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HomeMy WebLinkAbout195047 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 00352458 Page 1 of 1 ONE CIVIC SQUARE GOVERNMENT FINANCE OFFICERS AS SECK AMOUNT: $900.00 CARMEL, INDIANA 46032 3076 EAGLE WAY o �,�o. CHICAGO IL 60678 -1030 CHECK NUMBER: 195047 CHECK DATE: 3/2/2011 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4357004 900.00 GFOA /SHEEKS CORDRAY Conference Registration Form The GFOA is unable to fax confirmations due to the volume of registrations. 90 k� C�lOO GAo C1 I F C X70 GtaOa I D (bo©0� Please print or type. Register online at www.gfoa.org Advance Full Conference Registration: If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are Registration Registration (Postmarked and paid (Postmarked and paid Group Discount:* accepted with credit card payments only. Please affix your mailing by Apr 12, 2011) after April 13, 2011) label here, and make any changes to your record in the spaces Government Member &$410 O $455 Preconference Seminar(s): pr ided b ow. n p Private- Sector Member U $545 U $620 New member fee: Visit www.gfoa.org or L call GFOA at (312) 977 -9700 for fee. Fir Name C 1 Vst me Nonmember Government $560 $610 Discount for paid new member: ($25.00 Tile/ os' ion Nonmember Private Sector U $820 U $895 Sub Total: L,. 01 med Student U $135 U $145 Texas Fest: Org nization/ m ny (Full -time, Unemployed only) I f kG of tickets /adults $40.00 x of tickets /children under 18 $15.00 x Mailin Address w Preconference seminar registration and fees are separate from of tickets /children under 5, Complimentary x 0 City annual conference registration and fees. Total Fees: �0 Check the seminar(s) of your choice: *You will receive a 10 percent discount on your conference registration if State /Province Zip /Postal Co Country three or more people from your jurisdiction are attending the annual con- 2 I U MASTERING THE BUDGET PROCESS ference (registrations must be submitted together). This discount does not Telephone t l t�—r May 20, 2011 Full Day 9:00 a.m. 5:00 p.m. apply to preconference seminars. "3 l 1 L3 l 2 (L U WHY YOUR GOVERNMENT NEEDS AN ENTERPRISE -WIDE Fax APPROACH TO RISK MANAGEMENT ��Y -S C 1, {M e q D Payment by Check 16 ls n May 20, 2011 •Half Day 1:00 p.m. 5:00 p.m. Payable to "Government Finance Officers Association" E -mail Address (REQUIRED) THE BENEFITS OF ASSESSING YOUR ORGANIZATION'S Send to: GFOA 3076 Eagle Way Chicago, IL 60678 -1030 GFOA embe ship Nu if avail ble) FINANCIAL MANAGEMENT PERFORMANCE U Payment by Credit Card, Fax: (312) 977 -4806 I lul ber �I�� May 21, 2011 Half Day.• 8:30 a.m. —12:30 p.m. Send to: GFOA 203 North LaSalle Street Suite 2700 Prefetred Name f r Badge U FORECASTING IN UNCERTAIN TIMES Chicago, IL 60601 -1210 U Indicate if you are substituting for an active member. U Amex U Discover Cl MasterCard U VISA May 21, 2011 •Half Day 1:00 p.m. 5:00 p.m. Name of Active Member Cl IS A PUBLIC PRIVATE PARTNERSHIP RIGHT FOR YOUR Name on Card GOVERNMENT? GFOA Membership Number (if available) May 21, 2011 Half Day 1:00 p.m. 5:00 p.m. Card Number Expiration Date &aummiguEfflm U WHAT YOUR GOVERNMENT NEEDS TO KNOW ABOUT Signature Print name(s) of additional guest(s). Please attach additional names it HEALTH -CARE REFORM May 21, 2011 Half Day 1:00 pm 5:00 pm U Bill Me. (Scan and e-mail it to: conference @gfoa.org) needed. P.O. Number: Check rate below: You must include a purchase order number. Member Nonmember All billed registrations should be mailed to: First Name Last Name Each Full -day Seminar U $310 U $430 GFOA 203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1210 First Name Last Name Each Half -day Seminar U $150 U $265 GFOA Fax Number (312) 977 -4806 GFOA Tax ID Number: 36- 2167796 Children 12 or Under Please remove this registration form, fill it out and Print names) of child(ren) 12 or under. Please attach additional names if fax it to the GFOA, Fax: (312) 977 -4806. needed. Memper Type* Please Check One: You can also register online at: www.gfoa.org &Active Government Member O Member Private Sector OR scan the completed form and e-mail it to: conference@GFOA.org. First Name Last Name 'Join the GFOA today and receive $25 off your conference registration fee with a Government Finance Officers Association paid new membership. For new membership fee information and an application, please 203 North LaSalle Street, Suite 2700 visit www.gfoa.orgor call GFOA at 312 977 -9700. All fees payable in U.S. funds except Chicago, Illinois 60601- 10 First Name Last Name for Canadian governments which may pay membership dues in Canadian funds. 312- 977 -9700 /i,A: 312 977 -4806 n•vvtv.gfoo.org Conference Registration ForIT The GFOA is unable to fax confirmations due to the volume of registrations. 9a C G�o©o (rte 01� �O I�oQQ� (bo©Bo Please print or type. Register online at www.gfoa.org Advance Full Conference Registration: If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are Regi ion Registration Postma nd paid (Postmarked and paid Group Discount:' accepted with credit card payments only. Please affix your mailing by Apr/ 2011) after April 13 2011) label here, and make any changes to your record in the spaces Government Member $410 $455 Preconference Seminar(s): pro d below. Private Sector Member $545 $620 New member fee: Visit www.gfoa.org or V k db�r— call GFOA at (312) 977 -9700 for fee. First Name MI Last Name Nonmember Government $560 $610 Discount for paid new member: $15.00') C G rraLqXJ rec Nonmember Private Sector $820 $895 Sub Total: Title/ P siti n Student $135 $145 Texas Fest: f Organization ompany (Full -time, Unemployed only) of tickets /adults $40.00 x Maili g Address Q of tickets/ child ren ;under 18 $15.00 x Preconference seminar registration and fees are separate from of tickets /children under 5, Complimentary x O city nnual conference registration and fees. QQ11 tY Total Fees: 5 6• cKl Check the seminar(s) of your choice: "You will receive a 10 percent discount on your conference registration if State v nce Zip /Postal Code Country three or more people from your jurisdiction are attending the annual con- Vk) MASTERING THE BUDGET PROCESS ference (registrations must be submitted together). This discount does not Telephone May 20, 2011 Full Day 9:00 a.m. 5:00 p.m. apply to preconference seminars. WHY YOUR GOVERNMENT NEEDS AN ENTERPRISE -WIDE Fa APPROACH TO RISK MANAGEMENT L O Payment by Check 5 May 20, 2011 •Half Day 1:00 p.m. 5:00 p.m. Payable to "Government Finance Officers Association" E mall A�re�ss�(QU ❑THE BENEFITS OF ASSESSING YOUR ORGANIZATION'S Send to: GFOA 3076 Eagle Way Chicago, IL 60678 -1030 d GFOA Membership Num r (if available) FINANCIAL MANAGEMENT PERFORMANCE Payment by Credit Card, Fax: (312) 977 -4806 May 21, 2011 Half Day 8:30 a.m. -12:30 p.m. Send to: GFOA 203 North LaSalle Street Suite 2700 Preferred Name for Badge Chicago, IL 60601 -1210 FORECASTING IN UNCERTAIN TIMES Amex Discover MasterCard VISA Indicat�if�ou sub for an active member. May 21, 2011 Half Day 1:00 p.m. -5:00 p.m. Name o Active Member IS A PUBLIC PRIVATE PARTNERSHIP RIGHT FOR YOUR Name on Card GOVERNMENT? GFOA Membership Number (if available) May 21, 2011 Half Day 1:00 p.m. 5:00 p.m. Card Number Expiration Date WHAT YOUR GOVERNMENT NEEDS TO KNOW ABOUT Signature Print name(s) of additional guest(s). Please attach additional names it HEALTH -CARE REFORM May 21, 2011 Half Day 1:00 p.m. 5:00 p.m. Bill Me. (Scan and e-mail it to: conference @gfoa.org) needed. P.O. Number: Check rate below: You must include a purchase order number. Member Nonmember All billed registrations should be mailed to: F rst Name Last Name Each Full -day Seminar $310 $430 GFOA 203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1210 Each Half -day Seminar $150 $265 GFOA Fax Number (312) 977 -4806 First Name Last Name GFOA Tax ID Number: 36- 2167796 Children 12 or Under a Q mmamD= Please remove this registration form, fill it out and Print name(s) of child(ren) 12 or under. Please attach additional names if fax it to the GFOA, Fax: (312)1977 -4806. needed. Member Type' Please Check One: You can also register online at: www.gfoa.org Active Government Member Member Private Sector OR scan the completed form and e-mail it to: conference @GFOA.org. First Name Last Name 'Join the GFOA today and receive $25 off your conference registration fee with a Government Finance Officers Association paid new membership. For new membership fee information and an application, please 203 North LaSalle Street, Suite 2700 visit www.gfoa.org or call GFOA at 312 977 -9700. All fees payable in U.S. funds except V Chicago, Illinois 60601 -1210 First Name Last Name for Canadian governments which may pay membership dues in Canadian funds. 312- 977 -9700 fox: 312- 977 -4806 wwwgfoa.org Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. r Payee T V Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) s SD Total (o 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 ON ACCOUNT OF APPROPRIATION FOR 0 �7 L L Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice 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 20 Signature Title Cost distribution ledger classification it claim paid motor vehicle highway fund