... i Tyl; � ,,.�.•t i♦;�R° )�}� '•sai.!�}as{.+ R�f f �1 ta,#l�tb •=i• .��sy.s•. sef�- .-/- it.T cltr i ►J iycxs.:t �a,. + s,!K 1 � ty{ / •t.} 1:1'� YI� t�' � y i � t1� S.ir� .�t1. •* l,�y�« �(° •�� r, •t �1� � l�� . 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ID 936-3999004 b CREDIT CARD PAYMENTS ALSO MAY BE MADE BY. CARD# EXP PHONE: 1-888-ICC-SAFE,Ext.33804 $ � '` (1-888-422-7233) NAME ON CARD � � ,# FAX: 1-205-591-0775 taus �k Rr4Vw.lccsafe.or s ya 'k g SIGNATURE �� x i ft INVOICE DATE INVOICE 11!07/2013 ��° � B James Blanchard ` > 4` City of Carmel '' 1 For Governmental Members Only:Each Governmental Member 1 Civic Sq m�$�' renewing its ICC Membership hereby agrees that its Primary atay s � L Carmel, IN 46032-2584 ��� Representatives and Governmental Member Votingt � x s� ���� Representatives may receive communications from ICC by ���e� electronic mail or other means of electronic communication,or by F � h INTERNATIONAL posting of such communications to(CC's website,together with $ g`7s >w g eq v, COnflrm TO CODECOUNCIt se rate notice of such pos tin g. �,. ,: ,3 ne wi'"Yl: y.: as - 1.,},...� Y,.: 5 `h." r, .:fro Ac -mss. � ., MEMBER NO INVOICE,NO -,, tF.DESCRIPTION AMOUNTDU =p., � 5066197 2966895 Governmental Member Dues Pop up to $125 F � � X� � F k 50,000 People Helping People Build a Safer WoridrM t , VOUCHER NO. WARRANT NO. ALLOWED 20 International Code Council, Inc. Membership IN SUM OF $ 900 Montclair Road Birmingham, AL 35213 $125.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 2966895 I I 43-553.00 I $125.00 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 Wednesday, November 27, 2013 Director 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)) 11/26/13 2966895 Dues-Jim Blanchard $125.00 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