HomeMy WebLinkAbout228193 1/15/2014 ��q,F CITY OF CARMEL, INDIANA VENDOR: 152500 Page 1 of 1
ONE CIVIC SQUARE INDIANA LEAGUE OF MUNICIPAL CLER&ECK AMOUNT: $260.00
CARMEL, INDIANA 46032 TREASURER'S
+,y,,,oN_co� 200 S MERIDIAN STREET#340 CHECK NUMBER: 228193
INDIANAPOLIS IN 46225
CHECK DATE: 1/15/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355300 DUES 250 . 00 ORGANIZATION & MEMBER
k T
2014 ILMCT ANNUAL DUES NOTICE
Claim and Invoice
rDue Date: 2014 Dues for all Classes of Membership due on or before March 1, 2014
This invoice and claim for payment is made upon the Clerk, Controller or Clerk-Treasurer of the City or Town,
for payment of membership dues for the Indiana League of Municipal Clerics and Treasurers. You may pay
from this invoice for any classes of membership. Please check the appropriate box to indicate the class of
membership and dues schedule which applies.
Active Members:
(Clerk-Treasurer, Clerk, Controller)
Towns with population under 700 $ 60.00 ❑
Towns or Cities with population of 701 to 5,000 $ 80.00 ❑
Towns or Cities with population of 5,001 to 20,000 $110.00 ❑
Towns or Cities with population over 20,001 to 35,000 $150.00 ❑
Towns or Cities with population over 35,000 $200.00 El
Please indicate your municipality population �/�12�u U V
Active Member Name:
Title: l Clerk-Treasurer ❑ Clerk ❑ Controller
Certification (Check all that apply): 0 IAMnnC 0 CMC ❑ MMC ❑ CPFA
Name of Municipality: U������ County �21'm L042
U Vl ,
(I ,
Office Address:
City/Town/Zip:
Office Phone: �n •J J -1 ( Fax:
Office e-mail:
Home Address: City/Town/Zip:
Home Phone:
Financial computer software usedI,UtiG ���I�i (�i (-1A
(This question is being asked to assist the Ment6r Committee in placing people with like software.)
ILMCT Membership Benefits Include:
• Notice of League events (includes training and professional development opportunities)
® A subscription to the QUEST, the ILMCT official print and digital newsletter
® In some cases, discounts for League sponsored events
6 Access to League website —www.ILMCT.org
® Access to League Listserve
• Membership Roster
Associate Members: $60.00 each member
(Staff of an active member of the league):
• Associate Member Name: Title:
Address: i _ ) City/Town/Zip: � L'11f;.l l " 4u,-619.9
• Associate Member Name: Title:
Address: City/Town/Zip:
(Please copy form for additional Associate Members)
Associate Members: $60.00 each member ❑
(Retired or former active member):
• Associate Member Name: Title:
Address: City/Town/Zip:
• Associate Member Name: Title:
Address: City/Town/Zip:
(Please copy form for additional Associate Members)
Affiliate Members: $60.00 each member ❑
(Any person in municipal government(elected or appointed) who is not already qualified for another
membership class)
• Affiliate Member Name: Title:
Address: City/Town/Zip:
• Affiliate Member Name: Title:
Address: City/Town/Zip:
(Please copy form for additional Affiliate Members)
Checks to be made payable to:
TOTAL ACTIVE MEMBER $ Indiana League of Municipal Clerks
TOTAL ASSOCIATE MEMBER $ and 'Treasurers or ILMC'T
TOTAL AFFILIATE MEMBER $ Please remit payment to:
_ _.ILMC I — -- - -
TOTAL AMOUNT ENCLOSED $ � C• / 125 W. Market Street, Suite 240
Indianapolis, Indiana 46204
1 hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing for
just credits and that no part of the same has been paid.
V4 91 ,Secretary-Treasurer
PLEASE RETURN A COPY OF THIS INVOICE/CLAIM WITH YOUR REMITTANCE
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.
j Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)/or bill(s)) (�
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
F
VOUCHER NO. WARRANT NO.
ALLOWED 20
I ��o
IN SUM OF $
*TL�v
$ 2�io
ON ACCOUNT OF APPROPRIATION FOR
Board Members
INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
53�° -- 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
20
Ignatur
'�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund