HomeMy WebLinkAbout235395 07/30/14 ��'.��q+, CITY OF CARMEL, INDIANA VENDOR: 365822
�/ 3` ONE CIVIC SQUARE SUSAN FINKAM CHECK AMOUNT: $*******250.00*
r ,�� CARMEL, INDIANA 46032 14529 NORWALK DRIVE CHECK NUMBER: 235395
p''�tror�. CARMEL IN 46033 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4357002 250.00 EXTERNAL TRAINING FEE
2014 IACT ANNUAL CONFERENCE & EXHIBITION REGISTRATION FORM
Pre-registration Deadline: August 21
Full Name �� ` Phone
Preferred Name for Badge �' Email � COIL. h
Title C41,1,deA L_ Spouse/Guest Name
Municipality/Company C4 T%-/ Special Needs and Dietary Restrictions
Council President's Name
Name A A
Address 0 `y� O( d o 2 KO,A(moo C CAt IVJ5
City/State/Zip �e-1w&— ,,',j 'Iced,3 3
REGISTRATION FEES _. METHOD OF PAYMENT
❑HUCheck Visa 11 MasterCard L1 Discover.
IACT Member—Municipal Official $325 $375 Check#(Payable to TACT)
(Pop.greater than or equal to 1,000)
IACT Member—Municipal Official $190 $240 Cardholder Name 57/,v IC ��A/My>/1
(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 x$475 $525- Billing Address lc�s�'fy �6Zi4jAY_4C_)2
Municipal Day(Wednesday Only) $250 $300 rAJ V"33
City/State/Zip
Total Amount: $ Signature of Cardhold
*The spouse/guest registration fee is restricted to those who are not municipal officials and who have no professiona ' erest in the nference. The fee includes admission
to all conference events,the exhibit hall,meals and participation in the spouse/guest program.IACT 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,_ El TUESDAY, 13 TUESDAY, 0 WEDNESDAY,. WEDNESDAY,.... WEDNESDAY,
Ing Business Workshop#1: Workshop#2: Welcome City of Fdrt Wayne Continental n al Awards P sidents'
Session Parks Workshop Funding Reception in Welcome Party Breakfast in Luncheon Reception
Workshop Exhibit Hall �� Exhibit Hall'
❑THURSDAY,
Closing Brunch&
Business Session
Cancellation Policy Special Needsand 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
ri � Permit#819
� Presorted
Indiana Association of
Cities and Towns
125 W. Market St.
Suite 240
Indianapolis, IN 46204
*********AUTO**3-DIGIT 460
Sue Finkam 0212 T2 P1
Council Member
— Carmel-------- -- - -- - - -
1 Civic Sq
Carmel IN 46032-25844
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Account Activity 8(25(14,9:06 AM
CHASE d v
(1 es _CREDIT CARD (- 9514)
r Trans Date Post Date Type Description Amount
07/23/2014 07/24/2014 Safe IN ASSN CITIES &TOWNS $250.00
317-237-6200, IN 462040000 US
Online, Mail,or Telephone transaction
Rewards carnedt + Points earned on all other purchases 250.00
Total rewards 250.00 Points
httpsalcards-c hale.cnm.tcc/Account(Acticity(4258702d2 Page 1 of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.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))
nAke LtAo,,_
_U _
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.
" ALLOWED 20
IN SUM OF $
i
$
ON ACCOUNT OF APPROPRIATION FOR
AmO
Board Members
Po#or INVOICE NO. ACC ITLE 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
i
44
20
Signa
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund