166682 12/10/2008 i
CITY OF CARMEL, INDIANA VENDOR: 110000 Page 1 of 1
0 ONE CIVIC SQUARE GOVERNMENT FINANCE OFFICERS AS %CK AMOUNT: $820.00
CARMEL, INDIANA 46032 203 N LASALLE ST #2700
CHICAGO IL 60601
CHECK NUMBER: 166682
CHECK DATE: 12110/2008
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 820.00 EXTERNAL INSTRUCT FEE
i
I
I
I
103rd Annual Conference Registration Form -Seattle, Washington 9 June 28 July 1, 2009 12
Please print or type. Register online at www.gfoa.org
1 PosimR Ad j a Rd9od pat n Post m arke d Registration ration Conference Registration: Q.
If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are accepted by January 30, 2009) by April 30, 2009) after May 1, 2009) Preconference Seminar(s):
with credit card payments only. Please affix your mailing label here, and Active
make any changes to your record in the spaces provided below. Government 3 70 U $410 $455 New member fee: See page 18 or visit
Member www.gfoa.org
Member Private
First Name MI Last Name Sector U $500 U $545 $620 Discount for paid new member: $25.00')
nn
D6 POT1 e L& l T hE �U Nonmember 10% group discount for 3 or more registrants'
Title /Position U $525 U $560 U $610
o F n� e� Government Sub Total:
Organization/ Company 1 ri Nonmember U $790 0 $820 U $895 GFOA Grand Slam Event:
Private Sector
4o &L
of tickets /adults $40.00 x
Mailing Address Student
(Full-time, U $130 $135 J $145 of tickets /children under 18 515.00 x
Unemployed (Children under 5, complimentary)
City only)
Total Fees:
State /Province Zip /Postal Code Country 'You will receive a 10 percent discount on your conference seminar registration if
31 5 1 Preconference seminar registration and fees are separate from three or more people from your jurisdiction are attending the annual conference
Telephone T annual conference registration and fees. (registrations must be submitted together). This discount does not apply to pre
Check the seminar(s) Of your choice: conference seminars.
Fax r: o 1
r i O U Fiscal First Aid: Budgeting Tactics for Had Economic Times
June 26, 2009 Full Day 9:00 am 5:00 pm
ent by Check, Send to:
E -mail Address (REQUIRED) Paym
U Sustainability GFOA 3076 Eagle Way Chicago, IL 60678 -1030
June 26, 2009 Half Day 1:00 pm 5:00 pm
Preferred Name for Badge U Payment by Credit Card (Fax: 312/977 -4806)
U Making the Transition to Performance Management Send to: GFOA 203 North LaSalle Street •Suite 2700
U Indicate if you are substituting for an active member. June 27, 2009 Full Day 9:00 am 5:00 pm Chicago, IL 60601 -1210
U Assessing the Finance Function: A Critical Look in the Mirror
Name of Active Member June 27, 2009 Half Day 1:00 pm 5:00 pm ❑Amex J Discover MasterCard O VISA
U Getting a Handle on Your IT Costs
June 27, 2009 Half Day 1:00 pm 5:00 pm Name on Card
Print name(s) of additional guest(s). Please attach additional names
if needed, Check rate below:
Please Check One: Member Nonmember Card Number Expiration Date
First Name Last Name Each Full -day Seminar J $310 U $430
Each Half -day Seminar U $150 0$265 Signature
First Name Last Name J Bill Me
Children 12 or Under P.O. Number:
Print name(s) of child(ren) 12 or under. Please attach additional Member Type' Please Check One: All billed registrations should be mailed to: GFOA
names if needed. U Active Government Member U Member Private Sector
U Nonmember 203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1 21 0
First Name Last Name 'Join the GFOA today and receive $25 off your conference registration fee with a paid GFOA Fax Number (312 -977 -4806)
n
membership. For new membership fee information, please see page 18, or visit the
ew G Web site, www.gfoa.org. All tees payable in U.S. funds except for Canadian GFOA Tax ID Number: 36- 2167796
governments which may pay dues in Canadian funds.
First Name L2St Name The GFOA is unable to fax confirmations due to the volume of registrations.
m
103rd Annual Conference Registration Form Seattle, Washington June 28 July 1, 2009 12
Please print or type. Register online at www.gfoa.org y °y
,.a. i r :ti g 4R. a.'�ar..et`; k.h r r ::i'Fy.l+4
Early Registration Advanced Registration Full Registration
g' g� g� Conference Registration:
(Postmarked and paid (Postmarked and paid (Postmarked and paid
If you are faxing this form DO NOT MAIL ORIGINAL. Faxes are accepted by January o. 2009) by April 30. 2009) alter May 1. 2009) Preconference Seminar(s):
with credit card payments only. Please affix your mailing label here, and Active
Government $370 O $410 0 $455 New member fee: See page 18 or visit
make any changes to your record in the spaces provided below. P 9
r Member Private
First Nam MI L t Nam 0 $500 [)$545 :1 $620 Discount for paid new member: $25.00`)
Sector 10% group discount for 3 or more registrants*
Title /P sition Nonmember 0 $525 0 $560 $610
o Government Sub Total:
Organi /Compa Nonmember 0 $790 $820 0 $895 GFOA Grand Slam Event:
PQ �1 L c- �v�ill Private Sector L
�./t L q of tickets /adults $40.00 x
Mailing dress J Student
(Full -time, 0 $130 0 $135 0 $145 of tickets/ children under 18 515.00 x
Unemployed (Children under 5, complimentary)
city Y only)
Total Fees:
State /Province —1 Z-I•P Postal Code Country x You will receive a 10 percent discount on your conference seminar registration if
311 6 Preconference seminar registration and fees are separate from three or more people from your jurisdiction are attending the annual conference
Tel i �r annual conference registration and fees. (registrations must be submitted together). This discount does not apply to pre
conference seminars.
y Check the seminar(s) of your choice:
�ax Fiscal First Aid: Budgeting Tactics for Bad Economic Times 1 o
C CO v V, June 26, 2009 Full Day 9:00 am 5:00 pm
E -mail Address REQUIRED) Payment by Check, Send to
-7� n Sustainability GFOA 3076 Eagle Way Chicago, IL 60678 -1030
4 lI D June 26, 2009 Half Day 1:00 pm 5:00 pm
Preferred Name for Badge Z) Payment by Credit Card (Fax: 312/977 -4806)
Making the Transition to Performance Management Send to: GFOA 203 North LaSalle Street •Suite 2700
Li Indicate if you are substituting for an active member. June 27, 2009 Full Day 9:00 am 5:00 pm Chicago, IL 60601-1210
Assessing the Finance Function: A Critical Look in the Mirror
Name of Active Member June 27, 2009 Half Day 1:00 pm 5:00 pm Amex Discover MasterCard VISA
Getting a Handle on Your IT Costs
June 27, 2009 Half Day 1:00 pm 5:00 pm Name on Card
Print name(s) of additional guest(s). Please attach additional names
if needed. Check rate below:
Please Check One: Member Nonmember Card Number Expiration Date
First Name Last Name Each Full -day Seminar $310 0 $430
Each Half -day Seminar $150 0 $265 Signature
First Name Last Name ❑Bill Me
Children 12 or Under P.O. Number:
Print name(s) of child(ren) 12 or under. Please attach additional Member Type* Please Check One: All billed registrations should be mailed to: GFOA
names if needed. Active Government Member Member Private Sector
Cl Nonmember 203 North LaSalle Street Suite 2700 Chicago, IL 60601 -1210
First Name Last Name *Join the GFOA today and receive $25 off your conference registration fee with a paid GFOA Fax Number (312- 977 -4806)
new membership. For new membership fee information, please see page 18, or visit the
GFOA's Web site. www.gfoa.org. All fees payable in U.S. funds except for Canadian GFOA Tax ID Number: 36- 2167796
governments which may pay dues in Canadian funds.
First Name Last Name The GFOA is unable to fax confirmations due to the volume of registrations.
Prescribed by Slate 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
C r Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Cia 5-7D
Total l
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.
ALLOWED 20
IN SUM OF
�0Ao
U0,0D
ON ACCOUNT OF APPROPRIATION FOR
p C4
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund