187340 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOC OF CITIES TOWNS CHECK AMOUNT: $95.00
CARMEL, INDIANA 46032 CONFERENCE REGISTRATION
200 S MERIDIAN ST, SUITE 340 CHECK NUMBER: 187340
INDIANAPOLIS IN 46225
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 95.00 CORDRAY— LEADERSHIP
oE.
2010 TACT LEADERSHIP CONFERENCE REGISTRATION FEES (Please Check All that Apply):
Sponsored by the City of Rising Sun
X93.00 IACT Member $0 Sponsor
July 21 -23 $120.00 IACT Member (Late afterJuly 14)
Grand Victoria Casino Resort $83.00 Spouse /Guest
$110.00 Spouse /Guest (Late afterJuly 14)
REGISTRATION FORM $90.00 Golf Total -Z
Full Name: Cw Preferred Name for Badge:
Municipality /CompanT: Ca-n1�j Title: C�
Spouse /Guest Name:
Address: Le. C IV L C �eA E Cin- /Town: CAr�,� State:--/ y Zip: (rte
Phone: (�1 c7�( Z Fax: E -mail:
PAYMENT INFORMATION Method of Payment (Circle On CI ck MasterCard Visa Discover
Check Number:
Card Number: Expiration Date: Three -digit Security Code:
Billing Address (if different from above):
Cite /Town: State: Zip:
Name of Cardholder: Authorized Signature:
IACT LEADERSHIP CONFERENCE GOLF OUTING 1.)
R The Golf Outing is Wednesday, July 21, at 10:00 a.m. 2.)
Please list your foursome (assignments not guaranteed). 3.)
If you do not have a foursome, TACT will pair you with a team. 4.)
2010 TACT LEADERSHIP CONFERENCE
Sponsored by the City of Rising Sun
July 21 -23
Grand Victoria Casino Resort
4
Registration Form
PRE REGISTRATION SPOUSE /GUEST REGISTRATION
The deadline for pre- registration is July 14. Registrations may be faxed or The spouse /guest registration fee is restricted to those who are not
mailed. Your registration is considered your commitment to attend. Unless municipal officials and who have no professional interest at the
attendees follow the cancellation policy, no -shows will be billed. conference. The fee includes admission to all conference sessions and
meals. The Golf Outing is not included.
REGISTRATION PROCEDURE CANCELLATION POLICY
How to register: Refunds will be made only if IACT is notified of cancellation in
TMail registration form to IACT, 200 South i\Ieridian Street, Suite 340, writing on or before July 19 by fax, mail or email to
Indianapolis, IN 46225 lheinzman @citiesandtowns.org.
Fax form to IACT at (317) 237 -6206
If paying with a check, please make payable to Indiana Association of DIRECTIONS
Cities and Towns, Attn: Leadership Conference and include the name Directions to the IACT Leadership Conference are available on the
of the attendee on the check. Grand Victoria website at ,«v v.grandvictoria.com and the
IACT website at v. cities and towns. or�
HOTEL RESERVATIONS
IACT has blocked rooms at the Grand Victoria Casino Resort for $79 per DISABILITIES AND SPECIAL NEEDS
night (plus tax). Please contact the hotel directly to make your reservation at IACT will make all programs accessible to you. If you require
1- 800 -472 -6311 and request the special "IACT" rate. A limited number of special arrangements, or a special diet, please notify IACT
rooms are available, and your reservation must be made by July 13 to on your registration form. We may not be able to accommodate
receive the special TACT rate. Only registered participants may occupy a room such requests on the day of the program.
within the room block. TACT is not responsible for hotel reservations or
cancellations. LATE FEE
The pre- registration deadline is July 14. Any registration received
GOLF OUTING after July 14 will be treated as an on -site registration with an
This year's golf outing is scheduled for Wednesday, July 21, beginning additional charge of e25.
at 10:00 a.m. Grand Victoria features a Tim Liddy designed 18 -hole
Scottish -style links course. Please complete the golf portion of the MORE INFORMATION
registration form to participate. Please contact Lindsay Heinzman at (317) 237 -6200 x233 or
lheinzman @citiesandtowns.org.
O»er
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
_z 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
1_ll� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
IN SUM OF
r�, y S01
jkd 1 S I U L(b S-
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund