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Home My WebLink About181945 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352482 Page 1 of 1 ONE CIVIC SQUARE 200 S MERIDIAN ST SUITE 340 CHECK AMOUNT: $90.00 a CARMEL, INDIANA 46032 INDIANAPOLIS IN 46225 CHECK NUMBER: 181945 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4355300 90.00 ORGANIZATION MEMBER IMPACT Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (IACT) to provide a network for municipal human resource professionals. All appointed and elected municipal officials who deal with personnel policies, records, compensation, administration and benefits programs will benefit from membership in IMPACT. 2010 IMPACT Annual Membership Dues Invoice $50.00 Primary Member (first person from a municipality) 0 CI $20.00 Secondary Member (each additional person from municipalit FEB o 1 2010 $100.00 Associate Membership TOTAL 5 d By Please provide the following information. Name: `-e 4R8 L,qm 6 Title: /4 i /3 C70 Municipalit a I- O l c,q �5 in L:. L Address: e( V f SC? u A,PL Cizi/?n) E L /A/ LI& 032 Phone No.: 3/ 7- 57/ Fax No.: .3/7— 57/- c2 qO J E -mail Address: /o/cm b e C -rm i n Q v Make checks payable to: Indiana Association of Cities and Towns Mail completed form with payment to: IMPACT, 200 S. Meridian St., Suite 340, Indianapolis, IN 46225 I understand that as a member of IMPACT, I agree to: (1) maintain the confidentiality of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege, gain or personal benefit; (4) contribute relevant materials to the personnel information resource library; and (5) actively participate in training sessions and group meetings. Signature Date /c b IMPACT Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (IACT) to provide a network for municipal human resource professionals. All appointed and elected municipal officials who deal with personnel policies, records, compensation, administration and benefits programs will benefit from membership in IMPACT. 2010 IMPACT Annual Membership Dues Invoice ❑i/ $50.00 Primary Member (first person from a municipality) lJ $20.00 Secondary Member (each additional person from municipality) $100.00 Associate Membership TOTAL$ `Q Please provide the following information. Name: $u1 e 6 1 1 Title: i /e4 5 4di',sI-raJ- Municipality: d7 1/ 0 I a.../`" In e- Address: C U /G ea./'P C' m-a fit/ 4 Phone N. .,3/ 7-61/-024,6 5 Fax No.: 3/7 5 °2 9 E -mail Address: sCOV 0 Ca.rnm el. (1) jO v Make checks payable to: Indiana Association of Cities and Towns Mail completed form with payment to: IMPACT, 200 S. Meridian St., Suite 340, Indianapolis, IN 46225 I understand that as a member of IMPACT, I agree to: (1) maintain the confidentiality of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege, gain or personal benefit; (4) contribute relevant materials to the personnel information resource library; and (5) actively participate in training sessions and group meetings. Signature Date //025/0 IMPACT Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (IACT) to provide a network for municipal human resource professionals. All appointed and elected municipal officials who deal with personnel policies, records, compensation, administration and benefits programs will benefit from membership in IMPACT. 2010 IMPACT Annual Membership Dues Invoice $50.00- Primary Member (first person from a municipality) 0$20.00 Secondary Member (each additional person from municipality) $100.00 Associate Membership TOTAL 00 Please provide the following information. Name:--\c;, C. b��N Title: .Dg'ice- 1 NUn.� �S Municipality: CA( Address: C',v Ti Phone No.: 3 5 7 1 Z Fax No.: -.1"? 571 Z��t E -mail Addressdrs rellor'Nq Cc,V' Make checks payable to: Indiana Association of Cities and Towns Mail completed form with payment to: IMPACT, 200 S. Meridian St., Suite 340, Indianapolis, IN 46225 I understand that as a member of IMPACT, I agree to: (l) maintain the confidentiality of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege, gain or personal bene contribute relevant materials to the personnel information resou ce librar;-.nd ively participate in training sessions and group meetings. 1,, Si Date a nature s o Signature 1 4 J VOUCHER NO: WARRANT NO. ALLOWED 20 Indiana Association of Cities and Towns IMPACT IN SUM OF 200 S. Meridian St., Suite 340 Indianapolis, IN 46225 $90.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# /Dept INVOICE NO ACCT #!TITLE AMOUNT Board Members 1201 43- 553.00 I $20.00 I hereby certify that the attached invoice(s), or 1201 43- 553.00 $20.00 bill(s) is (are) true and correct and that the 1201 I 43-553.00 $50.00 materials or services itemized thereon for which charge is made were ordered and received except Thursday, January 28, 2010 4(>—ie,-. 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)) 01/28/10 IMPACT Dues for Jim $20.00 01/28/10 IMPACT Dues for Sue $20.00 01/28/10 I I IMPACT Dues for Barb I $50.00 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 Clerk- Treasurer