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Home My WebLink About186955 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