245172 5 /13/2015 y u.C=pMF
��/ t. CITY OF CARMEL, INDIANA VENDOR: 152500
�l ONE CIVIC SQUARE INDIANA LEAGUE OF MUN C-T CHECK AMOUNT: $*******210.00*
?� CARMEL, INDIANA 46032 125 W MARKET ST SUITE INDIANAPOLIS IN 45204 240 CHECK NUMBER: 245172
,,_TONS CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 210.00 SBA SCHOOL-CORDRAY
REGISTRATION FORM
PRE-REGISTRATION DEADLINE: Friday, May 15,2015
Indiana League of Municipal Clerks and Treasurers 79th Annual Conference and State Board of Accounts School
The Westin Indianapolis
June 7-11,2015
On/
Your Information Registration Fees Before After Enter
May 15 May 15 Amount
Name Full Registration ILMCT Members $400 $450
Please check applicable designations: Includes entry and meals to all confer-
❑IAMC(Indiana Accredited Municipal Clerk) ence events Monday through Thursday,
❑MMC(Master Municipal Clerk) including Institute/Academy class,Wel-
❑CMC(Certified Municipal Clerk) come Reception,State Board of Accounts
❑CPFA(Certified Public Finance Administrator) School,Opening Business Session,Ex-
hibit Hall,President's Reception,Annual
Preferred Name for Badge Banquet,and Closing Business Session.
Municipality/Company tp I Full Registration Nonmembers of ILMCT $500 $550
l)r l
Title Includes same as above.
Address State Board of Accounts School Only $355 $405
C (Q� (Tuesday and Wednesday)
City O trate I� Zip Includes entry and meals to Welcome Re
V ception(Monday evening),State Board of
Phone - 1 Accounts School,Opening Business Ses-
1Z�i sion,Exhibit Hall,President's Reception,
Email /+ D Annual Banquet,and Closing Business
i"ofIf applicable,please check one: t ,• U Session(Thursday morning).
❑First Time Attendee State Board of Accounts School Only $210 $260
❑Past President
(Wednesday)
Name of Spouse/Guest(if attending) Includes entry and meals to State (�
Board of Accounts School,Exhibit Hall,
Special Needs and Dietary Restrictions President's Reception,'Annual Banquet,
and Closing Business Session(Thursday
morning).
Retiree $250 $300
The retiree registration fee is restricted to
those that served as a clerk or clerk-trea-
surer for a minimum of 8 years before
Conference Events their retirement. The fee includes admis-
Please check the events you plan to attend.This is for planning purposes sion to all conference events and meals.
only.No extra fees apply.
❑Monday Lunch(Institute/Academy Class) President's Reception/Annual Banquet Only $75 $90
(Wednesday evening)
❑Monday Welcome Reception
Guest $250 $300
4fiesday Continental Breakfast(State Board of Accounts School) The guest registration fee must accompa-
Rehesday Lunch(State Board of Accounts School) ny a full registration and is restricted to
those who are not municipal officials and
,Rgednesday Continental Breakfast(Exhibit Hall) who have no professional interest at the
,�P#ednesday Lunch(State Board of Accounts School and Exhibit Hall) conference. The fee includes admission
to all conference events and meals.
ednesday President's Reception and Banquet
❑Thursday Breakfast Buffet(Closing Business Session)
TatalAmountDue: $
Conference Attire
Except fortheAnnual Banquet,business casual attire Is suggested for conference Mail completed registration form with check
events. For the Annual Banquet,cocktail attire is suggested. Event room temperature made payable to ILMCT:
may vary beyond ILMCT control;please wear layers of clothing for your comfort.
ILMCT/125 W Market Street,Suite 240/Indianapolis,IN 46204
Special Needs Cancellation Policy
ILMCT will make all conference events accessible to you. If you require special ar- Written cancellations received on or before Friday,May 15 will be refunded less a
rangements,ora special diet,please notify ILMCT on your registration form. ILMCT $50 administrative fee. Cancellations should be faxed to(317)237-6206,or sent to
may not be able to accommodate such requests the day of the event. tbaidwin@citiesandtowns.org. No refunds after May 16. ILMCT is not responsible for
hotel reservations or cancellations.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199
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
`-'1" �-� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
1 LK UT IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
C -
�M. (W
Board Members
PO#or 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
t,
j 20
Signature
Cost distribution ledger classification if ,' Title
claim paid motor vehicle highway fund