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Home My WebLink About250177 10/07/15 t - CITY OF CARMEL, INDIANA VENDOR: 065950 ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $ ....`695.24" CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK NUMBER: 250177 CARMEL IN 46033-9501 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 695.24 TRAVEL PER DIEMS i . I . 20151WCT ANNUAL, CONFERENCE & EXHIBITION REGISTRATION FORS Pre-Registration Deadline: September 15 C ��l Phone � Preferred Name for Badge, /` ( � Email Cir - (9 , Title �p /} ,��-7 )t//J Spouse/GuestName ' Municipality/Company I v4vas v I Y� Special Needs and Dietary Restrictions Council President's Name i Address City/Statellip Q/3Z REGISTRATION FEES METHOD OF PAYMENT ❑ Check ❑Visa ❑ MasterCard ❑Discover ❑American Express [ACT Member—Municipal Official $325 $375 Check#(Payable to TACT) (Pop.greater than or equal to 1,000) /Jt Cardholder Name IACT Member—Municipal Official $190 $240 4 (Pop.less than 1,000) Credit Card Number IACT Associate Member ; $325 $375 Expiration Date (Non-Exhibitor) 3-digit Verifice0on Code IACT Associate Member(Exhibitor) $250 $300 Billing Address Non-Member(Non-Exhibitor) $475 $525 Non-Member(Exhibitor) $250 $300 City/State/Zip Signature of Cardholder Spouse/Guest $190 $240 Wednesday Only $250 $300 Total Amount: $ Please Check the conference Events You Plan to Attend(For planning purposes only) ❑TUESDAY ❑TUESDAY ❑TUESDAY ESDAY EDNESDAY EDNESDAY DNESDAYURSDAY Opening Business Workshop#1 Workshop#2 Welcome Continental Annual Awards Presidents' Continental Session Active UvIng Employee Manuals Reception In Breakfast In Luncheon Reception Breakfast Promotion Exhibit Hall ExhlbltHall ' URSDAY Closing Lunch& Business Session I i i Cancellation Policy I Special Needs and Dietary Restrictions Questions? Only written C=81130119 will be accepted.Please mail If you require special arrangements or a special diet,please Contact Natalia Hurt at(317)237-6200 ext.233 or your written cancellation to 125A Markel St.,Sults 240, notify IACT on your registration form. nhurt®citiesandtowns.org Indianapolis,IN 46204;fax to(ill 7)237-6200 or send to tbaldwinftliesandtowns.mg.Written cancellations received Affiliate Group Events E-Verify Compliance on or before September 15,will be refunded less a$40 IACT affiliate groups may hold Individual meetings and IACT Is an enrolled employer In the E-Verify Program verify- processing fee.IACT Is not responsible for hotel reservations events at the conference.Attendees must be registered Ing the work eligibility status of its new employees and will or cancellations. for the conference In order to attend affiliate events. remain so until that program no longer exists. Additional information for affiliate group members may be mailed out separately. i I i I Annual Conference& Exhibition http://www.citiesandtowns.org/ac ABOUT LOGIN CONTACT MY IACT STORE VIEW CART SEARCH site search L J "� HOME MEMBERSHIP EDUCATION&EVENTS LEGISLATION&POLICY RESOURCES COMMUNICATIONS DUR�ca C p& Elm lot lot lot g*" lot U, ZZI too zf Join Us in French Lick! General Information 2015 IACT Annual Conference&Exhibition September 29-October 1,2015 French Lick,Indiana French Lick will be home to the 2015 IACT Annual Conference&Exhibition. The conference,which begins September 29 and runs through October 1,will showcase more than 25 workshops and nearly 150 experts in municipal government,state agencies,non-profits and universities will be represented in the exposition hall. The opportunities to learn at this years event Natalie Hurt are endless. Special Events&Conferences The conference is now over.Check back soon for 2016 IACT Annual Conference&Exhibition inforinatioril Director 317-237-6200 ext.233 Need