The URL can be used to link to this page

Home My WebLink About197382 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 358641 Page 1 of 1 ONE CIVIC SQUARE JENNIFER BROWN CARMEL, INDIANA 46032 4163 APPLE CREEK DR CHECK AMOUNT: $221.49 INDIANAPOLIS IN 46235 CHECK NUMBER: 197382 CHECK DATE: 5/11/2011 DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 221.49 TRAVEL FEES EXPENSE armel o Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense ON 11 IYO- vouvs 0107Y EvaWt I 43 -t3tuc ave( fte' CX f W S o V lt la F -t7�.j •F v .y f 7.0 R K ii 1, c k V A VVL S R fi g' i VL V[(' Y U va.�► Gi 6P t All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: �20951-70 1 Employee Name (prini) A k Y v� Address Check payable to: City, St, Zip J `�t'Q If Signature: Approved by. lu V Date: 1 Date. Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms\Staff Forms\Empioyee Exp Reimb Request Carmel c) Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense Y b4A S Oa ry c 3 9 v c {�s U 6 '1. l All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: fj S Employee Name (print) t�V, Address V 0 1y �G Check payable to: City, St, Zip t L Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 y FILE: Shared\Administrative \Forms\StaH Forms \Employee Exp Reimb Request 6rf S I ,t �i,i`IS ti ii`�I� S Apnl 15 18, 2011 Py I WYbd�WmRnoM16C J Jennifer Bro Carmel Clay Parks Recreation Carmel IN Ik N A T 4 Q N A L A S S 0 C I A T l 0 N CK NAA Invoice 2.16.2011 From: National AfterSchool Association 8400 Westpark Drive, Suite 200 McLean, VA 22102 To: Serra Garske Purchasing Administrator Purchase Carmel Ciay Parks Recreation Descriptlon P.O. a 8z 25 P C& Administrative Office G.L. It LL _92 3 57�U�t 1411 E. 116th Street Bud Carmel, IN 46032 Line Descr LL��S uG Purchaser Date Reference PO 2819$ Approval Date Activity: 2011 NAA Convention Registration "7 Individual registrations, Join Now/ Renew 2 Day 1�: y o Quantit 9 C EE 1. I I' r` Price Per Individual: $410 BY: FEB 2 •no 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 JupilpmIrih� Badge Name Organization EL J_ d Program /Agency (if applicable) r Address ��II E. II(;V SF City (or Military Base) CRME State (or County of Province) -I Zip q� Email �bowe) C.Q �t(9t C® Phone 5 Fax 7. Step 3 Advanced On -Site Early Reg Reg Reg Sept 1 Dec 18, Apr n Your position (select one of the following): Step 1 Step 2 Dec 31, 2010 Mar 20 2011 2010 3i, 2011 Afterschool Program Member Rate" N $335 $385 $410 Full Convention x Administrator/Director/Coordinator "X Trainer/Consultant/Curriculum Specialist 1 r� u FW $3e5 College InstructoUProfessor /Researcher 2 Days r Rate Sun/Mon $290 $340 Public School Administrator/Principal/School $395 $445 $470 Board Join Now or Renew 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 Sat/Sun Youth Serving Organization SU /Sun Teacher /Frontline Staff Non- Member�� ;r $455 $505 $530 Full Convention Director /CEO G� Supporter/Researcher Non member Sat/san $415 $4 65 $490 X Parks and Recreation 2 Days Sun/Mon Private, for profit f 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) Check to NAA ��,�rr TOTAL Registration DPI i►�`:7�G 1 x qlo p Make Checks Payable to: National AfterSchool Association c/o Meetings Management Group Card Number Exp 84001Nestpark 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. 358641 Brown, Jennifer Terms 4163 Apple Creek Dr Indianapolis, IN Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO #r` Amount 4121111 Reimb Natl Afterschool Assoc conference 221.49 Total 221.49 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 Voucher No. Warrant No. 358641 Brown, Jennifer Allowed 20 4163 Apple Creek Dr Indianapolis, IN In Sum of 221.49 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4343000 221.49 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 221.49 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund