HomeMy WebLinkAbout247853 07/28/15 u �A
CITY OF CARMEL, INDIANA VENDOR: 00352458
® °I ONE CIVIC SQUARE GOVERNMENT FINANCE OFFICERS ASSCHECK AMOUNT: $....*85.00"
CARMEL, INDIANA 46032 3076 EAGLE WAY CHECK NUMBER: 247853
CHICAGO IL 60678-1030 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
G01 5023990 081215 42.50 OTHER EXPENSES
651 5023990 081215 42.50 OTHER EXPENSES
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Please print or type(or register online at www.gfoa.org) Registration Fees(Please check one)
J Check here if you are faxing this form.Fax accepted only with credit V'S85 Active/Associate Member ❑ $160 Nonmember
card payment or purchase orders.If faxing,do not mail the original. Registration Fee $ sY
Name: � rs.ly/ y1°ic.1-71.g v1.z r+)'= Group Discount $
Title: CGO
New member fee:Visit wwwgfoa.org$
or call GFOA at(312)977-9700 for fee
Employer: C '-/_v o T Discount for paid new member($25.00) $
Address: 3 o t�J ✓t 1�. S-E--- 2—z-, REGISTRATION TOTAL $
Publications
City: C Quantity
State/Province: � Zip/Postal Code: An Elected Official's Guide:Debt Issuance $
(second edition)
Telephone: 3r 2—Sri ? y (Members$20/Nonmembers$30)
Debt Issuance and Management.A Guide $
Fax: 3)7- 5-71— 2,2b5 for Smaller Government
(Members$18/Nonmembers$24)
Email:(Required) G r'Ic r „•?,(? ,, �,%z/;n C. Making Good Disclosure:The Role of State and $
c Local Officials Under the Federal Securities Laws
GFOA Membership#Of available) (Members$25/Nonmembers$40)
❑Check box to indicate if you are substituting for an active member. Purchasers from Illinois add 9.5%,
Washington,D.C.add 6%sales tax(unless exempt) $
Active Member#:
Add handling charge(for all billed orders) $ 8.00
Active Member Name:
Add shipping charge,if applicable $
Please photocopy this form for additional registrants. Full-time students and bookstores PUBLICATION TOTAL $
A copy of the confirmation and invoice will be sent as a PDF attachment receive a 25 percent discount on �.
via e-mail from training@gfoa.org.Please add this address to your all products,unless otherwise noted. TOTAL
allowed senders list. Shipping
Unless otherwise specified,all merchandise will be shipped via UPS
Registration fee is per person,not per group.Early and/or student Ground at no additional charge to the purchaser.Please allow 5-10
registration discounts do not apply to Internet training. business days for delivery.The following alternative shipping methods
Register and pay for 3-9 participants and receive 10 percent off the total are available on request and will be billed to the purchaser.
cost of the registrations.Register and pay for 10 or more participants J Next-day UPS ❑2-day UPS ❑3-day UPS Select
and receive 15 percent off the total cost of the registrations.To quality for J Other(please specify)
the group discount,registrations must be submitted together.Individual
registrations submitted separately or after the original group is submitted Payment Information(Pease check one)
will not quality for the group discounts. Fees must be paid in U.S.dollars by check,credit card,or purchase order.
Cancellation requests must be made in writing to the GFOA.All cancella- Please do not submit duplicate copies of this form.
tions received five business days before the event date will incur a$20 payment by Check:
administrative fee.No refunds will be issued after that date. Make check payable to"Government Finance Officers Association"
Substitutions(government entities only):A one-for-one substitution of Send to:GFOA•203 N.LaSalle St.•Suite 2700•Chicago.IL 60601-1210
a nonmember for an active member is allowed.If your organization has J Payment by credit card:scan and e-mail this form to
a current GFOA member on staff who is not participating in these training training@gfoa.org;fax to 312-977-4806;or send to:
seminars,a nonmember may attend in his/her place at the member rate.You GFOA•203 N.LaSalle St.•Suite 2700•Chicago,IL 60601-1 21 0
must provide the member number and/or name of the GFOA member on the ❑Amex J Discover ❑MasterCard ❑VISA
registration form.
Name on Card.
Inquiries:For information regarding administrative policies such as
complaints and refunds,please contact the GFOA at training@gfoa.org Account Number:
or at 312-977-9700. Exp.Date: / (Mandatory)
The GFOA is registered with the National Association of State Boards Signature:
of Accountancy(NASBA)as a sponsor of continuing professional J Bill Me.(Scan and e-mail this form to training@gfoa.org or fax to
education on the National Registry of CPE Sponsors.State boards of (312)977.4806.)
accountancy have final authority on the acceptance of individual courses If selecting this option,you must include a purchase order number.
for CPE credit.Complaints regarding registered sponsors may be Payment must be received for all registrations prior to the event date.
submitted to the National Registry of CPE Sponsors through its website: RO.No:
www.learningmarket.org.. GFOA Tax ID Number:36-2167796
��� National Registry of CPE Sponsors Government Finance Officers Association
• 150 Fourth Avenue North•Suite 700 203 North LaSalle Street,Suite 2700
Nashville,TN 37219-2417 Chicago,Illinois 60601-1210
sI, rsons www.nasba:org 312-977-9700 w:312-977-4806 ivivn•.,qfoa.org
40615
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
110000
GOVERNMENT FINANCE OFFICERS Purchase Order No.
Dept. 77-3076 Terms
Chicago, IL 60678 Due Date 7/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2015 081215 $42.50
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
Date Officer
VOUCHER # 152611 WARRANT# ALLOWED
110000 IN SUM OF $
GOVERNMENT FINANCE OFFICERS
Dept. 77-3076
Chicago, IL 60678
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
081215 01-6040-08 $42.50
1 _
G l �
Voucher Total $42.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
I I I : I 1 l •1 L't��J
k Group course
Please
.
