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241522 01/27/15 +i CITY OF CARMEL, INDIANA VENDOR: 00352482 ONE CIVIC SQUARE IMPACT CHECK AMOUNT: $**...***90.00* CARMEL, INDIANA 46032 125 W MARKET ST CHECK NUMBER: 241522 SUITE 240 CHECK DATE: 01/27/15 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4355300 19596 20.00 ORGANIZATION & MEMBER 1201 4355300 19597 20.00 ORGANIZATION & MEMBER 1201 4355300 19619 50.00 ORGANIZATION & MEMBER Invoice: IMPAC . Date: January 15,2015 Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (IACT)to provide a network for municipal human resource professionals. All appointed and elected municipal officials who deal with personnel policies,records, compensation, administration and benefits-programs will benefit from membership in IMPACT. IMPACT exists to provide a network for municipal human resources professionals to: • Foster professional development through training and information sharing • Better define the role of the human resources function in municipal government • Stimulate and encourage interaction among human resources professionals to share information and provide expertise to one another and to other municipal officials • Assist IACT in the design and implementation of human resources-related training for municipal officials and employees • Share resources through personal interaction and the creation of a personnel management resources bank • Promote the profession of local government human resources management 2015 IMPACT Annual Membership Dues Invoice $50.00-Primary Member(first person from a municipality) $20.00-Secondary Member(each additional person from municipality) El$100.00-Associate Membership TOTAL$ So• v c� Submitted To JAN 2 6 2014 Clergy. Treasurer Please provide the following information. Name: Barbara Lamb Title: Director of Human Resources Municipality: Carmel Address: One Civic Square Phone No.: Fax No.: Email Address: blamb@carmel.in.gov _*fiNiAIL_ADDRESSES ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP Make checks payable to: Indiana Association of Cities and Towns Mail completed form with payment by May 31,2015 to: IMPACT, 125 W Market Street, Suite 240,Indianapolis,IN 46204 I understand that as a member of IMPACT, I agree to: (1)maintain the confidentiality of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege,gain or personal benefit; (4) contribute relevant materials to the personnel information resource library; and(5) actively participate in training sessions and group meetings. Signature '`�` –� '— Date ❑Please check if you would be interested in receiving Actionlines or e-newsletters. Invoice: 19619 IMPACT accepts the following credit cards(please complete the following) Paying by: ❑ Master Card ❑ Visa ❑ Discover Card Amount: ❑ Check Card Number: (make payable to "IACT"): Expiration date: 3-digit security code: Name on Credit Card: ❑ Credit Card Billing Address of Credit Card: Signature: T Invoice: 19597 IMPAC Date: January 15,2015 Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns(IACT)to provide a network for municipal human resource professionals. All — appointed-a..d-elected-municipal=officials-who=deal-with-personncl--policies;records,- -------- - compensation, administration and benefits programs will benefit from membership in IMPACT. IMPACT exists to provide a network for municipal human resources professionals to: • Foster professional development through training and information sharing • Better define the role of the human resources function in municipal government • Stimulate and encourage interaction among human resources professionals to share information and provide expertise to one another and to other municipal officials • Assist IACT in the design and implementation of human resources-related training for municipal officials and employees • Share resources through personal interaction and the creation of a personnel management resources bank • Promote the profession of local government human resources management 2015 IMPACT Annual Membership Dues Invoice 1:1$50.00-Primary Member(first person from a municipality) 0$20.00--Secondary Member(each additional person from municipality) 1:1$100.00-Associate Membership TOTAL$ ZP - 0 o S To JAN 2 6 2014 Fleck Treasurer Please provide the following information. Name: Jim Spelbring Title: Office Administrator Municipality: Carmel Address: One Civic Square Phone No.: (317)571-2465 Fax No.: (317)571-2409 Email Address: jpspelbring@carmel.in.gov *�_ADDRESSESARE_CRUCIALTO-KEEPING_IN_T_OUCH_V%=O.URMEMBERSI3IP — Make checks payable to: Indiana Association of Cities and Towns Mail completed form with payment by May 31,2015 to: IMPACT, 125 W Market Street, Suite 240,Indianapolis,IN 46204 I understand that as a member of IMPACT,I agree to: (1)maintain the confidentiality of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege,gain or person ene 't; (4) contribute relevant materials to the personnel information reso ce libr ;a d(5) actively participate in training sessions and group meetings. Signature Date I �b )S ❑Please check if you would be interested in receiving Actionlines or e-newsletters. Invoice: 19597 IMPACT accepts the following credit cards(please complete the following) Paying by: ❑ Master Card ❑ Visa ❑ Discover Card Amount: Z� ❑ Check Card Number: (make payable to "IACT"): Expiration date: 3-digit security code: Name on Credit Card: ❑ Credit Card Billing Address of Credit Card: Signature: IMPACTInvoice: 19596 Date: January 15,2015 Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (TACT)to provide a network for municipal human resource professionals.All -appointed-and-elected-municipal-officials-who-deal-with-personnel-policies;records,------------ - compensation, administration and benefits programs will benefit from membership in IMPACT. IMPACT exists to provide a network for municipal human resources professionals to: • Foster professional development through training and information sharing • Better define the role of the human resources function in municipal government • Stimulate and encourage interaction among human resources professionals to share information and provide expertise to one another and to other municipal officials • Assist IACT in the design and implementation of human resources-related training for municipal officials and employees • Share resources through personal interaction and the creation of a personnel management resources bank • Promote the profession of local government human resources management 2015 IMPACT Annual Membership Dues Invoice El$50.00-Primary Member(first person from a municipality) $20.00-Secondary Member(each additional person from municipality) ❑$100.00-Associate Membership TOTAL$ submitted To JAN 2 6 2014 =lark Treas��e� Please provide the following information. Name: Sue Wolfgang Title: Employee Benefits Adminstrator Municipality: Carmel Address: One Civic Square Phone No.: (317)571-2400 Fax No.: (317)844-3498 Email Address: swolfgang@carmel.in.gov - *EMAIL ADDRESSES-ARE-CRUCIAL-TO-KEEP-D*1G-IN-TOUCH WITH OUR MEMBERSHIP--—— - - -- Make checks payable to: Indiana Association of Cities and Towns Mail completed form with payment by May 31,2015 to: IMPACT, 125 W Market Street, Suite 240,Indianapolis,IN 46204 I understand that as a member of IMPACT,I agree to: (1)maintain the confidentiality of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege,gain or personal benefit; (4) contribute relevant materials to the personnel information resource library;and (5) actively participate in training sessions and group meetings. Signature Date Ila 62 1,20 15 ❑ Please check if you would be interested in receiving Actionlines or e-newsletters. Invoice: 19596 IMPACT accepts the following credit cards(please complete the following) Paying by: 0 Master Card ❑ Visa ❑ Discover Card Amount: -0o ❑ Check Card Number: (make payable to "IACT"): Expiration date: 3-digit security code: Name on Credit Card: ❑ Credit Card Billing Address of Credit Card: Signature: VOUCHER NO. WARRANT NO. ALLOWED 20 IMPACT IN SUM OF $ 125 W. Market St., Suite 240 Indianapolis, IN 46204 1 $90.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members hereby certify that the attached invoice(s), or 1201 19596 43-553.00 $20.00 bill(s) is (are)true and correct and that the 1201 19597 43-553.00 $20.00 materials or services itemized thereon for 1201 I 19619 I 43-553.00 I $50.00 which charge is made were ordered and received except I i Monday, January 26, 2015 Director, HR iI Title I Cost distribution ledger r 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)) 01/15/15 19596 S Wolfgang $20.00 01/15/15 19597 J Spelbring $20.00 01/15/15 I 19619 I B Lamb I $50.00 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