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316637 09/29/17
(9) CITY OF CARMEL, INDIANA VENDOR: 180865 ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $*******982.69CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 316637 CARMEL IN 46032 CHECK DATE: 09/29/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4343002 09.22.17 982.69 EXTERNAL TRAINING TRA 0 0 o ca $ « \ § § § k / 2 / f ? A >/ # ? r m / q 2 2 \ m # 0 2 $ ) / k / q$ 00 O m N E ® 0 / m 7 k q m E § dcn 2 o c O \ k \ CL \ d ] o# # Cl) CL T). z CD $K z z O C § § & % a - z > % 0 g , Z G p k $ i g 2L / \ m = m , 0 ? n -n o :3 § A E , f J - E f 2 [ 0) ( 9 $ ƒ +» § 7 k D -ƒ CD § K a a n , , @ / C \ 0) ca / k C \ / 0) ;; - C? E 7 k § 3 \ / � - f of ƒ K I K) m o Z - E � § 2 0. CL7w m - k § k \ D U) �® 0 \ 0 7 § k _ / \ A \ E ƒ� co § m ƒ C \ :3 � -4 % Z > C � m 2 q ( CD %k / } g a< R 7 7° # } > }ƒ �§ ( \ §R / ) o CD > aE 3 ƒ § / ? / � / f m / \§ \ j E / c . / 7 §� * z E q $ \ CDC J FD CO o § CD ± cr m m \ } n - o . 2 « E # / a PL j § CD CL z g P 0) \ § § \ $ \ a CD c 7 { � \ ooc ® x o m m m K 0E0 n � / / f D E « �M r- 2 9� U) X 0 mqo c i 2 2 ' 2 2 m c b m M �. z 4 ® cn \ r % a m CD 40 ƒ 3 cr 2 / 0 % 7 ] 40 0 I k .167 ¥ § to t w / ic CD Q 2 7 f 0 -4qq � � / § m \ / $ / ¢ CL CD 0 r 2 oo e ƒ 4 6 6 (no- ƒ ] 2 § 2 2 @ ■ E § / 7 < 7 7 Q \ / k m CD 2 m a % % E / E 2 2 m �. J 0 k k / § k / m m O CL @9 I m — o :30) o ƒ k 2 U CD < J @ m C? @ E :3 w x k / z CD \ CD -1 C cn k o 22C ( x CD= w w k 2 EEE E � / Eo 0 (Dm 2 " v « 40 ® © o k k T L(01 �w� ww.. .. ... 4040 & o E 2 cPPQQPPPPPPPoop000 40 CD, b o o b b o 0 0 0 0 0 0 o b o b b b # 000000000000000000t00 51 Walnut Street •Lawrenceburg,IN 47025 Phone(812)539-8888 • Fax(812)XXX-XXXX DOUBLETREE For reservations across the nation Name&Address BY MILTON- www.doubletree.com or 1-800-222-TREE LAWRENCEBURG LAMB,BARBARA Room 520/NKRQV Arrival Date 9/20/2017 12:57:00 PM 943 BIRNAM WOODS TL Departure Date 9/22/2017 1:04:00 PM INDIANAPOLIS IN 46280 Adult/Child 1/0 UNITED STATES OF AMERICA Room Rate 159.00 Rate Plan: LV4 HH# AL: Car: Confirmation Number:97255038 9/22/2017 Iffil to n DATE REFERENCE DESCRIPTION AMOUNT WALDORF 9/22/2017 301230 GUEST ROOM SINGLE[XFR FR GRP MASTER $114.00 TORIA In Munici RCPT A-9/21/2017] 9/22/2017 301230 LODGING TAX [XFR FR GRP MASTER Accelerate In $5.70 C O N RA D Munici RCPT A-9/21/2017] 9/22/2017 301243 DS*5188 ($119.70) 9/22/2017 301296 GUEST ROOM SINGLE[XFR FR RM LAMB BARBARA $114.00 canorA/ RCPT A-9/20/2017] 11 0 9/22/2017 301296 LODGING TAX [XFR FR RM LAMB BARBARA 524 $5.70 9/20/2017] Hilton 9/22/2017 301301 DS*5188 ($119.70) »o.„.R.�•n **BALANCE** $0.00 CI;RK) DllnLE REE TAPESTRY COLLECTION EMBASSY SUITES Hilton Garden [nn• ACCOUNT NO. DATE OF CHARGE FOLIO N0ICHECK NO. 107976 A CARD MEMBER NAME AUTHORIZATION INITIAL HOMEWOOD ESTABLISHMENT NO.&LOCATION ESTAHLISHMENTAGREES TOTRANSMDTOCARD HOWERFOR PAYMENT PURCHASES&SERVICES SUITE$ TAXES HOME© TIPS&MISC. (JB Hilton Grand Vacations CARD MEMBER'S SIGNATURE X TOTAL AMOUNT -119,70 - MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Hilton HONORS Discover Card: Statements Page 1 of 1 DISCOVER GARY/MR LAMB,BARBARA A LAMB Acct.Ending 5188 943 BIRNAM WOODS TRL,INDIANAPOLIS,IN,46280-1798 (317)846-8501 Transaction Details Trans.Date Description Amount Category 09/22/17 DOUBLE TREE BY HILTON LAWRENCEBURG $119.70 Travel/ IN<BR/>02293R Entertainment DOUBLETREE BY HILTON 51 \\AIA 1,1 S1. IN47025 (812)539-8207 Post Date lriday. Scptcmbcr 22.2017 Transaction Date Irida\.Scptcmho 22.2017 Merchant Category 1)(A 11H.1R11INNS Purchase Method \1AN1 :11_I.Y KLY[J) Facility Phone Number 8125 308207 No Show Indicator Arrival Date 09 20 2017 Departure Date 00'22 2017 Folio Number 11 145 02014 Discover Bank,Member FDIC. https://card.discover.com/cardmembersvc s/statements/app/transaction?statementDate=&tra... 9/26/2017 Discover Card: Statements Page 1 of 1 DISCOVER GARY/MR LAMB,BARBARA A LAMB Acct.Ending 5188 943 BIRNAM WOODS TRL,INDIANAPOLIS,IN,46280-1798 (317)846-8501 Transaction Details Trans.Date Description Amount Category 09/22/17 DOUBLE TREE BY HILTON LAWRENCEBURG $119.70 Travel/ IN<BR/>02053R Entertainment DOUBLETREE BY HILTON 51 \\.AI,AI'] S1. IN-47025 (812)539-8207 Post Date I i i(ia%_Scl)(endwi-22. 2017 Transaction Date Iii ida\_Se)tcmher 22. 2017 Merchant Category I)O( B11 I RLI: INNS Purchase Method ( ,ARI)S\\II'I:U Buyer Name 13 \IM,\Rr\ :A I_;ANlk Card Used Facility Phone Number 8 125,92207 No Show Indicator Arrival Date 09%20 2017 Departure Date 0922 2017 Folio Number I I I 02014 Discover Bank,Member FDIC. https://card.discover.com/cardmembersvcs/statements/app/transaction?statementDate=&tra..: 9/26/2017 Discover Card: Statements Page 1 of 1 D'J�rVER' GARY/MR LAMB,BARBARA A LAMB Acct.Ending 5188 943 BIRNAM WOODS TRL,INDIANAPOLIS,IN,46280-1798 (317)846-8501 Transaction Details Trans.Date Description Amount Category 09/22/17 DOUBLE TREE BY HILTON LAWRENCEBURG $239.40 Travel/ IN<BR/>02278R Entertainment DOUBLETREE BY HILTON 51 ,11 Nt'I S1. IN A7025 (812)539-8207 Post Date I 1 i�1a�.Sc{)tcmhcr 22 2017 Transaction Date 1 ri(iay. Sclitemhu 22 2017 Merchant Category 001'M LI RH: INK'S Purchase Method Facility Phone Number 8125 3982117 No Show Indicator Arrival Date 119''u 2 t 117 Departure Date 09,-"- 2) Folio Number 11 14S4 ©2014 Discover Bank,Member FDIC. https:Hcard.discover.com/cardmembersvcs/statements/app/transaction?statementDate=&tra... 9/26/2017 49 51 Walnut Street •Lawrenceburg,IN 47025 Phone(812)539-8888 • Fax(812)XXX-XXXX DOUBLETREE For reservations across the nation Name&Address BY HILTON- www.doubletree.com or 1-800-222-TREE LAWRENCEBURG GRoom 524/NKROV Guest Refunds Arrival Date 9/20/2017 12:57:00 PM 943 BIRNAM WOODS TL Departure Date 9/22/2017 1:05:00 PM INDIANAPOLIS IN 46280 Adult/Child 2/0 UNITED STATES OF AMERICA Room Rate 159.00 Rate Plan: LV4 HH# AL: Car: Confirmation Number:95944350 LAMB,BARBARA • 9/22/2017 H 1 lto n DATE REFERENCE DESCRIPTION AMOUNT VA 9/22/2017 301205 GUEST ROOM MULTI[XFR FR GRP MASTER $114.00 �AALDORF ASTORIA' Munici RCPT A-9/20/20171 9/22/2017 301205 LODGING TAX [XFR FR GRP MASTER Accelerate In $5.70 C O N R A D Munici RCPT A-9/20/2017] �««•• �_ 9/22/2017 301231 GUEST ROOM MULTI[XFR FR GRP MASTER $114.00 Munici RCPT A-9/21/2017] Ca,!:�' 9/22/2017 301231 LODGING TAX [XFR FR GRP MASTER Accelerate In $5.70 Munici RCPT A-9/21/2017] �j 9/22/2017 301303 DS*5188 ($239.40) Hilton **BALANCE** $0.00 I—E,,..E,o.n CURK) DOnlLEI EE TAPESTRY COLLECTION EMBASSY SMITES Hilton Garden Inrr ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO. 107977 A CARD MEMBER NAME AUTHORIZATION INITIAL HOMEVJOOD ESTABLISHMENT NO.&LOCATION FSTAHUSHMENTAOREESTOTRANSMITTOCARD HOLDER FOR PAYMENT PURCHASES&SERVICES ,o SUITES I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND e." �" AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT TAXES HOME© THE INDICATED PERSON,COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULL AMOUNT OF THESE CHARGES. TIPS&MISC. Hilton Grand Vacations CARD MEMBER'S SIGNATURE X TOTAL AMOUNT -239.40 MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Hilton HONORS Discover Card: Statements Page 1 of 1 �ISCVER GARY/MR LAMB,BARBARA A LAMB Acct.Ending 5188 943 BIRNAM WOODS TRL,INDIANAPOLIS,IN,46280-1798 (317)846-8501 Transaction Details Trans.Date Description Amount Category 09/22/17 DOUBLE TREE BY HILTON LAWRENCEBURG $239.40 Travel/ IN<BR/>02055R Entertainment DOUBLETREE BY HILTON 51 \V'AV.NI=I SI. IN 47025 (812)539-8207 Post Date I richi%_Scj)tcmhcr 22. 2017 Transaction Date I )i(Im. Schtrmhei 22.2017 Merchant Category 1)O( MT I M I: INNS Purchase Method ( ARD S\\1111 1) Buyer Name B,\RI1.ARA .A I-AN111 Card Used Facility Phone Number 812 398207 No Show Indicator Arrival Date 09 20-201 7 Departure Date 09'22 2017 Folio Number 1 1 13 3-I ©2014 Discover Bank,Member FDIC. https:Hcard.discover.com/cardmembersvcs/statements/app/transaction?statementDate=&tra... 9/26/2017 49 51 Walnut Street •Lawrenceburg,IN 47025 Phone(812)539-8888 • Fax(812)XXX-XXXX DOUBLETREE For reservations across the nation Name&Address BY HILTON- www.doubletree.com or 1-800-222-TREE LAWRENCEBURG LAMB, BARBARA Room 628/NQRQV Arrival Date 9/20/2017 12:57:00 PM 943 BIRNAM WOODS TL Departure Date 9/22/2017 11:10:00 AM INDIANAPOLIS IN 46280 Adult/Child 2/0 UNITED STATES OF AMERICA Room Rate 159.00 Rate Plan: LV4 HH# AL: Car: Confirmation Number:95418718 9/22/2017 Hilton DATE REFERENCE DESCRIPTION AMOUNT WALDORF 9/22/2017 301297 GUEST ROOM MULTI[XFR FR RM LAMB BARBARA $114.00 ASTORIA' -9/21/2017] 9/22/2017 301297 LODGING TAX [XFR FR RM LAMB BARBARA 524 $5.70 CON RAD 9/21/2017] •°' °° ' 9/22/2017 301298 GUEST ROOM MULTI[XFR FR RM LAMB BARBARA $114.00 -9/20/2017] I COR9PWO 9/22/2017 301298 LODGING TAX [XFR FR RM LAMB BARBARA 524 $5.70 9/20/20171 CH 9/22/2017 301299 DS*5188 ($239.40) Hilton **BALANCE** $0.00 —1.1..SO.TS CURIO DOUBLETREE TAPESTRY COLLECTION EMBASSY SUITES Heston Garden Inrr ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO. 107975 A CARD MEMBER NAME AUTHORIZATION INITIAL HOMEWEWQOD ESTABLISHMENT NO.&LOCATION ESTABLISHMENT AGREES TO TRANSMIT TO CARD ROMER FOR PAYMENT PURCHASES&SERVICES SUITES TAXES HOME© TIPS&MISC. Hilton Grand Vacations CARD MEMBER'S SIGNATURE X TOTAL AMOUNT 239.40 --F- MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Hilton HONORS E ) -0 - 2 E § § 7 2 & Q \ 0 o � m s « { � m ! ƒf q ! i § ;u/ ( > \ Z ; 2 i - � o , 3 CD Ig E § � \ CD CD CL }\ \ [� o _ > ƒ - § \ e). CL (D E a ) 7 [ ) $ m ti ƒ f I § e , 0CD [ 3 Q a. / \ ! M Q m m \ k 7 0 co / Ik 11k � ) I £ m / } § > k § 0 ! CD E i § J § f \ m / ] w q » Q . Q / q { CD � CL 2 f § \ � \ � 7 k§ ( \ m� §[ R k -q) ( �n Q� o � .� � 2 TWO EASY WAYS TO REGISTER! CONFERENCE REGISTRATION By mail: IMPACT 125 W.Market St.Suite 100 Indianapolis,IN 46204 By fax: (317)237-6206 HOTEL RESERVATIONS DoubleTree by Hikon Lawrenceburg,Indiana 51 Walnut Street Lawrenceburg,IN 47025 Hotel Rate:$114 Aim Room Block Book by phone:(8 12)539-8888 Deadline for hotel registration is: September 6,2017 Deadline for conference registration is:September 13,2017 2017 IMPACT ANNUAL CONFERENCE REGISTRATION FORM Your Information Method of Payment Name :BAA%k RN �-K m'� (Circle One) Check MasterCard Visa Discover American Express City/Company L (T� C;Wm t_-L Check Number Title •iZ-CTZ C, +VM,A-fJ 0'S C:_:'S Card Number Address 1 C I ► 1 C S cl "V�'2 L Expiration Date City/TownR L'L Verification code State �j�; Name of Cardholder Zip 4 L U Authorized Signature Phone 3 I,7 57i X 7 f Billing Address(If different from above) Email wWhecarrnei . 1'1• c'C✓ City Email Ashley Spurgeon at aspurgeon*aimindiana.org with dietary or allergy concerns. State 11 11 zip PARegistration Fee for 2017 IMPACT Annual Conference `M$200-Full 2017 IMPACT Annual Conference(IMPACT Member) CI$250-Full 2017 IMPACT Annual Conference(Non-IMPACT Member) O$150-One Day Rate(Designate a Day:Sep.20,21,or M. 17 ❑I would be interested in attending an after-hours event on Sep.20 at no extra fee.