, r I
Please print or type(or register online at www.gfoa.org) Rerctistration Fees(Please Check one)
O Check here if you are faxing this form.Fax accepted only with credit W$85 Active/Associate Member O $160 Nonmember
card payment or purchase orders.If faxing,do not mail the original. Registration Fee $ n
Name: t'-r�l >^��-r^ • Group Discount $
Title: �'-/'� New member fee:Visit www.gfoa.org $
or call GFOA at(312)977-9700 for fee
Employer: C t
Z � Ca.r„�e.r.' !r'f;1,�•'�=s a�:..� L Discount for paid new member($25.00) $
Address: _:Tt :% rl S-Lam- ? REGISTRATION TOTAL $
Publications
City: C,.-. , z/ Quantity
State/Province: 7!�/ Zip/Postal Code: 4 An Elected Official's Guide:Debt Issuance $
(second edition)
Telephone: 31 9—,;'-7 .?L_4 (Members$20/Nonmembers$30)
Debt Issuance and Management:A Guide $
Fax:-3,,7- 57/— ;2.26'5 for Smaller Government
(Members$18/Nonmembers$24)
E-mail:(Required) C.r'= %rte tj c'.- r•% G;.n j•: Making Good Disclosure:The Role of State and $
Local Officials Under the Federal Securities Laws
GFOA Membership N fit available) %<<.-n-S I i (Members$25/Nonmembers$40)
❑Check box to indicate if you are substituting for an active member. Purchasers from Illinois add 9.5%.
Active Member H: Washington.D.C.add 6%sales tax(unless exempt) $
Add handling charge(for all billed orders) $ 8.00
Active Member Name:
Add shipping charge,if applicable $
Please photocopy this form for additional registrants. Full-time students and bookstores PUBLICATION TOTAL $
A copy of the confirmation and invoice will be sent as a PDF attachment receive a 25 percent discount on
via e-mail from training@gfoa.org.Please add this address to your all products,unless otherwise noted. TOTAL $ Y
allowed senders list. Shipping
Unless otherwise specified,all merchandise will be shipped via UPS
Registration fee is per person.not per group.Early and/or student Ground at no additional charge to the purchaser.Please allow 5-10
registration discounts do not apply to Internet training. business days for delivery.The following alternative shipping methods i
Register and pay for 3-9 participants and receive 10 percent off the total are available on request and will be billed to the purchaser.
cost o1 the registrations.Register and pay for 10 or more participants O Next-day UPS El 2-day UPS O 3-day UPS Select
and receive 15 percent off the total cost of the registrations.To qualify for O Other(please specify)
the group discount,registrations must be submitted together.Individual
registrations submitted separately or after the original group is submitted Payment Information(Please Check one)
will not qualify for the group discounts. Fees must be paid in U.S.dollars by check,credit card.or purchase order.
Cancellation requests must be made in writing to the GFOA.All cancella- Please do not submit duplicate copies of this form.
tions received five business days before the event date will incur a S20 &4rayment by Check:
administrative fee.No refunds will be issued after that date. Make check payable to"Government Finance Officers Association"
Substitutions(government entities only):A one-for-one substitution of Send to:GFOA•203 N.LaSalle St.•Suite 2700•Chicago,IL 60601-1210
a nonmember for an active member is allowed.If your organization has O Payment by credit card:scan and e-mail this form to
a current GFOA member on staff who is not participating in these training training@gfoa.org;fax to 312.977.4806;or send to:
seminars.a nonmember may attend in his/her place at the member rate.You GFOA•203 N.LaSalle St.•Suite 2700•Chicago,IL 60601-1210
must provide the member number and/or name of the GFOA member on the O Amex ❑Discover ❑MasterCard ❑VISA
registration form.
Name on Card:
Inquiries:For information regarding administrative policies such as
complaints and refunds,please contact the GFOA at training@gfoa.org Account Number:
or at 312-977-9700.
Exp.Date: / (Mandatory)
The GFOA is registered with the National Association of State Boards Signature:
of Accountancy(NASBA)as a sponsor of continuing professional U Bill Me.(Scan and e-mail this form to training@gfoa.org or fax to
education on the National Registry of CPE Sponsors.State boards of (312)977-4806.)
accountancy have final authority on the acceptance of individual courses If selecting this option,you must include a purchase order number.
for CPE credit.Complaints regarding registered sponsors may be Payment must be received for all registrations prior to the event date,
submitted to the National Registry of CPE Sponsors through its website: P.O.No:
www.learningmarket.org. GFOA Tax ID Number:36-2167796
National Registry of CPE Sponsors Government Finance OlTicers Association
qpE• 150 Fourth Avenue North•Suite 700 203 North I-aSallc Strcct,Suite 2700
Nashville,TN 37219-2417 Chica�,Illinois 60601-1210
rTsoas www.nasba.org 312-977-9700 /:r.A:312-977-4806 n ntyf c,.ur9
40615
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
110000
GOVERNMENT FINANCE OFFICERS AS Purchase Order No.
Dept. 77-3076 Terms
Chicago, IL 60678 Due Date 7/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2015 081215 $42.50
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
'?11- ?/S
Date Officer
VOUCHER # 155991 WARRANT # ALLOWED
110000 IN SUM OF $
GOVERNMENT FINANCE OFFICERS A
Dept. 77-3076
Chicago, IL 60678
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
081215 01-7040-08 $42.50
I (�
5�
Voucher Total $42.50
Cost distribution ledger classification if
claim paid under vehicle highway fund