181945 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