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258800 05/26/16
Q CITY OF CARMEL, INDIANA VENDOR: 365176 ONE CIVIC SQUARE RENEE BUTTS CHECK AMOUNT: $*******125.00* CARMEL, INDIANA 46032 18320 JOLIET ROAD CHECK NUMBER: 258800 SHERIDAN IN 46069 CHECK DATE: 05/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 041316 125.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) RENEE BUTTS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 18320 JOLIET ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SH ERI DAN, IN 46069 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $125.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-570.04 $125.00 1 hereby certify that the attached invoice(s),or 5/18/16 0 Registration Fees-ASL $125.00 1120 � L,(P101 1120 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 Wednesday, May 18,2016 David Haboush Fire Chief 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indiana Association of the Deaf's American Sign Language Classes Winter _ Spring _ Summer _ Fall Registration Form y. Name: Address: .} Address 2: City: State:\�J Zip: �o American Sign Language E-Mail: -���4� @��s��. .`�• " ©� Program phone:�3�`�} Home Work ell Class Level (pick one that you will be taking) - Course Fee is $125.00 for 10 sessions. Beginner(ASL 1) Intermediate (ASL 2) Advanced(ASL 3) Which day do you prefer? Mondays Tuesdays Flexible We have some rules and regulations.These are.. 1.This course is a community-based non-credit course provided by the IAD. 2.This course is a two-hour per session for 10 sessions. 3.Two absences per course are permitted to get certification of completion. 4.Workbook to be purchased and brought to classes 5.If you are an Indiana School for the Deaf parent,you must pay$125 up front and complete all three levels of ASL in a row,you will get a full refund of$125. If you skip a 10-week session,you will not get a refund. If you checked Beginner,you will need to expect to Mail this form and payment to: have this-textbook on hand`We sell.copies of this book at$85-(one time purchase for all three levels). - IAD ASL Program Please inital here that you understand you c/o Treasurer ' ' must have this-book by the time of the first day of P.O.,Box 551024 class and and that you have this option of purchas Indianapolis, IN 46220 ing this book from us. Book title is:SIGNING NATURALLY: Student Workbook Units 1-6. " We accept checks,money order and cashier's check -RENEE_L BUTTS ,Account: f�2 r; Page: 3 -,, TRANSACTION SUMMARY .Date Deposits Withdrawals Location Elmo MOM - dob 4 awe "M - - - dOb s MOW sop 125.00 POS PURCHASE NON PIN PAYPAL *INDIANAASSO San Jose CA *****5479 06 .09:18 m ow FIRST MERCHANTS and the Shield Logo are registered trademarks of First Merchants Corporation NOTICE:SEE REVERSE.SIDE FOR IMPORTANT INFORMATION eu N, ta 4/13/2016 Print Subject: Fwd: Your payment to Indiana Association of the Deaf, Inc From: renee butts (rbutts68@hotmail.com) To: bristow903@yahoo.com; Date: Wednesday, April 13, 2016 3:22 PM Sent from my iPhone Begin forwarded message: From: "service@paypal.com" <service@paypal.com> Date: April 6, 2016 at 12:18:50 PM EDT To: Renee Butts <rbutts68@hotmail.com> Subject: Your payment to Indiana Association of the Deaf, Inc Paypbl You sent a payment of$125.00 USD to Apr 6,2016 09:18:41 PDT Indiana Association of the Deaf, Inc. Receipt No:5497-4767-3594-7328 Hello Renee Butts, I i This charge will appear on your credit card statement as payment to PAYPAL*INDIANAASSO. � Shop with confidence Save time with a PayPal account We keep your financial information secure. Create a PayPal account and save your payment Transactions monitored 24/7 information.You won't need to enter your payment Our fraud specialists help protect your ! information every time you shop online. account. I� Sign Up Now You're protected f Zero fraud liability for eligible i unauthorized purchases.See eligibility i Merchant information: Instructions to merchant: Indiana Association of the Deaf, Inc None provided IADASL2013@gmail.com http://www.iadhoosiers.org 317-493-0095 Shipping information: Shipping method: Renee Butts Not specified about:blank 1/2 Spring Classes Page 1 of 2 SPRING CLASSES m The Spring 2016 ASL sessions are now accepting registrations for ASL 101,ASL 201,ASL 201 and Deaf `h Culture classes! Cost of Class: $125.00 per person Course Materials: Signing Naturally Student's Workbook Unit 1-6 is required for all levels of classes.ASL 101 participants are required to buy the workbook.We .•' ti✓ r s' sell the workbook on the first day of class for$85. American Signlanguage Class Location: Raney Hall @ ISD Program Indiana School for the Deaf,1200 E. 42nd Street, Indianapolis, IN.46205 ABOUT US Class Schedule: REGISTER TODAY! Mondays @ 6:00pm (starting April 11,2016) REGULATIONS Tuesdays @ 6:00pm (starting April 12,2016) FOR ISD FAMILIES ONLY Two ways to register! MEET THE ASL STAFF! 1. Fill out a PDF form and mail your check with the form to the mailing address listed on the form. Click here to print the form. APRIL 2016 2. Register and pay online!Credit Card and Paypal accounts accepted! Click here to proceed. (The form will S M T W T F S take you to Paypal.com and you will need to complete 1 2 payment. ifyou do not complete payment,your 3 4 5 6 7 8 9 registration will be voided immediately) 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 u AUG Proudly powered by WordPress http://asl.iadhoosiers.org/spring/ 4/11/2016 4/13/2016 Pri nt 18320 Joliet Road j Sheridan, IN 46069 United States j Description Unit price Qty Amount SUMMER ASL Class $125.00 USD 1 $125.00 USD i Total: $125.00 USD Receipt No: 5497-4767-3594-7328 Please keep this receipt number for future reference.You'll need it if you contact customer service at Indiana Association of the Deaf, Inc or PayPal. Help I Security Center Please don't reply to this email. It'll just confuse the computer that sent it and you won't get a response. Copyright © 2016 PayPal, Inc. All rights reserved. PayPal is located at 2211 N. First St., San Jose, CA 95131. PayPal Email ID PP1469 - 374effb85dc16 about:blank 2/2