HomeMy WebLinkAbout300235 07/12/16 i
�% "''F. CITY OF CARMEL, INDIANA VENDOR: 354817
3;• ONE CIVIC SQUARE SOCIETY FOR HUMAN RESOURCE MGTCHECK AMOUNT: S......*995.00*
f3 CARMEL, INDIANA 46032 PO BOX 79482 CHECK NUMBER: 300235
y\ Jr;
�'�roN"�°' BALTIMORE MD 21279-0482. CHECK DATE: 07/12/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4357004 SHRM17 995.00 EXTERNAL INSTRUCT FEE
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
SOCIETY FOR HUMAN RESOURCE MGT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 79482 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
BALTIMORE, MD 21279-0482 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$995.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Human Resources 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
SHRM17 43-570.04 $995.00 1 hereby certify that the attached invoice(s),or 7/12/16 SHRM17 Registration 2017 SHRM Conference S $995.00
1201 101 1201 101 Wolfgang
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
Tuesday,July 12,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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FAX:703.535.6490 MAIL:SHRM
Credit card&government P.O.Box 79482
r `< POs.Please allow 1-2 Baltimore,MD
j weeks for processing. 21279.0482
f i ` sPHONE:600.283.7476 Credit card,check
i S
option .5 (U34 &government POs.
�, P,`, r•, +1.703.548.3440 Please al/ow 4-6
H OR` M 17
option#3(Int'I) weeks for processing.S I
ANNUAL CONFERENCE&EXPOSITION a a.m.-8 p.m.ET,M-F
' June 18=21 I New Orleans Credit card only.
special alum rate!
PRINT CLEARLY.Use one form for each registrant. ADDITIONAL CONFERENCE
SHRM MEMBER NUMBER ACTIVITIES L �J
I1 l 1 C JOIN NOW!$100$180
Name "v Z)L-F� � JKNutse N Save$10 off membership $
LAST I' (FIRST /.,, M.I. Guest Program:Our Guest Program
c
Name for Badge due `�"v C)�r�-L Vq N registration includes the Sunday Opening
General Session,Opening Reception and
Business Number-?,n ) oj i—5 g�b Exposition Hall(Sunday only),a ticket to the
Tuesday Night Show,and the Closing
E-mail Address S - m i n _Q��
General Session on Wednesday.It does
not include networking events,or access
PRINT C LY
_ —� I to the concurrent sessions.
Job Title �� e
� tiC.l ��Sbffi vlEi�WFirst Last
i No.of Guests_ x$345=$
Business/Company I?LT� OF CA m C�---
I TUESDAY NIGHT SHOW:One ticket is
Street Address L &JLL S®o AR-t included in the conference registration
/ /^ fee.Additional tickets are$95.
City �� State/Province t ZIP t%ol� No.of tickets_ x$95= $
Country
...........................................
Is this your O home or O business address?The address listed above will be encoded in your bar code. Cancellation Policy`
-A cancellation must be in writing and taxed
Registration Prices to703.5/cscrese35.6490 rsubmiriedto
� I shrm.org/cscresearch.
UNTIL 7.29.16 Special Alum Rate. -Confirmedregistrantsmaycancelandreceive
Member $995 ONLY$#96a full refund minus a$250 administrative fee
through December 31,2016.
Join Now! $1,175 Register by.July29,2016 -Fifty percent(50%)ofthe registration fee will
be refunded for cancellations received from
Nonmember $995 January 1 through April 16,2017.
-Cancellations received after April 16,2017,are
Register for the Annual Conference Only O Register for Additional Conference nonrefundable._An additional cancellation fee of$75 will be
The registration fee includes general sessions Activities charged for each conference add on included
and luncheons,admission to the SHRM Please note that some conference activities in your registration.
Exposition,concurrent sessions,one ticket OR require additional fees.Select your additional -If a SHRM member transfers his or her regis-
to the Tuesday night show,and online I activities in the column on the left,calculate tration to a nonmember,the nonmember must
pay the difference of the SHRM member and
access to conference presentations. your conference price and indicate the total nonmember price at the time of the transfer.
C�(y �\ in the space below. Subject to change
TOTAL DUE$ 1 1 .O V ! TOTAL DUE$ ...........................................
Please take a Moment to complete the following:
Pament Information O No,I do not want to receive additional SHRM
Y Annual Conference related mailings from exhibi-
tors and sponsors.
I authorize SHRM to charge my: O AMEX O VISA O MasterCard Year Entered Profession:060
Card# Exp. Date
Company Size:How many individuals are
employed in your organization worldwide?
O 1-24 O 25-49 O 50-99 O 100-249
Signature 0250-499 0500-999 01,000-2,499
O 2,500-2,499 O 5,000-9,999
O 10,000-24,000 O 25,000+
NAME AS IT APPEARS ON CREDIT CARD Job Leve• O Director O Manager
O Olher
Cardholder's Daytime Phone Number
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ACCOUNTING USE ONLY Co Chk.# ® :
Date Pers.Chk.# Mny Order It rVA.
Amt Chpt.Chk.# Source:ANNI7STD SOCIETY FOR HUMAN
RESOURCE MANAGEMENT
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