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Home My WebLink About197146 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1 ONE CIVIC SQUARE MEAGAN DECKER 0 CHECK AMOUNT: $192.06 CARMEL, INDIANA 46032 CHECK NUMBER: 197146 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239012 2.69 SAFETY SUPPLIES 1081 4239039 12.01 GENERAL PROGRAM SUPPL 1081 4343000 177.36 TRAVEL FEES EXPENSE Carmel Clay Parks& R ecreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense i� gyp° �N l io`� 3� �(Po 1 J-0t O�f C 0 V4f" V i G Vim- R5'r 'C\ (�)s CH f_GI V (2 -7r r e 0 I E Y��r Q T r t C- I �ra V'P_ C�P,,4�,, o W 'S.� tcg--C�q q�q',,�xo eT I Q CO vLe- t -T 1 j f ll receipts should be attached in the same order as listed above. o sales tax will be reimbursed. TOTAL: Employee Name (print) (p 7 i 13 2 p J T Check Address payable to: City, St, Zip c�� q Signature: Approved by: Date: i I IL Date: Business Services Division, Revised 7 -7 -08 FILE: SharedlAdministrative\Forms \Staff FormslEmployee Exp Reimb Request Carm o Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense j` s� tN�,,•j ��I -06 z �T 's� Pty 2, 6 �J All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: r Employee Name (print) �t'` Address �,JV `Wes+- �i�(ll ffo_ C N D- Check payable to: City, St, Zip V p �U2S Signature: fr 2t Approved by: Date: t yr l Date: "-I Business Services Division, Revised 7 -7 -08 FILE: SharedlAd mini strative \Forms\Staff Forms\Employee Exp Reimb Request f A 5 S 0 C i 'A T Q t3 Ck fff��_ fff 5 NAA Invoice ..a 2.16.2011 Prom: National AfterSchool Association 8400 Westpark Drive, Suite 200 McLean, VA 22102 To: Serra Garske Purchasing Administrator Purchase Carmel Clay Parks Recreation Description 1?0* 021 A c- Wk P.O. a 62 81 9d p t F Administrative Office G.L. #1 ZQ& _99 X 35 O 2! 141 1 E. 116th Street. Bud Carmel, IN 46032 Une Descr Purchaser Date_,,,_ Reference PO 28198 Approval Date_,_, Activity: 2011 NAA Convention Registration i ms's Individual registrations, Join Now/ Renew 2 Day Q_ V w;., Quantity: 9 F L�p: i, 6 2011 Price Per Individual: $410 BY: .........FE B •so 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 AfterSchool Association, c/o MMG Name *W G Badge Name >—�(�i Organization ChWSL Program /Agency (if applicable) I Address `t II E. I„w City (or Military Base) Cr1MG State (or County of Province) Zip Email fA CArPA@ 6g T- coeA Phone 5x40 Fax 3 �7 -S 73 -SS-S 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 $335 $385 $410 Afterschool Program f Full Convention Administrator /Director /Coordinator r rw Trainer /Consultant/Curriculum Specialist College Instructor /Professor /Researcher Member Rate Sat/sun $290 $340 $365 2 Days I sun/Mon Public School Administrator/Principal/School I...., 1. 1. 1 I Board Join Now or Renew $395 $445 '$470 Your Membership Join Government Employee 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 Sat Sat/Sun Youth Serving Organization $455 505 $530 I Teacher /Frontline Staff Non Member il:� +��c Full Convention Dlrector/CEO j Supporter /Researcher Non- member Satlsun $415 $465 $490 )(Parks and Recreation 2 Days SunlMon Private, for profit 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. Credit Card (Visa, MC, AMEX, Discover) N XCheckto NAA r�,� Make Checks Payable to: TOTAL Registration ®�G q10 National AfterSchool Association c/o Meetings Management Group Card Number Exp- 8400 Westpark Dr., 2 Floor McLean, VA 22102 Card Name (printed) Phone: 703 -610 -0257 o Fax: 703 -610 -0203 Billing address registration @naaconvention.org 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. 363382 Decker, Meagan Terms 350 W Fall Creek Pkwy N Dr Indianapolis, IN 46208 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4121/11 Reimb Program supplies 12.01 4121111 Reimb Safety supplies 2.69 4121/11 Reimb Nat'l Afterschool Assoc. Conference 177.36 I Mileage 214 2124/11 I I j Total 192.06 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. 363382 Decker, Meagan Allowed 20 350 W Fall Creek Pkwy N Dr Indianapolis, IN 46208 In Sum of 192.06 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -7 Reimb 4239039 12.01 1 hereby certify that the attached invoice(s), or 1081 -99 Reimb 4239012 2.69 bill(s) is (are) true and correct and that the 1081 -99 Reimb 4343000 177.36 materials or services itemized thereon for which charge is made were ordered and received except 4 -May 2011 6LIE X 7 2— z Signature 192.06 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund