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242316 02/17/15
CITY OF CARMEL, INDIANA VENDOR: 00352667 d ONE CIVIC SQUARE INDIANA YOUTH INSTITUE CHECK AMOUNT: $*******125.00* CARMEL, INDIANA 46032 603 E WASHINGTON ST STE 800 CHECK NUMBER: 242316 INDIANAPOLIS IN 46204 CHECK DATE: 02/17/15 �ON LD DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 75691221 125.00 149291175691221 2014 Because KIDS COUNT®Conference presented by Pacers Foundation-RegOnline Pagel of 3 INDIANA CONWOT;ON CENTER 1 100 SOUTH C,A.PITOL.A0iENUE INriANAM:S Bwam KIDS COUNT Conlemce s` r TUESDAY& W'cONESDAY,OECEMBER 2 6 3,`014 Presented by Pacers foundation .s> ;,-yr'}."�g '" i- $ _fir"•�a '� i � BECAUSE KIDS COUNT Invoice CONFERENCE 20II y�AM, `+ice°, f :-. ';`^ 7f:�^t` @• Invoice '-L x - -jF Invoice Number 1492911-75691221 Registration ID: 75691221 Registration Date: 11/12/2014 I Invoice Date: 11/12/2014 ���� Issued By: Indiana Youth Institute — Event: 2014 Because KIDS COUNT®Conference presented by Pacers Foundation FEB 1-1 2015 Date/Time: Tuesday, December02, 2014-Wednesday, December 03, 2014 BY: Registrants Name RDegistration Company/Organization Registration Type Amanda 75691221 Carmel Clay Parks and Recreation Extended School Attendee(Indiana Youth Gillim Enrichment Serving) Billing Information Amanda Gillim Carmel Clay Parks and Recreation Extended School Enrichment 7210 Haw ksbury Drive Noblesville, IN 46062 765-426-6483 a_gillim@yah'oo.com Fees Fee Quantity Unit Price Amount Fee Registration Fee: Conference 1 $125.00 $125.00 https://Www.regonli'ne.com/register/invoice.aspx?EventId=1492911&Attendeeld=Wez8V o... 2/11/2015, 2014 Because KIDS COUNT© Conference presented by Pacers Foundation -RegOnline Page 2 of 3 Fee Quantity Unit Price, Amount Subtotal: $125.00 Total: $125.00 Transactions Transaction Type Date Amount Balance Transaction Amount. 11/12/2014 $125.00 $125.00 .Current Balance: $125.00 Payment Method Payment Method: P.O. PO Number: Payment Instructions The preferred method of payment for this event is online via credit card or purchase order. If you do.not wish to complete your registration online, please download the appropriate document`and mail with .your payment to the address below. • Attendee Registration Form • Sponsor/Exhibitor/Advertiser registration form Indiana Youth Institute 603 East Washington Street Suite 800 Indianapolis, IN 46204 NOTE: If you choose to pay online with a purchase order, you must print outyouur invoice(via the link on your confirmation page)and mail it with your payment. Failure to do so may result in duplicate billings. Full Conference Schedule About BKC Schedule of Events Pricing and Accomodation Additional Details Generous support for the Because KIDS COUNT Conference provided by our Sponsors https://www.regonline.com/register/invoice.aspx?Eventld=1492911&Attendeeld=Wcz8Vo... 2/11/2015 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00352667 Indiana Youth Institute Terms 603 East Washington St., Ste 800 Indianapolis, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 11/12/14 149291175691221 ESE Training 12/2- 12/3/14 xx1363 $ 125.00 Total $ 125.00 1 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 Voucher No. Warrant No. 00352667 Indiana Youth Institute Allowed 20 603 East Washington St., Ste 800 Indianapolis, IN 46204 In Sum of$ $ 125.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-5 149291175691221 4343000 $ 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 February 12, 2015 Signature $ 125.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund