252788 12/15/15 cnq .
y CITY OF CARMEL, INDIANA VENDOR: 354817
ONE CIVIC SQUARE SOCIETY FOR HUMAN RESOURCE MGTCHECK AMOUNT: $*****1,320.00*
:, aQ CARMEL, INDIANA 46032 PO BOX 79482 CHECK NUMBER: 252788
9, ioN. BALTIMORE MD 21279-0482 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4357004 121415 1,320.00 EXTERNAL INSTRUCT FEE
t _ 1
SHRM�"2' 916
PREFERRED METHOD— FAX:703.535.6490 MAIL:
ONLINE:For immediate Please allow 5-7 business SHRM
processing,register at days for processing. P.O.Box 79482
annual.shrm.org Baltimore,MD
PHONE:800.283.7476,
option#3 21279-0492 USA
ANNUAL CONFERENCE & EXPOSITION +1.703.548.3440(Int'I) Please allow 4-6 weeks
for processing
)RINT CLEARLY.Use one form//four each registrant.
>HRM MEMBER NUMBER �/l a ` `J Job Title _QVIt�T L `t ll�v f I(111 COY
Jame W 0 L�►C(N� uk E' Business/Company Lei Li C rPGLr m C-1 ZG(",r,1`}
LAST FIRST M.I. 1 ' C, ^�
l/WL�L��N Street Address G V S
Jame for Badge
3( 11 ) �C, 5C) City arm-f-i State/Province- ry ZIP
3usiness Number J OO
Country �fcy-�
-mail Address SW O�:bc I l ) C-'`YA a • ky) •qQJ_
PRINT RLY (" GCS Is this your O home or 0 business address?The address listed above will be encoded in
your bar code.
Conference Registration Program AddOris'.
MEMBER NONMEMBER Please.Note:Program times may-overlap with Other programs,session times or conference- f -
activities.You cannot-se'lect a program add on uriless you'are'registered for the full conference.!For session
Preview Through 01`.29 $1'1320 $1,765 titles and numbers,visit anual.shrm.org and-select."Program"
Early Bird. 01.30—.04.08 $1,520 $1,965 SUNDAY SESSIONS SHRM-CP/SCP CERTIFICATION
Standard 04.09-05.27 $1,635 $2,085 Session# PREPARATION(3-DAY)
(code is required), $0 O Member/Nonmember Reg Fee+$1,130
Late 05.28&Beyond $1,780 $2,230
SHRM SEMINARS(3-DAY) Program Name $
O Member/Nonmember.'Reg Fee+.$920
Join SHRM now and save$10 on your membership! PRECONFERENCE WORKSHOPS
Program Name $ Buy.two 1-day workshops and save!Register
Select membership in the additional add ons section.
.- for.2-workshops and and.save$100!
®Register for the Annual Conference Only O Member/Nonmember Reg Fee+'$380
The registration fee includes general sessions and
luncheons,admission to the SHRM Exposition, Session#(s) $
concurrent sessions,one ticket to the Tuesday
night show,and,online access to
conference presentations. $ Gx6.00 Additional Add Ons GUEST PROGRAM:Our Guest Program registra-
tiomincludes the Sunday Opening General Session,
MEMBERSHIP$1W $180 Opening Reception and Exposition Hall(Sunday
Join now and save$10 $ only),a ticket to the Tuesday Night Show,and the
Submitted �® TUESDAY-NIGHT SHOW:.One ticket is Closing General Session on Wednesday.It does not
I(D included in the conference registration include networking events,or access to the concur-
fee.Additional tickets are$95, rent sessions.
DEC 1 4 2 0�5 No.of additional tickets_ x$95=$ First Last
FNo.of Guests x$345= $
Clerk Treasurer
Payment Information
rices are subject to change. I authorize SHRM to charge my: O AMEX O VISA O MasterCard
;ancellation Policy Card# Exp. Date
\cancellation must be in writing using our online form or can be
axed to+1-703-535-6490. Signature
confirmed registrants may cancel and receive a full refund minus a
1250 administrative fee until December 31,2015.
NAME AS IT APPEARS ON CREDIT CARD BILL
:ifty percent(50%)of the registration fee will be refunded for
:ancellations received from January 1 through April 16,2016.
Cardholder's Daytime Phone Number
;ancellations received after April 16,2016,are nonrefundable.
f a SHRM member transfers his or her registration to a nonmem-
)er,the nonmember must do one of two things:Pay the difference
if the SHRM member and nonmember price at the time of the ACCOUNTING USE ONLY Co Chk.#
ransfer or become a SHRM member at the time of the transfer. Date Pers.Chk.# Mny Order#
Amt Chpt.Chk.# Source:ANN 6WEB SOCIETY FOR HUMAN
RESOURCE,N;ANAG EMENT
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
12/14/15 12.14.15 2016 Annual Conference-S Wolfgang $1,320.00
1201 101
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
SOCIETY FOR HUMAN RESOURCE MGT
PO BOX 79482
IN SUM OF $
BALTIMORE, MD 21279-0482
$1,320.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
12.14.15 I 43-570.04 ( $1,320.00 1 hereby certify that the attached invoice(s), or
1201 101
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
Monday, December 14, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund