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253105 01/11/16
%`��p�• CITY OF CARMEL, INDIANA VENDOR: 00352667 ONE CIVIC SQUARE INDIANA YOUTH INSTITUE CHECK AMOUNT: $*******125.00* i�,� ,�a� CARMEL, INDIANA 46032 603 E WASHINGTON ST STE 800 CHECK NUMBER: 253105 9.y«oN INDIANAPOLIS IN 46204 CHECK DATE: 01/11/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 87362485 125.00 GENERAL PROGRAM SUPPL 2015 Because KIDS.COUNT®C nference presented by Pacers Foundation-RegOnline. Page 1 of 3 e nlin by Lanyon Oe 714 3 INDIANA COIJ4ENTION CENTER 1100 SOUTH CAPITOL AVENUE ANDIA400415 11�� Because MUS COUP Conference / s CONFERENCE:DECEMBER 1.2, 2015 - LEADERSHIP INSMUTE:IJOVEMOCR 3Q•DECEIABER 1,2015 -Presented by Pacers founCallon {. ,a..Tho . y : cti �Fs Indiana Youth Institute BECAUSE KIDS COUNTa - 3s � , ._ • . ,f :1 & �� T � ► Invoice CONFERENCE 2015 t A PROGRAM OF 1 Invoice Invoice Number 1684083-87362485 7E13 Registration ID: 87362485 Registration Date: 11/8/2015 DEC 2 9 2015 Invoice Date: 11/8/2015 BY:— Issued By: Indiana Youth Institute Event: 2015 Because KIDS COUNTO Conference presented by Pacers Foundation Date/Time: Tuesday, December 01, 2015-W dnesday, December 02, 2015 Re istrants Registration Name ID Company/Organization Registration Type Amanda_ Carmel Clay Parks and Recreation Extended School - .Attendee(Indiana Youth Gillim 87362485'>. Enrichment Serving) . Billing Information Amanda Gillim Carmel.Clay Parks and Recreation Extended School Enrichment 10923 Cornell St. Indianapolis, IN 46280 765-426-6483 a_gillim@yahoo.com __. Fees - -..___..- - - -.. --- - -- -- - _ ---------_...__. Fee Quantity Unit Price Amount Fee https://www.regonline.com/register/invoice.aspx?Eventld=1684083&AttendeeId=Wcz8V... 12/21/2015 2015 Because.KIDS COUNT® Conference presented by Pacers Foundation-RegOnline Page 2 of 3 Fee Quantity Unit Price Amount j. Registration Fee: Because KIDS COUNTO Conference 1 $125.00 $125.00 Subtotal: j $125.00 i Total: $125.00 --- Transactions Transaction Type /Date. Amount Balance Transaction Amount 11/8/2015 $125.00 $125.00 Current Balance: t$1'25'x00, Payment Method --------- — _. .. - -- --__._. - - --- Ptayment Method: PO, PO Number: Payment Instructions - - - -- -- --- ---= The preferred method of payment for this event is online via credit card or purchase order. If you do not wish to complete your registration online, please download the registration_form and mail with your payment to the address below. Make_checks PA abl' a tom: Indiana Youth Instifu,�,,,fe „ 603'East WashL, Street rSuite 80.E India nap of i s-yl N;46204 Registration Forms • Sponsor/Exhibitor/Advertiser registration form • Attendee registration form NOTE: If you choose to pay online with a purchase order, you must print out your invoice(via the link on your confirmation page)and mail it with your payment. Failure to do so may result in duplicate billings. r About BKC https://www.regQnline.com/register/invoice.aspx?EventId=1684083&AttendeeId=Wcz8 V... 12M/2015 2015 Because KIDS COUNT® Conference presented by Pacers Foundation - RegOnline Page 3 of 3 Schedule of Events Pricing and Accomodation Additional Details i Generous support for the s Because KIDS COUNT@ Conference provided by our Sponsors i - See you soon II ' CONFERENCE;DECEMBER 1-2, 2015 �! LEADERSHIP INSTITUTE:NOVEMBER 30-DECEMBER 1,2015 t.—. INDIANA YOUTH INSTITUTE ' E.WASHINGTON STREET, SUITE 800 1 INDIANAPOLIS, IN 46204-2692 '317-396-2700 800-343-7060 1 317-396-2759 FAX '{ s - • Event Home • Event Contact Information Share on FacebookTweet this on TwitterUpdate your Linkedln Network • Terms of Use Your Privacy Rights ©2015 • About Lanyon RegOnlinr,'. Quick, easy and affordable online event registration and event management software for all event sizes. https://www.regonline.com/register/invoice.aspx?EventId=1684083&AttendeeId=Wcz8V... 12/21/2015 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00352667 Indiana Youth Institute Terms 603 East Washington St., Ste 800 Indianapolis, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 12/1/15 87362485 Because Kids Count Conference xx2999 $ 125.00 Total $ 125.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 00352667 Indiana Youth Institute Allowed 20 603 East Washington St., Ste 800 Indianapolis, IN 46204 In Sum of$ $ 125.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE No. ACCT#/TITL AMOUNT Board Members Dept# 1081-5 87362485 4239039' $ 125.00 1 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 December 30, 2015 PAOAnhUA) Signature $ 125.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund