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181378 01/13/2010
7:5 CITY OF CARMEL, INDIANA VENDOR: 354956 Page 1 of 1 ONE CIVIC SQUARE S H R M CARMEL, INDIANA 46032 P o BOX 794e2 CHECK AMOUNT: $1,125.00 -,14, BALTIMORE BALTIMORE MD 21279 -0492 CHECK NUMBER: 181378 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4343002 1,125.00 EXTERNAL TRAINING TRA i r.'' Mail form to: Fax form to: SHRM (703) 535 -6491 r r P.O. Box 79482 Please allow 5-7 business days for processing. I Baltimore, MD 21279 -0492 E �SJJ E I USA For quicker processing, register online at Please allow 4 -6 weer for payment. www. sl1rm.org/conferences /annual. 62nd Annual Conference 8, Exposition ADDIUONAL CONFERENCE ACTrvmES 1 p Join Now! $145 with additional conference activities 5. June 27 -30, 2010 I San Diego, Calif. Super Sunday Sessions Session 9 _qQ (code is required; no fee) NO TELEPHONE REGISTRATIONS WILL BE ACCEPTED. Print clearly. Use one form for each registrant. Preconferenc a Workshops Session 1 (code is required) SHRM MEMBER NUMBER: 0/ a 5 7 3 2 g 1 1 Workshop 0 2 Workshops CO y u s ay n E (Includes twapart Name J workshops) LAST FIRST M.I n Member Reg tee $325 Reg Fee +$505 Name for Badge S11 0.0y Nonmember Reg Fee 5570 Reg Fee 5795 Job Title &Ip /oyo. a Sena f 7 5 4djii p /S�/ c-L7 r SHRM Seminar Series' Member $1,895 Nonmember $2,140 Business /Company _n or (7arni 2-/ j 0 HR Generalist 0 Strategic HR: Delivering Business Results Street Address One, C/ Vic_ SQ Q../' e. Q ,I 0 HR Metrics: Driving HR Success Through AnalyI8s City 0 a..4.- m el State /Province //V ZIP /Postal Code '/(0032 0 Monoging Individual ond Organizational Change Understanding the Basic of Finance Country 7 7 �.7 u i C 7 cuslei) SHRM SHRM Essentials of Human Resource Management Is this your home or Vi business address? The address listed above will be encoded on your Member 51,695 Nonmember 51,940 expo card and is the address that your conference materials will be mailed to. SHRM Executive Education' Business Number (317 571- 5850 Business Fax (31 7) 571- e2 '/0 9 Member S2,595 Nonmember 52,840 0 Leadership Succession E -mail Address (Print dearly): SC O L1 re 12 ar 177e1. Q if) V i 0 Human Capitol Management An Emerging Decision Science f �i 0 Silo-Busting FULL CONFERENCE REGISTRATION PRICES 0 Sustaining a Competitive Advantage through a Culture of Excellence Until 1/16/10 4/17/10 After Member 51,995 Nonmember $2,240 1/15/10 4/ 16/ 10 5/28/10 5/28/10 SHRM Exposition Only: Included in full onedoy registrations, Member $1,125 $1,250 $1 ,360 $1,475 certficote programs, and guest program. $110 /day. 0 Sun, June 27 0 Mon, June 28 0 Tues, June 29 Join Now! $1,270 $1,395 $1,505 $1,620 First Lost Nonmember $1,370 $1,665 $1,775 $1,890 Guest Program: All guest registrants must be registered by a full conference attendee. Please indicate guest name below (required for bodge): REGISTER FOR THE ANNUAL 0 REGISTER FOR ADDMONAL CONFERENCE First Last CONFERENCE ONLY ACTNIEIES Number of Guests $295 .1 The registration fee includes general sessions and lunch- Please note that some conference activities require eons, admission to the SHRM Exposition, educational OR additional fees. Select your additional activities in Tuesday Night Show: One ticket is included in the Full confer concurrent sessions, one ticket to the Tuesday night the column on the right, calculate your full confer- ence registration fee. Additional tickers are $80. show, and online access to conference presentations. ence price and indicate the total in the space below. Total number of additional tickets x $80 Cancellation Policy: 8 cancellation must be in writing ond faxed ,y to 703) 535 -6491 or emoiled to shrm@shrm.org. Cancellations will —24 TOTAL DUE 6.©. CDC) TOTAL DUE he assessed o5250 administrative fee until December 31, 2009. fifty 1 percent (50 of the registration fee will be refunded for cancellations PAYMENT INFORMATION received from January 1 through May 28, 2010. Cancellations received often Moy 29, 2010, are nonrefundable. If a SHRM member I authorize SHRM to charge my: 0 AMEX 0 VISA 0 MasterCard transfers his or her registration to a nonmember, the nonmember must Card Exp. Date do one of two things: Pay the difference of the SHRM member and p• nonmember pike at the time of the transfer or become a SHRM member at the time of the transfer. Signature a ,g Please Take o Moment to complete the following. 74 71 'r tni No, I do not wont to receive additional SHRM Annual Conference NAME AS IT APPEARS ON CREDIT CARD BItL r related mailings from exhibitors end sponsors. Year Entered Profession: ,C'C1$ Cardholders Daytime Phone Number Compony Size: Haw many indtviduds are employed in your organiza- tion woddw? 0 1 -24 0 25-49 0 50-99 0 100 -249 0 250 -499 500 -99 O 1,000 -2,499 0 2,500 -4,999 0 Accounting use Only Pers. Chk. *SHRM Seminar Series and SHRM Executive Education 5,000 9,994 J 10,000- 24,999 0 25,000+ Date Chpt. Chk. 1 pricing includes full conference regishotton. Job Function: 0 Director 0 Manager drat Mny Order B Other .G!/ u .1. r Lev a,' (0 thk. 6 Source Code: P003673 VOUCHER NO. WARRANT NO. ALLOWED 20 SHRM PO Box X9482 IN SUM OF Baltimore, MD 21279 -0492 4x172.50 0tr ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT#ITITLE AMOUNT Board Members 1201 j 43- 430.02 I $17250.00 I hereby certify that the attached invoice(s), or (RC 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 Friday, January 08, 2010 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/08/10 SHRM 62nd Annual Confernece Registration $1,250.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and i have audited same in accordance wig IC 5- 11- 10 -1.6 ,20 Clerk- Treasurer