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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