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HomeMy WebLinkAbout315760 09/06/17 u ��q "•• CITY OF CARMEL, INDIANA VENDOR: 364386 ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: $•'*`***325.00" *? CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 315760 CHECK DATE: 09/06/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 12406064 40.00 ORGANIZATION & MEMBER 250 4350900 12406109 285.00 OTHER CONT SERVICES 00 � < « E B \ 0 O / % / o \ g § a # 2 m a 0 c n > m / q 2 0 u X O / ® 4 k 0 / 0 / \ \ � m 2 S § m q ± / � U C ƒ 0 § § J 0 D , § cn a0 E n / o { ° \ # \ o o z B 3 2 \ K O 69 } \ \ E q ° k § / ] e R - 2 / I a r k k \CL 0 \ / / 2 C 0 / \ ƒ k \ \ \ } m # f ƒ f 2 { § / 7 'a \ « ƒ 0) n 7 E _ g o t 7 ( e § m E / 7 A \ / } o § Z E - E 2 = m , \ m S / g E & 7 - k ƒ w I 3 ; S \ / k/ / © / q Q 7 CD/ \ \ \ \ m \ \ - # CD \CD 6 D \ ) \ § / & G � � ) � 4 0 � E 0 - }/ § \CD \ § m 2 \ 10 0 C a ( 7 2 # Z * \ kk ° 08 t t 7 \ T ®0 ° § / _ D }f 20 / o D / n R \8 E 0 @ = C-)0 nr o D 7 2 £I k \ / \ / %f »0 R f 4# 0 ) ? / ) k U� k k 7 \ § & O & / 0 2 /\ f O ® E \ / CD CD� ) ) 7CD \ 2. \ 2: " mCD 8 / / 2 / CD 0 CL > \ \ \ _ q § % D 7 $ $ E CD 0 0 � \ Indiana Association for Floodplain and Stormwater Management - Form Page 1 of 1 Confirmation �� �dplsin agdrt Y .r INAFSM Applicant Information Payment Information Kurt Anderson Date:08/24/2017 09:25:21 City of Carmel Total Payment Amount:$40.00Transaction ID3755583216 Work Payment Method:Credit Card 1 Civic Square Credit Card Type Visa Carmel,Indiana 46037 Credit Card Last Four Digits 2375 Membership Expiration:08/31/2017 Username: kanderson@carmel.in.gov Password: ******** 2 2 00 — y-3 S S3 00 Form Confirmation#: 12406064 Thank you for joining us at Indiana Association for Floodplain and Stormwater Management!Click the'Continue'button below to log in and start enjoying your membership benefits! Username kanderson@carmel.in.gov and Password(If you can't remember your password click Forgot Password to reset). IMPORTANT NOTE: INAFSM memberships are for individuals and are not transferable. If you change jobs, be sure to update your email so that you continue receiving important INAFSM members' only notices. 2017 INAFSM Conference Registration. If you have not yet registered for the INAFSM conference, you may click here to go directly to the registration form. Indiana Association for Floodplain and Stormwater Management 101 West Ohio St., Ste. 1575 Indianapolis, IN 46204 317-829-3656/ kaveryicbinafsm.net https:Hinafsm.memberclicks.net/mc/quickFonn/view/processCCTransaction.do 8/24/2017 Indiana Association for Floodplain and Stormwater Management- Form Page 1 of 2 Confirmation 00-60"'I°'Mr � r INAFSM Registrant Information Payment Information Kurt Anderson City of Carmel Date:08/24/2017 09:39:22 kanderson@carmel.in.gov Total Payment Amount:$285.00 Payment Method:Credit Card Confirmation#:12406109 Credit Card Type Visa Card Number 2375 250 '4 3 S U 1 d Registration Options Transaction#3755594589 2017-2018 Membershio Dues: (If renewed Notice to Exhibitor Sponsors: on this form,membership expires Aug.31, If you require electricity at your booth,you will need to 2018) contact the Century Center directly through a form that Sponsorship:No Sponsorship at this time. will be linked in your conference registration email confirmation. Registration:Full Registration-$285.00 CLICK HERE to view the form in another window without Additional Complimentary Sponsor leaving your registration confirmation. Registrants(s): Headwater Additional Registration: Ad Specs for Program Advertisements-ADS DUE JULY Basin,Watershed or River Additional 7,2017 Registration: Booth Selection and Setup Optional Sponsorships: Guest Meal Package: Complete Meal Guest Package(How many?0 // Guest Name(s): Wednesday Evening Meal ONLY: (How many?0 //Guest Name(s): Thursday Picnic Dinner ONLY: (How many?0 // Guest Name(s): Thank you for registering for the 21st Annual INAFSM Conference at the Century Center,located at 120 S St Joseph St,South Bend,IN 46601.We can't wait to see you there! If you have questions about your registration,please contact Karen Avery,INAFSM Executive Director, at kavery(&inafsm.net or(317)829-3656. HOTEL ACCOMMODATIONS Click here to book your room online or for more details about the room block. https:Hinafsm.memberclicks.net/mc/quickForm/view/processCCTransaction.do 8/24/2017 • Indiana Association for Floodplain and Stormwater Management- Form Page 2 of 2 Hotel rooms must be booked by August 6 to receive block discount. Group Name: Indiana Association for Floodplain and Stormwater Management Group Code: IFS Block Opens: 05-SEP-2017 Block Closes: 08-SEP-2017 Hotel Name: DoubleTree by Hilton Hotel South Bend Hotel Address: 123 N.Dr.Martin Luther King Jr.Blvd South Bend,Indiana 46601 Phone Number: 574-234-2000 CONFERENCE FIELD TRIPS: We have planned several fun and educational field trips for both Wednesday and Friday.Space is limited so we are requiring a separate registration for those tours.Click here for details. IMPORTANT SPONSOR DEADLINE:If you are a sponsor your sponsorship includes logo recognition, be sure to send high resolution logo to Karen Avery at kavervCrDinafsm.net no later than August 1, 2017. Click here for specs for exhibitor advertisement placement Be sure to save your confirmation page and/or email as proof of your attendance,especially if you will be tracking continuing education credits or professional development hours. Disclaimer.-INAFSM cannot be held liable for saving registrant confirmations.Registrants are responsible for saving confirmation receipts as proof of their conference registration. REFUND POLICY: INAFSM must receive WRITTEN NOTICE of conference registration cancellation by August 9, 2017 to receive a refund minus a$25 processing fee.After August 9,2017 refunds will not be available and full payment must still be made to INAFSM for cancellations and registered no- shows. Indiana Association for Floodplain and Stormwater Management 101 West Ohio St.,Ste.1575 Indianapolis,IN 46204 317-829-3656 https:Hinafsm.memberclicks.net/mc/quickForm/view/processCCTransaction.do 8/24/2017