HomeMy WebLinkAbout197220 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HAMMONS CHECK AMOUNT: $211.64
CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE
INDIANAPOLIS IN 46220 CHECK NUMBER: 197220
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 211.64 TRAVEL FEES EXPENSE
Carmel o CIAO
Parks &ReCreat'on
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above. cy l
TOTAL do
Name (print)
Check Address
payable to:
City, St, Zip
Si ature
Date. 1
Approved by: E.
PP p
Revised 3
-2-07 by Business Services APR 1
011
BY:-
Carmel s Cl
'arks &Recreaflon
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above.
TOTAL .0
Name (print) �G'� 1��(`(1 G �6 V� C'c'A
p� I�
Check Address L4 crhy� ew
payable to:
City, St, Zip ,f���C�'(1C3. G
nature Date:
Approved by:
Revised 3 -2 -07 by Business Services APR
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9
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ris
Jennifer Hammoi
Carmel Clay Parks Recreation 1
Carmel IN
N A T 1 0 N A I
EM
A S S 0 C I A T 1 0 Iq
NAA Invoice
2.16.2011 IdC.� s
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From National AfterSchool Association
8400 Westpark Drive, Suite 200
McLean, VA 22102
To: Serra Garske
Purchasing Administrator
Purchase
Carmel Clay Parks Recreation Description w! AnoC W
P.O. 6 21 913 P c F
Administrative Office G.L.
1411 E. 116th Street Bud
Carmel, IN 46032 Line Descr
Purchaser Date
Reference PO 28198 Approval date
Activity: 2011 NAA Convention Registration r
Individual registrations, Join Now/ Renew 2 Day
Quantity: 9 FEB 1 6 2011
Price Per Individual: $410 BY. FE8 2 o
Total Due: $3690
For more information please contact NAA accounts receivable at amiller @naaweb.org.
April 16-18,2011
Gaylord Palms Resort Convention Center
Register Today!
Complete requested information and mail/email /fax registration with payment to:
National AfterSch0 Association, c/o MMG J
Name J ENAI Q 14AMMOA S Badge Name Ew-4i IPM
Organi zation CA M EL- C.LA
Program /Agency (if applicable) c
Address Igil E. lIV W Jt
City (or Military Base) CA "EL<
State (or County of Province) Zip
Email j hAMAOA S CA rAd C( W IV C6/A Phone ��1 S"I?- S��'o Fax 3+1-511
Step 3 Advanced On -Site
Early Reg Reg Reg
Sept 1 Dec 18 Apr 17- Your position (select one of the following):
Step 1 Step 2 Dec 31, 2010 Mar 20, 2011
2010 31,2011
Member Rate Ka'' $335 $3s5 $a1 o i�. Afterschool Program
r Administrator /Director /Coordinator
Full Convention Ad
rr�
Trainer /Consultant/Curriculum Specialist
PAember Rate Sat/Sun $290 $340
$365 College Instructor /Professor /Researcher
2 Days Sun/Mon I Public School Administrator /Principal /School
Board
Join Now o r Renew $395 $44 a
5 $a� Government Employee
Your Membership Join
Full Convention Renew
For Afterschool Program Staff, please indicate
Join Now or Renew Join $360 $410 $435 the type of program from the list below.
Your Membership Renew
2 Days Set/Sun Youth Serving Organization
Sun/Mon Teacher /Frontline Staff
Non Member" $455 $505 $530
Full Convention Director /CEO
w .v
Supporter /Researcher
Non member Set/Sun $415 $465 $490 Parks and Recreation
2 Days Sun /Mon I Private, for profit
_...h_ Private, not for profit
Public School
Please do not send me convention related materials from NAA authorized exhibitors.
Cancellations must be made in writing by March 26, 2011 and are subject to a $50 administrative fee. Refunds will not be processed
after March 26, 2011. Substitutions are welcome in lieu of cancellation anytime.
1 Credit Card (Visa, MC, AMEX, Discover) Check to NAA
Make Checks Payable to:
TOTAL Registration �tOl® #ql pa National AfterSchooi Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
McLean, VA 22102
Card Name (printed) Phone: 703 610 -0257 Fax: 703 610 -0203
Billing address registration @naaconvention.org
V
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4121111 Reimb. Natl Afterschool Assoc conference 211.64
Mileage 10125 12/17/10
Total 211.64
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- 1Q -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of
211.64
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb. 4343000 211.64 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
4 -May 2011
Signature
211.64 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund