HomeMy WebLinkAbout248838 08/26/15 `u ��'"° CITY OF CARMEL, INDIANA VENDOR: 00352458
® it ONE CIVIC SQUARE GOVERNMENT FINANCE OFFICERS ASSCtiECK AMOUNT: $....***135.00*
�_ _� CARMEL, INDIANA 46032 'U`2) L�•SiLIL� CHECK NUMBER: 248838
9.�,roN�` CHICAGO IL 60678-1030 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 110515 67.50 OTHER EXPENSES
651 5023990 110515 67.50 OTHER EXPENSES
61-
Registration Foy
To include additional participants,please e-mail an Excel sheet to training@gfoa.orgthat includes the
following information for each registrant:name,title,organization,and e-mail address.To download an
Excel template to submit,go to www.gloa.org.(Group discounts cannot be applied to online registrations.)
Program Information (Please check one) ❑November 5,2015 ❑ December 3,2015
❑ Check here if you are faxing this form.Fax accepted only with credit card payment or purchase orders.
If faxing,do not mail the original.
Please print or type(or register online at www.gfoa.org).
Name: r v�'1 r, )N I h t ,v l Title:
Employer.
Address: i)
City: (� 0, !^^ f State/Province: //y Zip/Postal Code:
Telephone: 3/7- 5 '7/ -.2 1`T! Fax:
Government Finance Officers Association
20TH ANNUAL GOVERNMENTAL
TI?r5 17 i
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 8/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2015 110515 $67.50
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 fficer
VOUCHER # 152893 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
110515 01-6040-08 $67.50
5�1l
Voucher Total $67.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
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50"
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Registration Form
To include additional participants,please e-mail an Excel sheet to training@gfoa.org that includes the
following information for each registrant:name,title,organization,and e-mail address.To download an
Excel template to submit,go to www.gfoa.org.(Group discounts cannot be applied to online registrations.)
Program Information (Please check one) ED/November 5,2015 [-] December 3,2015
Check here if you are faxing this form.Fax accepted only with credit card payment or purchase orders.
If faxing,do not mail the original.
Please print or type(or register online at www.gfoa.org)
Name: C r-- -e 11"11C, VVI 4 1`1-k, "- Title:
Employer:
Address: Az
City: C ,_,e- State/Province: Zip/Postal Code:
Telephone: .3 V7- -5 -2 Fax: 71t -- 5-7 1
E-mail(mandatory): 10 ej,
GFOA Membership#(if available): S L?0,22�__2 2-1
E] Check box to indicate if you are substituting for an active member.
Active Member#:
Active Member Name:
Registration Fees Registration Fee x$ 13,5 =$
All fees must be paid in full before
the event date.Registration fee New member fee:Visit www.gfoa.org
is per person,not per group. or call GFOA at(312)977-9700 for fee
Discount for paid new member($25.00)
REGISTRATION TOTAL j35:
Payment InformatEon (Please check one)
Fees must be paid in U.S.dollars by check,credit card,or purchase order.
Please do not submit duplicate copies.
Payment by credit card. D"Payment by check. El Bill Me.Scan and e-mail this
Scan and e-mail this form to Make payable to form to train ing@gfoa.org or
training@gfoa.org; "Government Finance fax to(312)977-4806.
fax to(312)977-4806; Officers Association" You must include a purchase
or send to GFOA Send to:GFOA order number.Payment must
203 N.LaSa Ile St. 203 N.LaSalle St. be received for all
Suite 2700 Suite 2700 registrations prior to the
Chicago,IL 60601-1210 Chicago,IL 60601-1210 event date.
Amex Discover P.O.No:
El MasterCard VISA GFOA Tax ID Number:
36-2167796
Name on Card:
Account Number: Exp.Date:-/_(mandatory)
Signature:
A copy of the invoice will be sent as a PDF attachment via e-mail from training@gfc)a.org.Please add this address
to your allowed senders list.
PLEASE NOTE:All cancellation requests must be inade in w6tingto the GFOA.November offering:All cancellations
rec�ived by October 30,2015,will incut a$20 administrative fee.No refunds will be issued after that date.December
offering:All cancellations received by November 27,2015,will incur a$20 administrative fee.No refunds will be issued
after that date.
Substitutions(government entities only):A one-for-one substitution of a nonmember for an active member is allowed.
If your organization has a current GFOA member on staff who is not participating in these training seminars,a nonmember
may attend in his/her place at the member rate.You inust provide the member numbet and/or name of the GFOA
member on the registration form.
Inquiries:For infoi mation regarding administiative policies such as complaints or refunds.please contact the GFOA at
tiaining@gfoa.org or at 312-977-9700.
Ali individuals, whether in a group setting or on their own,
must be registelled to view the program.
Government Finance Officers Association
20TH ANNUAL GOVERNMENTAL
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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 8/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2015 110515 $67.50
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
k//
Date fficer
VOUCHER # 156155 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
110515 01-7040-08 $67.50
Il`
Voucher Total $67.50
Cost distribution ledger classification if
claim paid under vehicle highway fund