HomeMy WebLinkAbout197554 05/26/2011 Myf CITY OF CARMEL, INDIANA VENDOR: 360484 Page 1 of 1
tjl ONE CIVIC SQUARE AMY BALDAUF CHECK AMOUNT: $220.16
CARMEL, INDIANA 46032 126 LARK DR
APT N CHECK NUMBER: 197554
CARMEL IN 46032
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 220.18 TRAVEL FEES EXPENSE
Carmelo Clay
marks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
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All receipts should be attached in the same order as listed above. t�
No sales tax will be r TOTAL:
VA
Employee Name (print)
M A Y 16 2011
Address 12-Lo Lay l(' -i
Check
payable to: City, St, Zip 1 i `t L��� DY
Signature: (/i1 Approved by: o
Date: 5 f .�lrl 1 Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrativelFormskStaH FormslEmpfoyee Exp Reimb Request
SAE L1�2f t e S"E
c April 1618 2011 v �^Jp f
Am Bal
Carmel Clay Parks Recreation
Carmel IN
C
mmasom ®e
April 15 -18 r 2011 r
4 tt -ti 0
Gaylord Palms Resort &Convention Center
Register Today!
Complete requested information and mail /email /fax registration with payment to:
National AfterSchool Association, c/o MMG to
Name
k AL Badge Name Am y
Organization ChMS L
Program /Agency (if applicable)
Address 1q II E. 116
City (or Military Base) CAMEL-
State
State (or County of Province) Zip
Email ��l�� t� f? C r,4d cI&gwiv t ®M Phone 111 -M- 5x40 Fax 111 511t m
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
AfterSchool Program
Member Rate`d�t' $335 $385 $410
Full Convention Administrator/Director/Coordinator
Trainer /Consultant/Curriculum Specialist
member Rate Set/Sun Colle 9 a InstructorlProfessor /Researcher
$365
2 Days
Sun/Mon $2so $3ao public School Administrator /Principal /School
Board
Join Now or Renew $395 $445 $470 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
Sun/Mon
Youth Serving Organization
Teacher /Frontline Staff
Non Member y f $455 $5 05 53 0
Full Convention ti Director/CEO
Supporter/Researcher
Non member Sat/sun $415 l $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) YCheck to NAA
I q
TOTAL Registration ®irG '1 I0 Make Checks Payable to: National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 Floor
Card Name (printed) Phone: 703.610 0257 Fax: 703- 610 -0203
Billing address registration @naaconvention.org
N A T 1 0 N A L
NAA Invoice
2.16.2011
Fih' t dnJyR.; C is
CK No.
From National AfterSchool Association DATE a
8400 Westpark Drive, Suite 200
McLean, VA 22102
To: Serra Garske
Purchasing Administrator
Purchase
Cannel Clay Parks &Recreation Description A W�
P.O. a 81 9-d P CUF
Administrative Office G.L.#
1411 E. 116th Street Bud et
Carmel, IN 46032 Una Descr LXj 1)a 117S7
Purchaser Date
Reference PO 28198 Approval Date
Activity: 2011 NAA Convention Registration m 71
Individual registrations, Join Now/ Renew 2 Days
L r. �E
Quanti ty: 9 FL°.: 201
Price Per Individual: $410 BY FEB
2 2
Total Due: $3690
For more information please contact NAA accounts receivable at amiller @naaweb.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.
360484 Baldauf, Amy Terms
126 Lark Dr., Apt. D Date Due
i
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/5/11 Reimb National Afterschool Conference 220.18
Mileage 12/1/09 4/27/10
Total 220.18
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
i
Voucher No. Warrant No.
360484 Baldauf, Amy Allowed 20
126 Lark Dr., Apt. D
Carmel, IN 46032
In Sum of
220.18
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb 4343000 220.18 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
19 -May 2011
Signature
220.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund