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HomeMy WebLinkAbout197585 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 360144 Page 1 of 1 ONE CIVIC SQUARE CYNTHIA CANADA CARMEL, INDIANA 46032 11508 LUCKY DAN DRIVE CHECK AMOUNT: $219.97 NOBLESVILLE IN 46060 CHECK NUMBER: 197585 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 219.97 TRAVEL FEES EXPENSE N A T 1 4 tit A l A S S 0 C I A T O N NAA Invoice CSC. N® 2.16.2011 DATE From: National AfterSchool Association 8400 Westpark Drive, Suite 200 McLean, VA 22102 To: Serra Garske Purchasing Administrator Purchase Carmel Clay Parks Recreation Description P.O. P i F Administrative Office G.L. /D l 9g 'q 1411 E. 116th Street Bud gget 1 LineUescr GX7�IW �l7Sf►'000f Carmel, 1N 46032 Purchaser Date Reference PO 28198 Appro val pate Activity: 2011 NAA Convention. Registration Individual registrations, Join Now/ Renew 2 Day Quantity: 9 Price Per Individual: $410 BY. F EB 2 2 Total Due: $3690 For more information please contact NAA accounts receivable at amiller @naaweb.org. April 15 -18, 2011 x Gaylord Palms Resort 8 Convention Center f Register Today! Complete requested information and mail /email /fax registration with payment to: National AfterSchool Association, c/o MMG Name cylal C 6 t� wm Badge Name CY I Organization CAWSL j. Program /Agency (if applicable) Address 1q11 E- 116'g City (or Military Base) CRMEL State (or County of Province) Zip Email r_ CAfpAA [WJWk T Cant Phone 3 1 �5%1?' Sa-g Fax 3 1 -o-� Step 3 Advanced F 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 A fterschool Program Full Convention Administrator /Director /Coordinator Trainer /Consultant/Curriculum Specialist ember Rate Sat/Sun $290 $340 $365 College Instructor /Protessor /Researcher M I 2 Days Sun/Mon 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/M Youth Serving Organization sa 530 Teacher /Frontline Staff Non Member k $455 $505 x� +r3,�,� Full Convention ,.�,.,��r�sr. Director/CEO it Supporter /Researcher Non member Sat/Sun $415 I $465 $49­0 Parks and Recreation 2 Days Sun /Mon I f 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) Check to NAA Wf Make Checks Payable to: TOTAL Registration ����JT+G 1 q10 National AfterSchool Association c/o Meetings Management Group Card Number Exp. 8400 Westpark Dr., 2" Floor rimed McLean, VA 22102 Card Name (printed) Phone:703- 610 -0257 a Fax: 703-610-0203 Billing address registration @naaconvention.org f�f Apnl 18�z ©t E.�a a" "unart st rnen6bn ee I Cy CyndiCanada Carmel Clay Parks Recreation Carmel IN 5 l �Yl91i tom- f. 4 J -d r i i Carmel o Clay Parks &Recreate ®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense $)l Co. C�1 C Or\ f C rs i5 5 C CD 15 rc' I r a do 3.9CD r No re ceipts should be attached in the same order as listed above. sle as tax will be reimbursed. TOTAL: 1 p� F Employee Name {print) �tj�� C P "r \C Address' Check payable to: City, St, Zip (0 �co Signature: —F Approved by: Date: 4 Date: Business Services Division, Revised 7 -7 -08 FILE Shared lAdminislralivelFormslStaff FormslEmployee Exp Reimb Request Carmel 0 clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense 1 Sh�� um 'i b� del �e�z C Dot- �e- rence- i i 1 Wcs L All receipts should be attached in the same order as listed above. -T No sales tax will be reimbursed. TOTAL: Employee Name (print) Address I 1 5 �'Z LAh c.tl Check �'��f payable to: City, St, zip Signature: y Approved by: Date: Lj a.1 Date. Business Services Division, Revised 7 -7 -08 FILE: Shared lAdministrativelFormslStaff Forms \Employee Exp Reimb Request 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. 360144 Canada, Cyndi Terms 11508 Lucky Dan Dr Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/21/11 Reimb National After School Conference 219.97 Mileage 3/3 4/25/11 Total 219.97 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. 360144 Canada, Cyndi Allowed 20 11508 Lucky Dan Dr Noblesville, IN 46060 In Sum of 219.97 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4343000 219.97 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 219.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund