HomeMy WebLinkAbout157899 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 361051 Page 1 of 1
ONE CIVIC SQUARE DAMAR SERVICES INC
i CARMEL, INDIANA 46032 6324 KENTUCKY AVE CHECK AMOUNT: $200.00
INDPLS IN 46221 CHECK NUMBER: 157899
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
-1046 4357004 200.00 EXTERNAL INSTRUCT FEE
I
Carmel (D Clay CEIVED
'arks &Recreation CHECK REQUEST
FEB 2 7 2008
Date: a P CQ I Cf6 BY:_
Check payable to
Name: o,mo.('
Address: 4 Z ke rT\ L) pe
City State, zip y"tA•,GnG
IVlail check to payee Return check to requestor
Check Amount c Date Required
Check needed for AySw� Stern t
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO (f
Budget account GL `I IS ,7a I
Budget Line Description Eth+tiot(_ TK-+t \j /J
Requested by (print): �`rn�0110 S
Requested by (signature):
Approved .by (signature of Divisio Manager): J
on this date 6
Form revised 1 -21 -08
Registratio F ®1°191 Series Module April 12, 2008
I am unable to attend this training series, but please keep me on your I Module Four: Assessment and Goals
mailing list to receive information on future trainings by DAMAR. I Participants will learn how to access the needs of their child
First Attendee eeX r6 Cam' �arr m�S I in areas such as communication, sensory issues and general
Second Attendee o� t1 n Q- e I life skills through a combination of lecture, discussion and
Address 1 January 12 2008 interactive activities. This information will be utilized to
create goals for the individual in each area of need that both
City I Module One: Introduction to Autism meaningful and measurable.
State ZIP I Participants will be introduced to some of the basic
elements of autism treatment through a series of fun and
Daytime Phone I interactive activities, discussion and lecture; learn about
Email I some of the myths and facts regarding autism and gain �9'e °reel :1 i I 1 1 O.
ll
I insight on how to evaluate research, professionals and Sessions a nd SAVE!
PRE REGISTER FOR ALL 6 SESSIONS, SAVE $40 I interventions. A general discussion and completion of See registration form for details.
Fee includes registration and meals for up to 2 people. 1 assessment materials to be used later in the series will
BES T VALUE!
$50.00 Training Sessions I follow. Participants will understand the basics of autism
BEST I
treatment and have the opportunity to connect with other May 3, 2008
$15.00 Jan. 12 9:30 a.m. to 2 p.m. I members of the autism treatment community. y
Introduction to Autism
Module Five: Alternative Communication
$15.00 Feb. 9 9:30 a.m. to 2 p.m. I Participants will learn about a variety of alternative
Essentials of Behavior Modification Part 1 I February 9 2008 communication systems commonly used with individuals
$15.00 March 8 9:30 a.m. to 2 p.m. I Module Two: Essentials of
with autism, including visual schedules, picture exchange,
Essentials of Behavior Modification Part 2 Behavior Modification -Part 1 sign language, social stories and other techniques.
1
El $15.00 April 12 9:30 a.m. to 2 p.m. I Participants will learn about several basic elements of Participants will create basic communication tools
Assessment and Goals appropriate for their child and learn how they can be
behavioral training through a combination of lecture, utilized to encourage appropriate communication of the
0 $15.00 May 3 9:30 a.m. to 2 p.m. I discussion and group interaction. Participants will learn child's needs and wants.
Alternative Communication I basic methods to identify the function of behaviors and will
$15.00 June 7 9:30 a.m. to 2 p.m. I also learn how to reinforce desired behaviors, as well as how June 7, 2008
Sensory Needs and Recreation Activities I to avoid reinforcing undesired ones.
I Module Six: Sensory Needs
METHOD OF PAYMENT I March 8 2008 and Recreation Activities
1
❑Check (payable to DAMAR) Module Three: Essentials of
Participants will learn about a variety of sensory needs
I
VISA MasterCard Behavior Modification -Part 2 their child may have and learn techniques to help integrate
I
Complete information as it appears on card. Participants will learn about prompting, fading and shaping recreational activities at home that will meet those needs.
Name on Account as tools to affect how behaviors are performed and how to Specific topics include an evaluation of sensory needs
and specific instructions for managing sensory needs.
Account I encourage behaviors to occur as independently as possible. Participants will have a better understanding of activities to
Exp. Date I Participants will leave with tools to begin evaluating the include at home, recipes and a basic understanding of how
behaviors for those in their care and developing strategies sensor issues can i everyday functioni
Address for behavioral change. y p y y
1
Signature
MAIL REGISTRATION PAYMENT TO: I The DAMAR Family Training Series on Autism is proudly sponsored by:
DAMAR Services, Inc. I Autism Advocates of Indiana Mary E. Ober Foundation
6324 Kentucky Ave., Indianapolis, IN 46221 I Efroymson Fund, a CICF Fund Ruth Lilly Philanthropic Foundation
I O'Keefe Family Foundation DAMAR Services, Inc.
1 Hoover Family Foundation DAMAR Best
Registration Form Series Module Apr 12 2008
El am unable to attend this training series, but please keep me on your I Module Four Assessment and Goals
mailing list to receive information on future trainings by DAMAR. I Participants will learn how to access the needs of their child
First Attendee (`(y �`S I in areas such as communication, sensory issues and general
Second Attendee ��(J�(1 ���S 1 life skills through a combination of lecture, discussion and
Address 1 January 12, 2008 interactive activities. This information will be utilized to
1 create goals for the individual in each area of need that both
City 1 Module One: Introduction to Autism meaningful and measurable.
State ZIP I Participants will be introduced to some of the basic
elements of autism treatment through a series of fun and
Daytime Phone 1 interactive activities, discussion and lecture; learn about
Pre -re Inter fdr all
Email I some of the myths and facts regarding autism and gain
I insight on how to evaluate research, professionals and 6 'Sessions and SAVE!
PRE REGISTER FOR ALL 6 SESSIONS, SAVE $40 I interventions. A general discussion and completion of See registration form for details.
Fee includes registration and meals for up to 2 people. I assessment materials to be used later in the series will
$50.00 All 6 Training Sessions I follow. Participants will understand the basics of autism
BEST VALUE! I treatment and have the opportunity to connect with other
$15.00 Jan. 12 9:30 a.m. to 2 p.m. I members of the autism treatment community May 3, 2008
Introduction to Autism 1
Module Five: Alternative Communication
$15.00 Feb. 9 9:30 a.m. to 2 p.m. 1 Participants will learn about a variety of alternative
Essentials of Behavior Modification Part 1 1 February 9, 2008 communication systems commonly used with individuals
1 with autism, including visual schedules, picture exchange,
$15.00 March S 9:30 a.m. to 2 p.m. 1 Module Two: Essentials of
Essentials of Behavior Modification Part 2 Behavior Modification -Part 1 sign language, social stories and other techniques.
I
$15.00 April 12 9:30 a.m. to 2 p.m. I Participants will learn about several basic elements of Participants will create basic communication tools
Assessment and Goals appropriate for their child and learn how they can be
I behavioral training through a combination of lecture, utilized to encourage appropriate communication of the
C3 $15.00 May 3 9:30 a.m. to 2 p.m. I discussion and group interaction. Participants will learn child's needs and wants.
Alternative Communication 1 basic methods to identify the function of behaviors and will
$15.00 June 7 9:30 a.m. to 2 p.m. I also learn how to reinforce desired behaviors, as well as how June 7 2008
Sensory Needs and Recreation Activities I to avoid reinforcing undesired ones.
1 Module Six: Sensory Needs
METHOD OF PAYMENT I March 8, 2008 and Recreation Activities
L3 Check (payable to DAMAR) I Module Three: Essentials of
Participants will learn about a variety of sensory needs
VISA MasterCard Behavior Modification Part 2 their child may have and learn techniques to help integrate
Complete information as it appears on card. 1 recreational activities at home that will meet those needs.
P PP I Participants will learn about prompting, fading and shaping Specific topics include an evaluation of sensory needs
Name on Account as tools to affect how behaviors are performed and how to
and specific instructions for managing sensory needs.
Account 1 encourage behaviors to occur as independently as possible. Participants will have a better understanding of activities to
Exp. Date 1 Participants will leave with tools to begin evaluating the include at home, recipes and a basic understanding of how
1 behaviors for those in their care and developing strategies sensor issues can i m p air everyday functioni
Address for behavioral change. y P y y
I
Signature 1
MAIL REGISTRATION PAYMENT TO: 1 The DAMAR Family Training Series on Autism is proudly sponsored by:
DAMAR Services, Inc. 1 Autism Advocates of Indiana Mary E. Ober Foundation
1 9 Efroymson Fund, a CICF Fund Ruth Lilly Philanthropic Foundation
6324 Kentucky Ave., Indianapolis, IN 46221
1 O'Keefe Family Foundation DAMAR Services, Inc.
1 Hoover Family Foundation DAMAR Best
Registration Form I Series Module April 12, 2008
1
I am unable to attend this training series, but please keep me on your I Module Four: Assessment and Goals
mailing list to receive information on future trainings by DAMAR.
I Participants will learn how to access the needs of their child
First Attendee �t r I in areas such as communication, sensory issues and general
Second Attendee C-O-t!� Cam° rn� I life skills through a combination of lecture, discussion and
Address I January 12 2008 interactive activities. This information will be utilized to
1 create goals for the individual in each area of need that both
City I Module One: Introduction to Autism meaningful and measurable.
State ZIP I Participants will be introduced to some of the basic
Daytime Phone I elements of autism treatment through a series of fun and
interactive activities, discussion and lecture; learn about
Email reglSter ®r all
I some of the myths and facts regarding autism and gain
I insight on how to evaluate research, professionals and 6 S@SS1011S ®1110 S�►���
PRE REGISTER FOR ALL 6 SESSIONS, SAVE $40 I interventions. A general discussion and completion of See registration form for details.
Fee includes registration and meals for up to 2 people. I assessment materials to be used later in the series will
$50.00 All 6 Training Sessions I follow. Participants will understand the basics of autism
BEST VALUE! I treatment and have the opportunity to connect with other
D $15.00 Jan. 12 9:30 a.m. to 2 p.m. I members of the autism treatment community. May 3, 2008
Introduction to Autism I
Module Five: Alternative Communication
$15.00 Feb. 9 9:30 a.m. to 2 p.m. I Participants will learn about a variety of alternative
Essentials of Behavior Modification Part 1 1 February 9, 2008 communication systems commonly used with individuals
1 with autism, including visual schedules, picture exchange,
$15.00 March 8 9:30 a.m. to 2 p.m. I Module Two Essentials of
Essentials of Behavior Modification Part 2 Behavior Mod -Part 1 sign language, social stories and other techniques.
I
$15.00 April 12 9:30 a.m. to 2 p.m. I Participants will learn about several basic elements of Participants will create basic communication tools
Assessment and Goals appropriate for their child and learn how they can be
1 behavioral training through a combination of lecture, utilized to encourage appropriate communication of the
$15.00 May 3 9:30 a.m. to 2 p.m. I discussion and group interaction. Participants will learn child's needs and wants.
Alternative Communication I basic methods to identify the function of behaviors and will
0 $15.00 June 7 9:30 a.m. to 2 p.m. 1 also learn how to reinforce desired behaviors, as well as how June 7 2008
Sensory Needs and Recreation Activities I to avoid reinforcing undesired ones.
I Module Six: Sensory Needs
METHOD OF PAYMENT I March 8, 2008 and Recreation Activities
Check a DAMAR) I Participants will learn about a variety of sensory needs
(p y able to I Module Three. Essentials of their child m have and learn tech to help int
Z11 VISA MasterCard Behavior Modification Part 2 y q p g
Complete information as it appears on card. I
P PP recreational activities at home that will meet those needs. I Participants will learn about prompting, fading and shaping Specific topics include an evaluation of sensory needs
Name on Account as tools to affect how behaviors are performed and how to
and specific instructions for managing sensory needs.
Account 1 encourage behaviors to occur as independently as possible. participants will have a better understanding of activities to
Exp. Date 1 Participants will leave with tools to begin evaluating the include at home, recipes and a basic understanding of how
behaviors for those in their care and developing strategies sensor issues can i everyday functioni
Address 1 for behavioral change. y p y y
Signature 1
MAIL REGISTRATION PAYMENT TO: I The DAMAR Family Training Series on Autism is proudly sponsored by:
DAMAR Services, Inc. 1 a Autism Advocates of Indiana Mary E. Ober Foundation
6324 Kentucky Ave., Indianapolis, IN 46221 1 Efroymson Fund, a CICF Fund Ruth Lilly Philanthropic Foundation
O'Keefe Family Foundation DAMAR Services, Inc.
1 Hoover Family Foundation DAMAR Best
Registration Form Series Module April 12, 2008
I am unable to attend this training series, but please keep me on your I Module Four: Assessment and Goals
mailing list to receive information on future trainings by DAMAR.
1 Participants will learn how to access the needs of their child
First Attendee �O n P\"n 1 in areas such as communication, sensory issues and general
Q
Second Attendee r cn 1 life skills through a combination of lecture, discussion and
Address I January 12 2008 interactive activities. This information will be utilized to
1 create goals for the individual in each area of need that both
City 1 Module One: Introduction to Autism meaningful and measurable.
State ZIP I Participants will be introduced to some of the basic
1 elements of autism treatment through a series of fun and
Daytime Phone I interactive activities, discussion and lecture; learn about
Email I some of the myths and facts regarding autism and gain °reglS�eC for Q��
I insight on how to evaluate research, professionals and 6 sessions a n d SAVE!
PRE REGISTER FOR ALL 6 SESSIONS, SAVE $40 I interventions. A general discussion and completion of See registration form for details.
Fee includes registration and meals for up to 2 people. I assessment materials to be used later in the series will
s Cl $50.00 All 6 Training Sessions I follow. Participants will understand the basics of autism
BEST VALUE! I treatment and have the opportunity to connect with other
$15.00 Jan. 12 9:30 a.m. to 2 p.m. 1 members of the autism treatment community. May 3, 2008
Introduction to Autism 1
Module Five: Alternative Communication
$15.00 Feb. 9 9:30 a.m. to 2 p.m. I Participants will learn about a variety of alternative
Essentials of Behavior Modification Part 1 1 February 9 2008 communication systems commonly used with individuals
$15.00 March 8 9:30 a.m. to 2 p.m. I Module Two Essentials of with autism, including visual schedules, picture exchange,
Essentials of Behavior Modification Part 2 Behavior Modification -Part 1 sign language, social stories and other techniques.
1
$15.00 April 12 9:30 a.m. to 2 p.m. I Participants will learn about several basic elements of Participants will create basic communication tools
Assessment and Goals appropriate for their child and learn how they can be
behavioral training through a combination of lecture, utilized to encourage appropriate communication of the
$15.00 May 3 9:30 a.m. to 2 p.m. I discussion and group interaction. Participants will learn child's needs and wants.
Alternative Communication 1 basic methods to identify the function of behaviors and will
$15.00 June 7 9:30 a.m. to 2 p.m. 1 also learn how to reinforce desired behaviors, as well as how June 7, 2008
Sensory Needs and Recreation Activities 1 to avoid reinforcing undesired ones.
I Module Six: Sensory Needs
METHOD OF PAYMENT I March 8, 2008 and Recreation Activities
Check (payable to DAMAR) Module Three: Essentials of
Participants will learn about a variety of sensory needs
VISA MasterCard Behavior Modification -Part 2 I their child may have and learn techniques to help integrate
I
Complete information as it appears on card. Participants will learn about prompting, fading and shaping recreational activities at home that will meet those needs.
Name on Account as tools to affect how behaviors are performed and how to Specific topics include an evaluation of sensory needs
and specific instructions for managing sensory needs.
Account I encourage behaviors to occur as independently as possible. Participants will have a better understanding of activities to
Exp. Date I Participants will leave with tools to begin evaluating the include at home, recipes and a basic understanding of how
behaviors for those in their care and developing strategies sensor issues can i everyday functioni
y P y y
Address for behavioral change.
Signature
MAIL REGISTRATION PAYMENT TO: I The DAMAR Family Training Series on Autism is proudly sponsored by:
DAMAR Services, Inc. I 0 Autism Advocates of Indiana Mary E. Ober Foundation
6324 Kentucky Ave., Indianapolis, IN 46221 I Efroymson Fund, a CICF Fund Ruth Lilly Philanthropic Foundation
y P 1 O'Keefe Family Foundation DAMAR Services, Inc.
1 Hoover Family Foundation DAMAR Best
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.
Damar Services, Inc.
6324 Kentucky Ave. Date Due
Indianapolis, IN 46221
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/08 ck request autism training 200.00
Total 200.00
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.
Allowed 20
Damar Services, Inc.
6324 Kentucky Ave.
Indianapolis, IN 46221 In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1046 ck request 4357004 200.00 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
25 -Mar 2008
Si ature
200.00 Business Servi s Mana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund