HomeMy WebLinkAbout195924 03/29/2011 «R, CITY OF CARMEL, INDIANA VENDOR: 00350028 Page 1 of 1
0 ONE CIVIC SQUARE FRED GLASER CHECK AMOUNT: $16.68
CARMEL, INDIANA 46032 10538 LAKESHORE DR E
CARMEL IN 46033 CHECK NUMBER: 195924
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 16.68 EXTERNAL TRAINING TRA
I'L I
lY
Slainte' To Your Health!
225 7.ach
Tbl 37%5 Chk 1695 Gst 1
Mar09'11 11:08AM
1 Lemonade 1.60
1 Fish Chips 13.99
Subtotal 15.59
Tax 1.09
Total 16 68
RIEGISTRATION INFORMATION REGISTRATION FORM 8396- I1YR -KS
The registration fee is on a per day basis. Payment is expected upon STORM ER DRAINAGE CONFERENCE
submission of registration. Acceptable forms of payment are a hardr�
UFCOMIPfG EVENTS copy of a purchase order, check, or credit card. No refunds will begiven Name
1 J
for cancellations after Friday, February 4, .2011. Purdue University is Title of _:r r
not responsible for costs due to cancellation. 1
Agency I G t� r�e r
Please direct questions regarding registration, billing and payment Address
Indiana LTAP 2011 Training Calendar to lohn Wellman, conference coordinator, at (765) 994 -0293, or by
e -mail at jmwapurdue.edu. For additional program information, City L State ZIP 03
March 8 -10 contact John Habermann, program manager, Indiana LTAP at (800) work Phone 317 ST
97th Annual Purdue Road School 428 -7639, or (765) 994 -2169. Fax 7 9
Stewart Center, Purdue Campus To register online: E -m I% WSe in 0 O u
West Lafayette
Purdue i5 c ommitted to making its proqrams accessible to individunfs with disabilities. If
o Co to www.purdue.edu /INLTAP. you require an accommodation or spectal assistance for this pry ram. due to a disabih v,
March 10 29 30 Click on "Training." Please contact us at (765) 994 -2169 at least one week before- c program begins.
1 Click to February 2011 on our Training Calendar. Registration (please check one rate)
A pril 5, 6 Click on Stormwarer Drainage Conference "Register."
5 GOVERNMENT $35
May 4
LPA Federal Aid Certification Training ROAD SCHOLAR INFORMATION N ON GOVERNMENT $100
The Stormwater Drainage Conference is considered an elective course
in the program and is worth six (6) credits. Certificates of Attendance U EXHIBITOR BOOTHS $225 (8397 IIYR KS)
April 19 21, 26, 28 will be available for pickup on the day of the conference and should be Payment Method (Payment is due upon submission of registration)
Chainsaw Training kept with your Road Scholar files to verify your attendance. Enclosed is a check made payable to Purdue University
May 10 12 24 26 CONTINUING EDUCATION UNITS X I am paying with a Purchase Order
y t Continuing Education Units (CEU's) are a standardized, nationwide PO r
J une 7, 9 method of recognizing and rewarding participation in non- credit
educational activities. Partic will receive 6 PDH 0.6 CEU for Rill to:
MUTCD Training P r
the day. These are granted through Purdue University's Continuing Company /Organization
Education Administration. Forms will be available at the conference.
FOR MORE DETAILS AND REGISTRATION Une Cf 1G
PDH /CEU will be available to licensed land surveyors and licensed Address
INFORMATION, VISIT OUR WEB SITE AT engineers. City (�A r I state ZIP U
wwwv.purdue.edu /INLTAP HOTEL INFORMATION CJ Please charge to my:
Conference rates are $97 /night. Call the University Plaza Hotel at MasterCard VISA
(600) 777 -9808 to make a reservation and mention Indiana LTAP. Discover American Express
ON -SITE TRAINING IS ALSO AVAILABLE EXHIBITOR INFORMATION Account Number
Vendor booth rates are $225. This fee includes one six -foot table Expiration Date
and two chairs for the day. This fee also includes registration for one
Work Zane Traffic Control representative from your agency. Additional representatives should Printed Name
Snow P101V Safety register separately. Signature
OSHA Flagger Training Mail with payment to: CEC Business Office
Booth set -up will be available beginning at 6:30 a -m. You will not be Purdue University
able to set up the night before. Booths will be assigned on a first -come, Stewart center. Room 1 10
Call (765) 494 -2164 to schedule your agency. first- served basis. 128 Memorial Mall
Lvest Lafayette, EN 47907-2034
Fax with credit card or P.O. information to: 17651 494 -0567
Pardue University is an equal access /equal opportunity university
Prescribed by Slate 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.
Payee
Fred Glaser
Purchase Order No.
Engineering Department.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
319111 nra Lunch; Road School $16.68
Purdue L I AH Road School
Total Total t
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
Fred Glaser IN SUM OF
Engineering Department
I �O
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s or
n/a nla 22004343002 $16.68 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
3 2 11 20
2A 57
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund