HomeMy WebLinkAbout197725 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 362074 Page 1 of 1
ONE CIVIC SQUARE NATALIE LOVE
CARMEL, INDIANA 46032 2470 CHASEWAY CT CHECK AMOUNT: $185.40
INDPLS IN 46266 CHECK NUMBER: 197725
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 185.40 TRAVEL FEES EXPENSE
Carmelo Clay
Parks &Recreati ®n
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.
No sales tax will be reimbursed. TOTAL:
Employee Name (print) N C." ��,/rfi To te—L
Address Z Z
Check city, St, Zip P
payable to:
Signature: Approved by:
Dater Date: 5
Business Services Division, Revised 7 -7 -08
FILE' SharedlAdministrativeVFormslSlaff FormslEmployee Exp Reimb Request l' M A Y
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Carmek Clay
Parks &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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I S
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All receipts should be attached in the same order as listed above. Z C)I\j (.y
No sales tax will be reimbursed. TOTAL:
Employee !Jame (print) NO t ft C� V p o f
Address ��vp f
Check
payable to: City, St, Zip O
Signature: Approved by:
Date: Date:
Business Services Division, Revised 7 -7 -08 !1
FILE: Shared4Ad minis trative \Forms\StaIf FormsMEmployee Exp Reimb Request t(
NAY 1 1011
BY:
A 5 S C C I A T 10 N
NAA Invoicea
CK N®. Gam; r7
2.16.2011 DATE
From: National AfterSchool Association
8400 Westpark Drive, Suite 200
McLean, VA 22102
To: Serra Garske
Purchasing Administrator
Purchase
Cannel Clay Parks Recreation Descriotlon nod ffjQ=heoj Awe. Wk
P.O. 2&9d d P C
Administrative Office G.L.#
1411 E. 116th Street Budget
Carmel, IN 46032 Lane Descr EL6C/ /„�(�Sf►'u�t
Purchaser Date
Reference PO 2$198 Approval Date
Activity: 2011 NAA Convention Registration
Individual registrations, Join Now/ Renew 2 Day
Quantity: 9 F C C 6 201 t
Price Per Individual: $410 BY. F g„ 2'
•.q
Total Due: $3690
For more information please contact NAA accounts receivable at amiller @naaweb.org.
L
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 N oAwc Love Badge Name AINTA LIE
Organi zation CAMSL C.+A
Program /Agency (if applicable)
Address Iq a E. II(;v
City (or Military Base) C AME L
State (or County of Province) Zip w�'p
Email 0 10y e— 0— CA IAA Cla�,.CS
Phone 1 5 0 Fax III-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 $335 $385 $410 )Afterschool Program
Full Convention
Administrator /Director /Coordinator
�k����s�z
w t,3 f Trainer /Consultant/Curriculurn Specialist
Niem6er kaie Sat/Sun $290 $346 1365 College Instructor /Professor /Researcher
2 Days I Sun /Mon 1 Public School Administrator /Principal /School
Board
Join Naw or Renew $395 $aas $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 Youth Serving Organization
S un/Mon Teacher /Frontline Staff
on-
y ri g $455 $505 $530
i��
Full Convention t Director
s Supporter /Researcher
Non member SaVSun $415 $465 $490 Parks and Recreation
2 Days SunrM °n Private, for profit
I 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
TOTAL Registration 3610 p,r �r�+.'JGG l q l o Make Checks Payable to: f- National AfterSchool Association
c/o Meetings Management Group
Card Number Exp. 8400 Westpark Dr., 2 nd Floor
(printed) McLean, VA 22102
Card Name
(p 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.
362074 Love, Natalie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4125111 Reimb. National Afterschool Assoc Conference 185.40
Total 185.40
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.
362074 Love, Natalie Allowed 20
In Sum of
185.40
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb. 4343000 185.40 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
185.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund