HomeMy WebLinkAbout186955 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 360470 Page 1 of 1
ONE CIVIC SQUARE NATIONAL RECREATION PARK ASSOC
i CHECK AMOUNT: $550.00
CARMEL, INDIANA 46032 P o eox 7600
MERRIFEILD VA 22116 -7600 CHECK NUMBER: 186955
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 22594 550.00 ORGANIZATION MEMBER
National Recreation �'D apR 1
2010
E and Park Associat
.BY.
Mr. Mark Westermeier
Director Membership Inly ®ice
Carmel Clay Parks Recreation E xpiration Date' 6/30/2010
.1411 E 116th St
Carmel, IN 46032 -3455
Phone: (317) 573 -4017
Fax: (317) 571 -4136
Email: mwestermeier @carmelclayparks.com
Website:www.ci.carmel.in.us
Member ID 22594 Payment Upon Receipt
Number: Terms:
Q uantity Item Description Unit Price Extended Amount
1 Agency Package $550.00 $550.00
Total Billed Amount $550.00
Total Amount Paid $0.00
Balance $550.00
Annual Fund Donation
Please consider a tax deductible donation to the Annual Fund, The Fund provides additional dollars 0 $25
to improve upon NRPA's opportunities for members including certification, education programming, O $50
and technical assistance. O $100 0 Other:
Extended Total Amount Due
Please Return Form and Full Payment Fax: 703.858.0794
Mail: PO Box 7600
Merrifield, VA 221 -7
Credit Card: VISA MasterCard American Express Discover
Credit Card Number:
Expiration Date:
Name on Credit Card:
Signature:
Thank you for your continued support of NRPA!
National Recreation
and Park Association
To ensure the accuracy of our records, please update any necessary information and enclose your changes with payment,
or visit www.nrpa.org /membership to update your profile online.
NRPA membership brings with it the opportunity to affiliate yourself with NRPA's special interest groups. To learn more
about our Branch and Section Affiliates visit www.nrpa.org
Visit www.nrpa.org /membership to renew your membership online, or contact NRPA Membership Services at
800.626.NRPA (6772), 7 -1 -1 for hearing and speech impaired or membership @nrpa.org.
Professional (1) Primary Contact Member ID Number: 96345 UPDATE
Name: Mr. Mark Westermeier
Title: Director
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 1411 E 116th St
Address 2:
City, State Zip: Carmel, IN 46032 -3455
Phone: (317) 573 -4017
Fax: (317) 571 -4136
Email: mwestermeier @carmelclayparks.com
Primary Branch /Section: American Park and Recreation Society (APRS)
Secondary Branch /Section:
Subscriptions:
Professional (2) Member ID Number: 29605 UPDATE
Name: Mr. Michael W. Klitzing, CPRP
Title: Assistant Director
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 1411 E 116th St
Address 2:
City, State Zip: Carmel, IN 46032 -3455
Phone: (317) 573 -4018
Fax:
Email: mklitzing @carmelclayparks.com
Primary Branch /Section: American Park and Recreation Society (APRS)
Secondary Branch /Section:
Subscriptions:
Professional (3) Member ID Number: UPDATE
Name: rr+
�l(1S. Ott t1 1Ka.AI�1
Title: M NON Ox --nT DIVES IUN AN K-76
Company: 93 Work
C�y_P_A_tzk_ I ci- �nc J
C] Home Li3 Work
Address 1:
Address 2: ('RML tt`1t
City, State Zip:
Phone:
Fax: 3 I"7 5 7-3 52
=ma )cau r-o6 r Cctrme i clov oar
Primary Branch/Section: Cpm
Secondary Branch/Section:
Subscriptions:
Thank you for your continued support of NRPA!
National Recreation
r
and Park Association
Please provide your home address so we may stay in touch in the event that your elected or appointed civic
role should change during the year.
Citizen (S) Member ID Number: 130875 UPDATE
{'game: Mr. Douglas Callahan
Title: Clay Township Trustee
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 10701 N College Ave Ste B
Address 2:
City, State Zip: Indianapolis, IN 46280 -1098
Phone: (317) 846 -2775
Fax: (317) 846 -0744
Email:
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Citizen (2) Member ID Number: 101916 UPDATE
Name: Patricia Chester R�`C Ta,
Title: Par oard Member r
Company: Carm Clay Parks Recreation
Home Work
Address 1: 5041 Dee Ridge Ct o r7c
Address 2:
City, State Zip: Carmel, IN 4 33 -8919 m e j N c/ �d 3 3
Phone: (317)848 -2339
Fax:
Email: pchester @carmelcl parks.com
a� dl Cldrm GLNn_n__rk.S_
Primary Branch /Section: Citizen Branc CB)
Secondary BranchlSection:
Subscriptions:
Citizen (3) Member ID Number: 29588 UPDATE
Name: Ms. Sue Dillon
Title: Park Board Member A r
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 507 Cornwall Ct
Address 2:
City, State Zip: Carmel, IN 46032 -9481
Phone:
Fax:
Email: sdillon @carmelclayparks.com
Primary Branch/Section: Citizen Branch (CB)
Secondary Branch/Section:
Subscriptions:
Thank you for your continued support of NRPA!
�a
National recreation
and Park Association
Citizen (4) Member ID Number: 29583 UPDATE
Name: M Dan Dutcher S wGnl� r !'i-) k_ 1 n
Title: Par Board Secretary f�a�okrd m e�,� e-r
Company: Carm Clay Parks Recreation >r t n Ls
Home C3 Work
Address 1: 11583 Su n Place Dr E
Address 2:
City, State Zip: Carmel, IN 4 032 -8679 ,Gir mr 3 IN LI(cc)
Phone:
Fax:
Email: ddutcher @carmelcl parks.com i t y C1 1 n c im, P_
Primary Branch /Section: Citizen Branc (CB) �CX)_A
Secondary Branch/Section:
Subscriptions:
Citizen (5) Member ID Number: 75571 UPDATE
Name: Mr. Jim Engledow
Title: Park Board President r P r Ti��srirP�
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 13851 Riverwood Way
Address 2:
City, State Zip: Carmel, IN 46032 -9140
Phone: (317) 575 -1100
Fax: (317) 573 -7339
Email: jimengledow @engledow.com
Primary Branch/Section: Citizen Branch (CB)
Secondary Branch/Section:
Subscriptions:
Citizen (6) Member ID Number: 147269 UPDATE
Name: Ms. Tricia Hackett
Title: Park Board Member
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 12432 Glendurgan Dr
Address 2:
City, State Zip: Carmel, IN 46032 -8313
Phone:
Fax:
Email: thackett@carmelclayparks.com
Primary Branch/Section: Citizen Branch (CB)
Secondary Branch/Section:
Subscriptions:
Thank you for your continued support of NRPA!
National Recreation
sue:.
and Park Association
Citizen (7) Member ID Number: 101918 UPDATE
Name: Ms. Judith F. Hagan
Title: Park Board Treasurer
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 10946 Springmill Ln
Address 2:
City, State Zip: Carmel, IN 46032 -9565
Phone: (317) 848 -4752
Fax:
Email: rll72jf @sbcglobal.com
Primary BranchlSection: Citizen Branch (CB)
Secondary Branch/Section:
Subscriptions:
Citizen (8) Member ID Number: 144456 UPDATE
Name: Ms. Joan Ketterman
Title: Park Board Member
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 3413 Eden Hollow PI
Address 2:
City, State Zip: Carmel, IN 46033 -3034
Phone:
Fax:
Email: jketterman @carmelclayparks.com
Primary Branch/Section: Citizen Branch (CB)
Secondary Branch/Section:
Subscriptions:
Citizen (9) Member ID Number: 101917 UPDATE
Name: Mr. Joe Miller
Title: Park Board Vice President 04f—le— 'y M n 6 I e- o,
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 13607 Thistlewood Dr E
Address 2:
City, State Zip: Carmel, IN 46032 -5133
Phone:
Fax:
Email: jmiller @carmelclayparks.com
Primary Branch/Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Thank you for your continued support of NRPA!
moo„
National Recreation
and Park Assoc
Citizen (10) Member ID Number: 29590 UPDATE
Name: Mr. \dbse J r �r. v 1C I rs
Title: Parber ('c+rk Qaa.d ,'rk�,,
Company: Carks Recreation
Home
Address 1: 110
r
Address 2:
City, State Zip: Car2 -2626 Phone:
Fax: k 5 Email: 6-0 Primary BranchlSectionBranch B)
Secondary Branch/Section:
Subscriptions:
Thank you for your continued support of NRPA!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
360470 National Recreation Park Assoc. Terms
P.O. Box 7600
Merrifield, VA 22116 -7600
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
611110 22594 Annual membership 550.00
Total 550.00
1 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.
360470 National Recreation Park Assoc. Allowed 20
P.O. Box 7600
Merrifield, VA 22116 -7600
In Sum of
550.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 22594 4355300 550.00 1 hereby certify that the attached invoice(s), or
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.
17 -Jun 2010
ph�h"l
Signature
550.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund