HomeMy WebLinkAbout195483 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00350333 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIES/TO'lHECK AMOUNT: $540.00
s CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340
o INDIANAPOLIS IN 46225 CHECK NUMBER: 195483
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355300 11 ICOM -19 400.00 ORGANIZATION MEMBER
1201 4355300 IMPACT CONF 90.00 ORGANIZATION MEMBER
1201 4357004 IMPACT CONF 50.00 CONF REG
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Join IMPACT, the Indiana Municipal Personnel Administrators of Cities and
Towns. IMPACT was formed in 1997 to provide a network for municipal human resources
professionals. Municipal officials who deal with personnel policies, personnel records,
compensation administration, and benefits programs will benefit from membership in IMPACT.
Make checks payable to Indiana Association of Cities and Towns
Mail completed form with payment to IMPACT, 200 S. Meridian St, Suite 340,
Indianapolis, IN 46225
2011 IMPACT Membership
Primary Membership (first person from a municipality) 50.00
Secondary Membership (each additional person) $20.00
D Associate Membership ($1oo.00)
TOTAL 2-
Please provide the following information:
-sire_ CC
Name �t]
Mun' ipality
C
Address
C,S :I:A
Phone Fax Email
I understand that as a member of IMPACT, I agree to: (i) maintain the confide nti a] ity of shared
information when warranted; (2) share information with other members of the group; (3)
abstain from using my offiei'aI embership position to secure special privilege, gain or personal
benefit; (4) cont rjbute re Materials to the personnel information resource library; and (5)
actively particip to in traim sessions and group meetings.
Signature Date
FA:
i
Join IMPACT, the Indiana Municipal Personnel Administrators of Cities and
Towns. IMPACT was formed in 1997 to provide a network for municipal human resources
professionals. Municipal officials who deal with personnel policies, personnel records,
compensation administration, and benefits programs will benefit from membership in IMPACT.
Make checks payable to Indiana. Association of Cities and Towns
Mail completed form with payment to IMPACT, 200 S. Meridian St, Suite 340,
Indianapolis, IN 46225
2011 IMPACT Membership
Primary Membership (first person from a municipality) 50.00
z'�Secondary Membership (each additional person) $20.00
o Associate Membership ($100.00)
TOTAL Zj
Please provide the following information:
Name Tide
M
Address
Phone Fax
I understand that as a member of IMPACT, I agree to: (1) maintain the confidentiality of shared
information when warranted; (2) share information with other members of the group; (3)
abstain from using my officia mbershp position to secure special privilege, gain or personal
benefit; (4) con Bute relevant materials to the personnel information resource library; and (5)
actively part to in tr ain' g sessions and group meetings.
Signature' Date
I
a i
PM
3� f f''
Join IMPACT, the Indiana Municipal Personnel Administrators of Cities and
Towns. IMPACT was formed in 1997 to provide a network for municipal human resources
professionals. Municipal officials who deal with personnel policies, personnel records,
compensation administration, and benefits programs will benefit from membership in IMPACT.
Make checks payable to Indiana Association of Cities and Towns
Mail completed form with payment to IMPAO', 200 S. Meridian St, Suite 340,
Indianapolis, IN 46225
2011 IMPACT Membership
w"--Primary Membership (first person from a municipality) 50.00
Secondary Membership (each additional person) $20.00
Associate Membership ($100.00)
TOTAL
Please provide the following information:
Name Title
Mux4eipality
Address
3Z
3 57 1 29--k ?D74V, 01
Phone Fax Email
I understand that as a member of IMPACT, I agree to: (1) maintain the confidentiality of shared
information when warranted; (2) share information with other members of the group; (3)
abstain from using my jal membership position to secure special privilege, gain or personal
benefit; (4) con ibut rul ant materials to the personnel information resource library; and (5)
actively partic' ate'in tr fining sessions and group meetings.
Signature Date
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Association of Cities and Towns
IMPACT IN SUM OF
200 S. Meridian St., Suite 340
Indianapolis, IN 46225
$140.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1201 032411 Spring 43- 570.04 $50.00 1 hereby certify that the attached invoice(s), or
1201 031411 43 553.00 $40.00 bill(s) is (are) true and correct and that the
1201 I 031411 43 553.00 $50.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 14, 2011
Director, HR
Title
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))
03/14/11 f11 Spring Confer $50.00
03/14/11 031411 Secondary Memeberships for Sue and Jim $40.00
03/14/11 I 031411 I Primary Membership for Barb I $50.00
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
200 South Meridian Street Suite 340 Indianapolis, IN 46225
Indiana Association of
Cities and Towns Phone 317.237.6200 Fax 317.237.6206 vwlv.cltiesandtowns.org
INVOICE
February 25, 2011
TO. Invoice Number
Hon. James Brainard I I icom -19
Mayor
One Civic Square
Carmel, IN 46032
2011 Indiana Conference of Mayors Dues 400.00
IVtake chocks a, avle to ndizna Association of Cities &Towns
CREDIT CARD (please compete the following)
Master. Card Visa Discover
expiration date security code
(3 dint., of, back of carol)
Name on Credit Card
Billing address of Credit Card
Signature
Please renvt bV March 25, 2011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Association of Cities and Towns
IN SUM OF
200 South Meridian Street, Suite 340
Indianapolis, IN 46225
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# 1 Dept. INVOICE N0. ACCT #ITITLE AMOUNT Board Members
1160 11 ICOM -19 43- 553.00 $400.00 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, March 14, 2011
May r
Title
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))
02/25/11 11 ICOM -19 $400.00
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