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HomeMy WebLinkAbout185698 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: T362494 Page 1 of 1 ONE CIVIC SQUARE COURTYARD SPOKANE DOWNTOWN A TIyDEE HEC CARMEL, INDIANA 46032 CONVENTION CENTER K AMOUNT: $842.28 401 N RIVERPOINT BLVD CHECK NUMBER: 185698 SPOKANE WA 99202 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 842.28 TRAINING SEMINARS INVOICE Date: May 14, 2010 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Payment for lodging for John Elliott on July 11 17, 2010 in Spokane, WA Confirmation 983479434 Room Rate Tax Total $125.00 $15.38 $140.38 x 6 $842.28 TOTAL DUE: $842.28 Please make check payable to: Courtyard Spokane Downtown at the Convention Center 401 North Riverpoint Boulevard Spokane, WA 99202 E T t cs ��s��r Ot�l6��: �l��lc l�er �hbuill erg Registration Form Page 9 CONFERENCE ATTENDEE INFORMATION SPEAKER 11 YES L� 6 LAST NAME: 7 7 Fllisr NAME:._�� NICKNAME:._. -IAI INTERNATIONAL FAEMBER? YES ONO MEMBER O: a3 AGENCYfORGANIZATION: 6%c ADDRESS: �C j� C_ CtW A t 7 STATDPROVINCE: ZIPWAIL CODE ---COUNTRY: BUSINESS PHONE. ___�1....L_.. S CELL PHONE (AREA CODE)'_ //a cS' EMAIL CONFERENCE ATTENDANCE. INFORMATION PLEASE INDICATE IF YOU HAVE ANY SPECIAL NEEDS OR REQUESTS YES NO TO FULLY PARTICIPATE IN THE CONFERENCE: FIRST TIMEATTENDINGAN IAl CONFERENCE 1 PLAN TO ATTEND THE FRIDAY EVENING BANQUET ATTENTION CONFERENCE REGISTRANTS! Preregistration deadline is June 11, 201f1._ Registration forms must be postmarked by this date. The deadline is firm With no extensions. Forms received afte "x611 V10 will not be processed and will be return cd Cancellation PaiiC to the registrant. After 811111.0 orily.on -site registrations will be accepted y Cancellations recetved,priar to 6111110 will receive a full refund.less a $50 processing fee. There will be no refunds for cancellations after 6,11110. REGISTRATION FEES POSTMARKED BEFORE ON -SITE TOTAL :tune 11, 2010 0 1, NIEMBER IAI !NTERNA :f IONAL (5 DAYS) $295.00 ;345.00 y 2. NON.MEMBER.(5 DAYS) $395.00 $445.00 3. AAFS MEMBER, MEMBER 4: $295.00 $345.00 4. STUDENT $158,00x183.00 5 DAILY REGISTRATION (PER DAY) $3500 $100.00 5A. INDICATE DAYS MONDAY C TUESDAY WEDNESDAY O THURSDAY C.7 FRIDAY DAILY REGISTRATION WILL RECEIVE ONLY THE NON FEE EDUCATIONAL SESSIONS FOR THAT DAY NOT TO INCLUDE SOCIAL EVENTS. WORKSHOPS ARE ADDITIONAL FOR THAT DAY.. K r.. w N 3 PLEASE CONTINUE ON NEXT PAGE 108 z 7's av ..F�, 1. a 13 w. N @il"' m 4.s"<e �p81C�14. ➢t �7�HC d llV i.9T YMB3IIAwP .l Registration Farm Page 2 PRINT NAME HERE WORKSHOP INFORMATION 11 W01 $30 V4i6 $60 [1 W3 i S6D -W46 $40 W61 $30 U W76 $40 W91 $40 3 W106 $30 W121 $30 El W02 $40 I0 W.17 $60 C W32 $70 W47 $60 W62 $30 W77 $30 11 W92 $40 P� W107 $30 u W122 $30 11W03 $30 I_J W18 $60 W33 $70 W48 10 W63 $30 W76 $30 W93 $40 W108 $30 11 W123 $30 U W04 $40 W19 $40 _1 W34 $40 W49 $70 W64 $30 W79 $30 W94 $40 C] W 10 9 $30 Li VV 124 $30 W05 $40 W20 $40 rJ W35 $50 W50 $60 i 7 W65 $60 O W80 530 W95 $40 W110 $30 17 W125 $30 W06 $40 E! V121 $30 L7 W36 $60 E W51 $50 W66 $40 FJ W81 $30 $40 0 W11^ a$50 W126 $30 W07 $40 W22' S60 f-1 W37 S30 LJ W52 $60 Cl VV67 $60 0 W82 $30 14197 $40 D W112 $50 D W127 $30 0008 $60 0 W23 $60 W36 $30 <W53 $50 E) W68 V' W68 $25 El W83 $20 V98 $40 C1 El VV113 $50 W128 $36 0 VV09 S80 iD W24 $30 13 W39 $30 0 W54 $40 C W69 $40 W84 $30 11 W99 $60 L] 4y114 $50 ❑W129 $30 0 W16 $80 VV25 $30 0,W40 $70 W55 $40 1] W70 $50 IJ W85 $40 W100 $60 (1 W115 S50 W130 $9{l !7 W11 $75 W26 .$30 CTW41 $66 f�LW56 $30 C W71 $50 W86 $40 W101 $30 0 W116 $50 Ci W131 $40 W12 $75 W27 $40 W42 $60 [J VV57 $30 W72 $50 W87 $50 C W102 $40 IJ W117 $60 El VV132 $40 [J W13 $75 W28 $40 7 W43 $50 W58 $30 0 4V73 $30 1 W88 $50 W103 S30 ID W118 $60 L i W113 $80 W14 $60 W29 $60 VV44 $50 W59 $40 W74 $30 13 W89 $50 W104 $30 E W119 $60 W1014 $80 W15 $60 1_ W30 $60 W45 $46 w60 $40 W75 $40 13'690 $50 F. -1W105 $30 W120 $30 WORKSHOP CHANGES WILL NOT BE ACCEPTED AFTER 6 :00 PM MONDAY, July 12, 2010. CANCELLATIONS OF WORKSHOPS AFTER 6:00 PM MONDAY, July 12, 2010 WILL NOT RECEIVE REFUND OR CREDIT.. HOWEVER, WORKSHOPS MAY BE ADDED AFTER THIS DATE. r TTAt SCT1C1Iat e 1 PAYMENT INFORMATION TOTAL AMOUNT DUE IN USD: L3 CHARGE TO MY (CHECK ONE): VISA EI MASTEROARD ©AMERICAN EXPRESS NOVUSIDISCOVER CREDIT CARD NUMBER: EXPIRATION DATE: SIGNATURE OF CARDHOLDER: NAME AS IT APPEARS ON CARD: _,.Zip Code: CHECK ENCLOSED. PAYABLE TO THE IAI CONFERENCE. PAYMENTMIUST BE POSTMARKED PRIOR TO DEADLINES TO RECFIVE DISCOUNTED RArES- a T�TAt ALL S T fflPdS t v STUDENT REGISTRATION IAI FEDERAL IQ 141431679 To qualify as a Student Registrant, individuals must be a full -time student, Payment must accompany registration in the form of a check or charge. not.gainfully employed by a late enforce rent agency, and provide a fetter of authorization from the dean or their professor on school letterhead. A Student Registrant receives all benefits of the Full Registration with the THIS FORM MAY BE DUPLICATED. exception of the Friday -night banquet. 'rickets may be purchased separafely PLEASE SUBMIT ONE FORM FOR EACH REGISTRANT. for the banquet. YOU MAY REGISTER BY: MAIL: FAX: 3 ONLINE REGISTRATION: W CONFERENCE M 1 212 5 -4Q04 Credit Card Only RO. Box 1.7476 n y www.thelAl.org North Little Rock, AR 72117 or 109 A T RasitxC�its�e ibi�cCF ere °trat this Registration Form (This farm may he duplicated if needed) NAME OF CONFERENCE REGISTRANT WITH WHOM YOU ARE ATTENDING: SOCIAL ATTENDEE INFORMATION 1. LAST NAME: FIRST NAME:._.._ AGE (IF CHILD)-- NAME TO APPEAR ON BADGE:. DAYTIME PHONE 2. LAST NAME: FIRST NAME: —AGE (IF CHILD) NAME TO APPEAR ON BADGE: DAYTIME PHONE 4 ATTENDING WILLATTENDTHE.FRIOAYBANQUET Social Registration REGISTRATION FEES includes: Sunday President's Reception, June 111, 2010 BEFORE ON -SITE TOTAL Monday Breakfast and Opening una 1, Ceremony, Tuesday Exhibit Function, SPOUSE/NILDIGUEST OF JAI MEMBER X1.70.00 $195.00 Wednesday nighi Social and Friday night installation Banquet. SPOUSEICHILDIGUEST OF NON- MEhIBER $220.00 $245.00 SIPPING SPOKANE TOUR -TUE, 7113110 9 $40/each CULTIIREAND THE CROONER TOUR THU; 7115110 $301each TtTAL£CTIQ 3 w, PAYMENT INFORMA TOTAL AMOUNT DUE IN USD: _L CHARGE TO MY (CHECK ONE): D VISA L IMASTFRCARD AMERICAN EXPRESS R_ NOVUSiDI5COVER CREDIT CARD NUMBER: ------.--EXPIRATION DATE: SIGNATURE OF CARDHOt.DFk NAME AS IT APPEARS ON CARD:----- p Zi Code: D CHECK ENCLOSEO.PAYAHLE TO THE IAI CONFERENCE. PAYMENT MUST BE POSTMARKED PRIOR TO DEADLINES TO RECEIVE DISCOUNTED RATES. TOTALSOClALA1TEfd£1EE TEGlaT ATiQNAM011NTDUE YOU MAY REGISTER BY FAIL: IAI CONFERENCE P.O. Box 17470 North Little:Rock, AR 72117 or FAX: 1- 212 -500 -0004 ONLINE REGISTRATION: Credit Card Only www.thelAl.org 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 Courtyard Spokane Downtown at the Purchase Order No. Convention Center 401 N. Riverpint Boulevard Terms Spokane, WA 99202 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/14/10 a ent for lodging for John Elliott while attending 842.28 IAI Conference on July 11 17 2010 in Spokane, WA Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 C ourtyard Spokane Downtown at the IN SUM OF Convention Center 401 N. Riverpoint Boulevard S pokane, WA 99202 842.28 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 210 570 842.28 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 May 17 20 10 ignature Assistant Chief of Poli Cost distribution ledger classification if Title claim paid motor vehicle highway fund