more information? Click on the buttons below for more details on the conference schedule,workshop descriptions,hotel reservations,and the credentialing process for voting delegates. Exhibitor and 00 Sponsorship Information Click here to view the workshop descriptions. z. Click here for guest program details. Click here for keynote speaker details. Anne Trobaugh Click here to download the printed conference booklet. Corporate Relations Director 317-237-6200 ext.239 Exhibit Hall and Sponsorship Information Sponsorship,Exhibit Hall and Advertising Opportunities. Registration Exhibit Hall Floor Plan. Information 1 of 2 10/5/2015 3:48 PM WEST BADEN SPRINGS H O T E L Name: DIANA CORDRAY Arrival Date: 09/29/2015 CI Clerk CFRANCIS Address: WJB Departure Date: 10/01/2015 CO Clerk CN '66S?� Group Code: 091 51NA Room #: WB 4323 Resv. 421982851714 Page 1 of 1 Date:::... Reference DescriptionCharges _ ... -Credits 09/29/2015 422759000511 ROOM CHARGE WB 4323 169.00 TAX 1 1 1.83 TAX2 10.14 09/30/2015 422769000482 ROOM CHARGE WB 4323 169.00 TAX 1 1 1.83 TAX2 10.14 Total Due 381 .94 1 agree to remain personally liable for the payment of this account if the corporation or other third party fails to pay part or all of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made within five (5) days after my departure. If you are using a credit card, the hold may last up to 3 business days past your check-out date. If you are using a debit card, the hold on funds may last from 7-10 business days after your check-out date. r - U Guest Signature: r6� CDU West Baden Springs Hotel 8538 West Baden Avenue `I est Baden, IN 47469 888.936.9360 frenchlick.com CITY OF CARMEL Expense Report (required for all travel expenses) Vv oar . EXHIBITA EMPLOYEE NAME: DEPARTURE DATE: f ` TIME: 31 AM/�[ DEPARTMENT: RETURN DATE: / �/ / TIME: AM /,W C ---- REASON FOR TRAVEL: ezr6 � �+- �� DESTINATION CITY: 111XC4 EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM !/ Transportation Gas/Tolls/ Lodging Meals Date Misc. Total Taxi Tips Luggage Parking Breakfast Lunch Dinner .Snacks Per Diem l 0 Ov Total G DIRECTOR'S STA TEMEN I hereby affirm that II expenses listed conform to the City's travel policy and are within my department's appropriated budg4/ / Director Signature: Date: C ! City of Carmel Form#ER06 Revision Date 3/18/2009 Page 1 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.207(Rev.7995) 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 I 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. D&N ALLOWED 20 IN SUM OF $ $ �:b( '9 ON ACCOUNT OF APPROPRIATION FOR al-l:� cNb4 Board Members INVOICE NO. ACCT#/TITLE AMOUNT DEPT. # I hereby certify that the attached invoice(s), 43604, 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 20 44 CP4� Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund Prescribed by State Board of Accounts General Form No.101 (1955) MILEAGE CLAIM TO CJ DR. (Governmental Unit) On Account of Appropriation No. for (Office,Board, Department or Institution) DATE FROM TO ODOMETER READING" NATURE OF BUSINESS AUTO MILES MILEAGE @ 201-5- Point Point Start Finish TRAVE ED PER MILE � --r l Auto License No. TOTALS ; " SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all ' tcr dits, and that no part of the same has been paid. Date Claim No. Warrant No. I have examined the within claim and hereby certify as follows: IN FAV OF That it is in proper form; Y (� That it is duly authenticated as required by law; That it is based upon stat thority; That it is apparently rrect $ incorrect On Account of Appropriation No. for Disbursing Officer e Allowed 20 (D � o0 �c t) Q in the sum of$ (D (D (D N O �« FD a G 2 N ((p Q 8 (Board or Commission) (D Q FILED N 0 () m � Q (D ( 0 � � (D (Official Title) p o � l