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HomeMy WebLinkAbout193449 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 358758 Page 1 of 1 ONE CIVIC SQUARE INDIANA GREEN EXPO CHECK AMOUNT: $350.00 CARMEL, INDIANA 46032 Po sox 2285 V oN WEST LAFAYETTE IN 47996 -2285 CHECK NUMBER: 193449 CHECK DATE: 1/5/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 R4357004 27360 350.00 REGISTRATIONS PRE REGISTRATION DEADLINE: DECEMBER 31,2010 Attendee Registration MUST BE POSTMARKED BYTHIs DATE TO RECEIVE REDUCED RATES REGISTRATION AFTER DEADLINE WILL BE AT A HIGHER RATE AVAILABLE ONLINE Please complete the items below by typing or printing neatly. Company: LAPS 1^n�-L T E 1 Complete and return to: t Indiana Green Expo Address ")L40 A 1 t J PD Box 2285 City State 1' !j Zip Code `f 14✓'est Lafayette, IN 47996 -2285 z 7 l Or fax to (765)496 -6335 Phone _S 1 7 7.3 3 Fax 3 I J 7 c 1 Questions call 765 494 8039 Membership (check all that apply): INLA MRTF None If for any reason you are unable to attend, all registion fees are to be considered a donation to the Indiana Green Expo, a not for -profit organization. Attendee Name Full Registration 1 -Day Registration Trade Show Only Please print first and last names. Both days of education plus show One -day Educ. Show. Mark day. Both days of Show only Total List attendee email address below. Member Nonmember (at tach copies if more than 6 registrants) Member Nonmember $80 $110 Member Nonmember 1. 1 .P_�/_5 _�>1 _�_&4 ❑Tues. ❑Tues. $95 $125 $5 $10 Email: t t. Wed. Wed. 2. 4�,gy�7p J ❑Tues. ❑Tues. Email: l r j $95 $125 ID Wed. El Wed. $5 $10 s12lnDtav n3 2 c c Ctttwu2`. �h 3. .J`ji 1. LA {J: ❑Tues. ❑Tues. i $40 $125 $5 $10 EmaiI:, ire h c� e_� �'LU� cc.tp rrv2 r r, Wed. Wed. c �v 4 C_oye7 E ylL� ft>Ajo►it}����]� ❑Tues. ❑Tues. tt7 $40 $125 $5 $1011 Email Gn.c�rto lr,.S?,� Q� Ca;­A•ih ja✓ El Wed, ❑Wed. {{�J ❑Tues. ❑Tues. $40 $125 $5 $10 q0 Email: rb.R 1 2 ��rw..'�- (tom- Wed. Wed. 6 �1�11_L_it�i�t�u�� ❑Tues. ❑Tues. f rC $40 $125 $5 $10 Email: nw 7�t�i,m5ct. Cs c r. o >t s \r Wed. Wed. I Additional Costs: Attendee from Member Nonmember Total (per person) (per person) above Workshop A: Basic Turf Agronomics (Monday, am) $60 $90 Workshop B: Achieving Green with Today's Irrigation (Monday, am) $60 $90 Workshop C: Identification and Control of Turf Diseases (Monday, pm) $60 $90 Workshop D: Reel Maintenance (Monday, pm) $60 $90 Workshop E: CLT Review Written Exam (Monday) $60 590 Workshop F: IAH Review Written Exam (Monday) $60 $90 MRTF Reception (Tuesday, 6 pm) $15 per person E i INL A Reception (Tuesday, 5:30 pm) FREE ASLA Luncheon (Wednesday 11 am) includestrade show admission $25 per person Association /Foundation Membership Complete application on back of this page f cv Total Amount Due 1:55 0 Make checks payable to Indiana Green Expo or: MasterCard Visa Discover Office Use: Card Number Expires 3 digit security code Date Rcvd: Billing Address Check /PO City: State Zip Amt.: Authorized Signature REGISTR ALWAVAILABLE t t t join and save MEMBERSHIP Not a member? Become one Now! Here's an opportunity to get member pricing for the Indiana Green Expo by joining one of these organizations. Simply fill MR out the appropriate section for the INLA or MRTF and mail it Midwest Regional Turf Foundation in with your program registration payment. V SEHYPN F S A p5SOC1pT I M `3 lab INDIANA NURSERY AND LANDSCAPE ASSOCIATION (INLA) MEMBERSHIP a Sign up my company for: Active Member Schedule of Dues (Based on the year.) India�aN� «e Active Member: Any individual, partnership or corporation engaged in a volume of business done in the P Y wnd5UPe P- 0 6a"°° business or profession closely allied to the nursery industry or who is actively Class A...... $1,000,000 p lus ......................$330.00 engaged in a wholesale /retail nursery business or actively engaged in a land- Class B...... $500,000 to $1,000,000.........$265.00 scape /maintenance business who majority of business is nursery related within Class C...... $250,000 to $500,000............$200.00 the state of Indiana Class D...... $o to 250, 000 ........................$165.00 Associate Member: Any individual, partnership or corporation engaged in a Associate Member $165,00 business or profession closely allied to the nursery industry or any individual, Affiliate Member....... $55.00 partnership or corporation based outside the state of Indiana who is engaged in To download the complete application visit the nursery industry. www.inlai.org or contact them at: Affiliate Member: Any individual who is not directly engaged in the nursery Indiana Nursery and Landscape Association industry but who holds a position in education, research, literature, public office 7915 S. Emerson Ave., #247 or civil service or community group engaged in horticulture activities or any Indianapolis, IN 46237 retired active members. Ph: 800 443 -7336 MRTF MIDWEST REGIONAL TURF FOUNDATION (MRTF) MEMBERSHIP MRTF is a 501(C)3 non- profit committed to the support of turfgrass research and educa- tion at Purdue University for the betterment of the turf industry in Indiana, the Midwest, and the world. Sign up my company for: MRTF Membership $125 To download the complete application, visit www.mrtf.org or contact MRTF at: Midwest Regional Turf Foundation PO Box 2285, West Lafayette, IN 47996 Ph: 765 -494 -8039 Please complete the following and PRINT CLEARLY. For more than one new member, please make copies of this form. r Name Company Address City St Zip Phone Fax Email Amount enclosed Add your membership fee to the registration form on the other side. Mail this application along with payment and your completed Indiana Green Expo registration form to: Indiana Green Expo, PO Box 2285, West Lafayette, IN 47996 -2285 0 STER r TO DA VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Green Expo IN SUM OF P. O. Box 2285 West Lafayette, IN 47996 -2285 $350.00 ON ACCOUNT OF APPROPRI TION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 27360 43- 570.04 $350.00 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 Monday, JanuarV3, 2011 I- -Al/ d' &'�f L Stref Commis l ioQ r v Street 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)) 12/28/10 $350.00 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