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162436 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 361677 Page 1 of 1 ONE CIVIC SQUARE N A T O A CHECK AMOUNT: $2,200.00 CARMEL, INDIANA 46032 PO BOX 826127 PHILADELPHIA PA 19182 -6127 CHECK NUMBER: 162436 CHECK DATE: 8/7/2008 DEPAR ACCOUNT PO NUM INVOICE NUM AMOUNT DESCRIPTION 1160 4357004 2,200.00 LENTZ,HECK, KRCMERY I I vRARRSSVPRRSVRS 4a S1 D:D6DDDd::6DD:61 s�zltttsfl�uct OWOODddd6dN t i nuttitt 666dDdddDD66D6di d"161980ddRIDdl 1P )7 KKKKKA3 v 9ft }gfflf Hlfl If paying by credit card, you may also register for the conference online at www.natoa.org Please print or type. Use a separate form for each person registering for the conference. Full Name GI Yl First name preferred for badge Title 0oonc1m A, r% 1 e_ :V 5 P i 4 Department Comrntirn%-�-y eA 4ip(�S t Agency /Company C 1 1 V t7t CAs MCA Address t f City /State /Zip 0 AS MEA Telephone 54-1- 2_qq5 Fax k t gL4q bq 9 E -mail O v REGISTRATION FEES OPTIONAL SESSIONS For NATOA plannin rposes, please indicate the track that you are most P1 indicate the activity in which you wish to participate likely to follow: ll!'Community Networks Policy and Legal Programming First Time Attendees Meeting Please join us at this meeting if this is your FULL CONFERENCE time aite ding a NATOA conference no charge Full conference registration includes admission to all educational sessions, exhibits, id Community Networks Primer (By reservation only) no charge luncheons, refreshment breaks, receptions and handout materials. It does not Policy and Legal Primer (By reservation only) no charge include optional activities or meals for guests. P ramming Primer (By reservation onl no charge Registration Registration 7/i6/o8 Aker 8/29/08 LW Community Networks Masters Class (By reservation only) no charge until 7/15 /08 until 8 Policy and Legal Masters Class (By reservation only) no charge NATOA Member $575 $625 $675 Programming Masters Class (By reservation only) no charge NLC Primary Member/ $575 $625 $675 Programming Track All Day Storytelling Workshop Elected Official Government Non Member/ $675 $725 8775 Sae urday, September 20 B reservation onl $25.00 Non Profit Tech Showcase— TelVue Corporation Non Member Private Sector $775 $825 $875 T rsda September 18 B reservation onl no charge Tech Showcase— Granicus ONE OR TWO -DAY REGISTRATION Friday September 19 (By reservation only) no charge One or two -day registration includes that day's concurrent educational sessions, Joe Laposa Golf Tournament Tuesday September 16, 2008 $100.00 refreshment breaks, any meals and handout materials. Optional activities are not included. You may register for one or two days, otherwise you must register for FAMILY AND FRIENDS GUEST REGISTRATION the entire conference. All meals for the registrant are included with full conference registration. Wednesday Thursday Friday Saturday If you have registered for the full conference, it is not necessary to purchase Registration (Per Day) additional meals for yourself. NATOA Member: $250 All Meals (includes 3 breakfasts) $275.00 NLC Primary Member/ $250 Thursday Keynote Luncheon 45.00 Elected Official Thursday Welcome Reception 50.00 Government Non Member/ $280 Non -Profit Saturday Keynote Luncheon 45.00 Non Member Private Sector $350 Saturday GPA Awards Banquet 80.00 ANNUAL BUSINESS MEETING TOTAL CONFERENCE PAYMENT Please indicate your intent to attend the Annual Business Meeting Please include all categories checked, i.e., registration fees, extra meals, and new ember dues Total: 5 2- ACCOMMODATIONS FOR PEOPLE WITH DISABILITIES: NATOA wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of an auxiliary aid or service. If any auxiliary aid or service identified with the Americans with Disabilities Act is required, please contact NATOA Headquarters at info@natoa.org or (703) 519 -8035. SPECIAL DIETARY NEEDS Please indicate here or email info@natoa.org if you require special dietary needs, such as diabetic, kosher, vegetarian, etc. Dietary requests such as Atkins or South Beach cannot be accommodated. Contact NATOA Headquarters at infoOnatoa.org or (703) 519 -8035 if you have any questions. CANCELLATION POLICY: Conference Registration: Full registration fee minus a 25% service charge will be refunded if cancellation is received in writing at NATOA Headquarters no later than Friday, August 29, 2008. No refunds will be made for cancellations received after Friday, August 29, 2008. Substitutions are permitted and encouraged in lieu of cancellation. You may fax your cancellation to (703) 519 -8036. PAYMENT INFORMATION Please note that actual payment must be received by the date indicated in order to receive the registration rate. If your registration form and payment are not received by the date indicated, the correct (higher) fee will be applied. A purchase order does not constitute payment. If paying by check, complete and return this form with payment to: NATOA, P.O. Box 826127, Philadelphia, PA 19182 -6127 Registrations paid by credit card or Government PO may be faxed to (703) 519 -8036 Government PO No If paying by credit card, you may also register via our web site at www.natoa.org CREDIT CARD INFORMATION: VISA MasterCard American Express Credit card number Exp. date Cardholder name Signature cool 1 i��tcsn�t�n�� nttatu D1t6Q9H9�i 4 d._ f ws*TCn SRIdSSRtfaeb d: It •aa 3 If paying by credit card, you may also register for the conference online at www.natoa.org Please print or type. Use a separate form for each person registering for the conference. Full Name V�U_nCy N e—r— k First name preferred for bade 0.,t1C Title 1 r 1 S Department l m m LL*1 1 pL t, t S Agency /Company c Tmj Address City /State /Zip N U L_r Q 1J 2 pt Telephone( 3 S� 24 y Fax �J) l J Vy'i" J� 1 g E-mail c-A.c met 1 n °i o V REGISTRATION FEES OPTIONAL SESSIONS For NATOA planning purposes, please Mid' t the track that you are most Ple indicate the activity in which you wish to participate likely to follow: Community Networks Policy and Legal Li Programming l�" First Time Attendees Meeting Please join us at this meeting if this is your first time attending a NATOA conference no charge FULL CONFERENCE Full conference registration includes admission to all educational sessions, exhibits, Co muni Networks Primer B reservation only) no charge luncheons, refreshment breaks, receptions and handout materials. It does not Sk'I G licy and Legal Primer )By reservation only) no c include optional activities or meals for guests. U Programming Primer )By reservation only) no charge Registration Registration 7/16/o8 Alter 8 /29/o8 U Co nit Networks Masters Class (By reservation only) no charize until 7/15 until8 /29 /oe olicy and Legal Masters Class (By reservation only) no charge NATOA Member $575 $625 $675 Pr Masters Class JBy reservation onl no charge NLC Primary Member/ $575 $625 $675 Ulfrogramming Track All Day Storytelling Workshop Elected Official Government Non Member/ $675 $725 $775 S da September 20 B reservation onl $25.00 Non -Profit Tech Showcase— TelVue Corporation Non Member Private Sector $775 $825 $875 T sda Se tember 18 B reservation onl) no charge Tech Showcase— Granicus ONE OR TWO -DAY REGISTRATION Friday September 19 )By reservation only) no c h a rge One or two -day registration includes that day's concurrent educational sessions, Joe Laposa Golf Tournament Tuesday September 16 2008 $100.0 refreshment breaks, any meals and handout materials. Optional activities are not included. You may register for one or two days, otherwise you must register for FAMILY AND FRIENDS GUEST REGISTRATION the entire conference. All meals for the registrant are included with full conference registration. Wednesday Thursday U Friday U Saturday If you have registered for the full conference, it is not necessary to purchase Registration (Per Day) additional meals for yourself. NATOA Member: $250 All Meals (includes 3 breakfasts) 27 5. 00 NLC Primary Member/ $250 Thursday Keynote Luncheon 4 5.00 Elected Official Thursday Welcome Reception 50.00 Government Non Member/ $280 Non -Profit Saturday Keynote Luncheon 45.00 Non Member Private Sector $350 Saturday GPA Awards Banquet 80.00 ANNUAL BUSINESS MEETING TOTAL CONFERENCE PAYMENT Please indicate your intent to attend the Annual Business Meeting Please include all categories checked, i.e., registration fees, extra meals, and new member dues Total: 45c) C�o ACCOMMODATIONS FOR PEOPLE WITH DISABILITIES: NATOA wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of an auxiliary aid or service. If any auxiliary aid or service identified with the Americans with Disabilities Act is required, please contact NATOA Headquarters at info @natoa.org or (7031519-8035. SPECIAL DIETARY NEEDS: Please indicate here or email info (&natoa.org if you require special dietary needs, such as diabetic, kosher, vegetarian, etc. Dietary requests such as Atkins or South Beach cannot be accommodated. Contact NATOA Headquarters at info @natoa.org or )703) 519 -8035 if you have any questions. CANCELLATION POLICY: Conference Registration: Full registration fee minus a 25% service charge will be refunded if cancellation is received in writing at NATOA Headquarters no later than Friday, August 29, 2008. No refunds will be made for cancellations received after Friday, August 29, 2008. Substitutions are permitted and encouraged in lieu of cancellation. You may fax your cancellation to )703) 519 -8036. PAYMENT INFORMATION Please note that actual payment must be received by the date indicated in order to receive the registration rate. If your registration form and payment are not received by the date indicated, the correct (higherl fee will he applied. A purchase order does not constitute payment. If paying by check, complete and return this form with payment to: NATOA, P.O. Box 826127, Philadelphia, PA 19182 -6127 Registrations paid by credit card or Government PO may be faxed to )703 519 -8036 Government PO No If paying by credit card you may also register via our web site at www.natoa.org CREDIT CARD INFORMATION: VISA MasterCard American Express Credit card number Exp. date Cardholder name Signature RilRRRlRRlRlRRR °d -e :a .,u� ➢kkk:.:Qk ➢`91 etszx�on�oa �'It''I ntt�tt k➢kkk9Qk➢k99QDOI f ttttttw Q9k &D9kDD8 UU% 9k ➢9DQ9Q99k9Qk91 r' f 1 aRa ae nae+r r 4.•. r��' a sunnrnar t J �e ai if paying by credit card, you may also register for the conference online at www.natoa.org 1 Please print or type. Use a separate form for each person registering for the conference. Full Name M LA dJY t p Lr✓ -Z First n preferred for badge 1`� ibI a_n 1 e, Title n kcL Department Agency/Compan Address City /State /Zip 'I Q Telephone j��l ,5� 2."I Fax (Z> ��1 R�y c�y 1 (j E -mail (��n� C0. Me.I 1 n C1 OI/ REGISTRATION FEES OPTIONAL SESSIONS For NATOA planning purposes, please indicate the track that yo re most Pleas indicate the activity in which you wish to participate likely to follow: Community Networks Policy and Legal l7 Programming first Time Attendees Meeting Please join us at this meeting if this is your FULL CONFERENCE first time attending a NATOA conference no charge Full conference registration includes admission to all educational sessions, exhibits, Community Networks Primer (By reservation only) no charge luncheons, refreshment breaks, receptions and handout materials. It does not J Pgjicy and Legal Primer JBy reservation only) no charge include optional activities or meals for guests. Programming Primer (By reservation only) no charge Registration Registration 7 /26 /08 After 8/29/08 J Community Networks Masters Class (By reservation only) no charge until 7/15 /08 until8 /:9/08 Policy and Legal Masters Class (By reservation onl no charge NATOA Member $575 $625 $675 Programming Masters Class (By reservation only no charge NLC Primary Member/ $575 $625 $675 Programming Track All Day Storytelling Workshop Elected Official S rda September 20 B reservation only) $25.00 Government Non Member/ $675 $725 $775 Non -Profit Tech Showcase— TelVue Corporation Non Member Private Sector $775 $825 $875 T da September 18 B reservation only) no charge ech Showcase— Granicus ONE OR TWO -DAY REGISTRATION Friday September 19 (By reservation only) no charge One or two -day registration includes that day's concurrent educational sessions, ❑Joe Laposa Golf Tournament Tuesday September 16, 2008 $100.00 refreshment breaks, any meals and handout materials. Optional activities are not included. You may register for one or two days, otherwise you must register for FAMILY AND FRIENDS GUEST REGISTRATION the entire conference. All meals for the registrant are included with full conference registration. J Wednesday J Thursday Friday J Saturday If you have registered for the full conference, it is not necessary to purchase Registration (Per Day) additional meals for yourself. NATOA Member: $250 All Meals (includes 3 breakfasts) $275.00 NLC Primary Member/ $250 Thursday Keynote Luncheon S 45.00 Elected Official Thursday Welcome Reception 50.00 Government Non Member/ $280 Non -Profit Saturday Keynote Luncheon 45.00 Non Member Private Sector $350 Saturday GPA Awards Banquet S 80.00 ANNUAL BUSINESS MEETING TOTAL CONFERENCE PAYMENT Please indicate your intent to attend the Annual Business Meeting Please include all categories checked, i.e., registration fees, extra meals, and new member dues Total: S 2. 1: 00 ACCOMMODATIONS FOR PEOPLE WITH DISABILITIES: NATOA wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of an auxiliary aid or service. If any auxiliary aid or service identified with the Americans with Disabilities Act is required, please contact NATOA Headquarters at info @natoa.org or (703) 519 -8035. SPECIAL DIETARY NEEDS: Please indicate here or email info @natoa.org if you require special dietary needs, such as diabetic, kosher, vegetarian, etc. Dietary requests such as Atkins or South Beach cannot be accommodated. Contact NATOA Headquarters at info @natoa.org or (703) 519 -8035 if you have any questions. CANCELLATION POLICY: Conference Registration: Full registration fee minus a 25% service charge will be refunded if cancellation is received in writing at NATOA Headquarters no later than Friday, August 29, 2008. No refunds will be made for cancellations received after Friday, August 29, 2008. Substitutions are permitted and encouraged in lieu of cancellation. You may fax your cancellation to (703) 519 -8036. PAYMENT INFORMATION Please note that actual payment must be received by the date indicated in order to receive the registration rate. If your registration form and payment are not received by the date indicated, the correct (higher) fee will be applied. A purchase order does not constitute payment. If paying by check, complete and return this form with payment to: NATOA, P.O. Box 826127, Philadelphia, PA 19182 -6127 Registrations paid by credit card or Government PO may be faxed to (703) 519 -8036 Government PO No If paying by credit card, you may also register via our web site at www.natoo.org CREDIT CARD INFORMATION: VISA MasterCard American Express Credit card number Exp. date Cardholder name Signature I Prescribed ry State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 1 N PT A Purchase Order No. T.Q 1�' n% g2j 12-' Terms \A n 1 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) N e..nc �k2� X50 .00 Mai x-25 Total (n 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. �5c o ALLOWED 20 N�'TaF� CD IP6 I17l, 2 -)?S IN SUM OF .O 'P— $2--6 OU kQje,\2V 6a \°11 &Z ON ACCOUNT OF APPROPRIATION FOR May \6C)- E x 4-pc Noa n c,5 LLr E- Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 435�ppy 00 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 20 1 Sig ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund