HomeMy WebLinkAbout235125 07/22/14 ♦y�r_C�gMF
�l � CITY OF CARMEL, INDIANA VENDOR: 00350333
ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIES/TOVMiECK AMOUNT: $*"*"***325.00*
=a CARMEL, INDIANA 46032 125 W.MARKET ST.#240 CHECK NUMBER: 235125
a„roN� INDIANAPOLIS IN 46204 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 CORDRAY 325.00 CORDRAY-FT WAYNE
2014 IACT ANNUAL CONFERENCE & EXHIBITION REGISTRATION FORM
Pre-Registration Deadline: August 21
Full Name a,,ny(�, V( Phone : '7
Preferred Name for Badge Email �1 C���d j ,
Title Gvy� � l� Spouse/Guest Name
Municipality/Company V r")d Special Needs and Dietary Restrictions
Council President's Name gri U
Address
City/State/Zip ( �Q
REGISTRATION FEES ' METHOD OF PAYMENT
Eiv/r
Check ❑ Visa ❑ MasterCard ❑ Discover.
IACT Member—Municipal Official $325 $375 i Check#(Payable to IACT)
(Pop.greater than or equal to 1,000) �A 5
Cardholder Name
IACT Member—Municipal Official $19 $$240
(Pop.less than 1,000) Credit Card Number
IACT Associate Member $325 $375 Expiration Date
Spouse/Guest* $190 $240 3-digit Verification Code
Non-Member $475 $525 Billing Address
Municipal Day(Wednesday Only) $250 $300 City/State/Zip
Total Amount: $ Signature of Cardholder
*The spouse/guest registration fee is restricted to those who are not municipal officials and who have no professional interest in the conference. The fee includes admission
to all conference events,the exhibit hall,meals and participation in the spouse/guest program.[ACT is planning a number of fun activities for guests of conference attendees.
Visit www.citiesandtowns.org/ac for more information as it becomes available.
Please Check the Conference Events You Plan to Attend(For planning purposes only) .
❑TUESDAY,Open ❑TUESDAY, ❑TUESDAY, ❑TUESDAY, - ❑TUESDAY, ❑WEDNESDAY„ ❑WEDNESDAY, 0 WEDNESDAY,
Ing Business Workshop#1: Workshop#2: Welcome` City of Fort Wayne Continental Annuai Awards " Presidents'
Session Parks Workshop Funding Reception In Welcome Party Breakfastin Luncheon Reception
Workshop Exhibit Hall Exhibit Hall
❑THURSDAY,
Closing Brunch&
Business Session
Cancellation Policy Special Needs and Dietary Restrictions Questions?
Only written cancellations will be accepted. Please mail your If you require special arrangements or a special diet,please Contact Natalie Hurt at 317-237-6200 ext.233 or
written cancellation to 125 W.Market St.,Suite 240,India- notify TACT on your registration form. nhurt@citiesandtowns.org
napolis,IN 46204;fax to(317)237-6206 or send to nhurt@
citiesandtowns.org.Written cancellations received on or Affiliate Group Events
before August 21,will be refunded less a$40 processing fee. TACT affiliate groups may hold individual meetings and E-Verify Compliance
TACT is not responsible for hotel reservations or cancellations. events at the conference.Attendees must be registered TACT is an enrolled employer in the E-Verify Program verify-
for the conference in order to attend affiliate events. ing the work eligibility status of its new employees and will
Additional information for affiliate group members may be remain so until that program no longer exists.
mailed out separately.
First Class
U.S. Postage
PAID
Indianapolis, IN
FIRM, Permit#819
� Presorted i
Indiana Association of
Cities and Towns
9
6
125 W. Market St. C
Suite 240
Indianapolis, IN 46204
*********AUTO**3-DIGIT 460
Diana Cordray, Iamc 0220 T2 P1
Cler-k-Tr-eam-mer
Carmel
1 Civic Sq
Carmel IN 46032-25844
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.201(Rev.1995)
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))
r
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
VOUCHER NO. WARRANT NO.
1 ALLOWED 20
IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.
# 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund