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Home My WebLink About155349 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350333 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIES /TOW&ECK AMOUNT: $150.00 CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340 INDIANAPOLIS IN 46225 CHECK NUMBER: 155349 CHECK DATE: 1/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4357002 ACCETTURO 150.00 EXTERNAL TRAINING FEE REG"ISTRATION FORM FULL NAME PREFERRED NAME FOR BADGE MUNICIPALI TY o TITLE ARE YOU NEW TO THE OFFICE YOU ARE ASSUMING JAN. 1? ADDRESS WHERE YOU WANT TO RECEIVE MAIL FROM TACT CITY/TOWN i 7 1 mi l v STATE ZIP CO E MUNICIPAL PHONE MUNICIPAL FAX D �Cet r0 4' ryi�l. in -o EMAIL'A ESS FULL NAME OF GUEST %SPOUSE REGISTERING FOR THE CONFERENCE GUEST /SPOUSE PREFERRED NAME FOR BADGE REC"FIS'I'IIATION FIFES IACT Regional Training Select dates in Nov. /Dec. IACT Boot Camp ,januag 14 -16 Registration deadline: November 21 Registration deadline: December 28 Registration fee: $15.00 Registration fee: $150.00 Aft No vember 21: After December 28: $185.00 Please check events you plan to attend: Guest /Spouse Program januag 14 -16 IACT Regional Trainings Five Locations Registration fee: $65.00 November 28 Merrillville November 29 Fort Wayne PAYMENT INFORMATION December 3 Jasper Discover MasterCard Visa December 4 Columbus December 5 Lebanon Check /Payable to IACT Check IACT Boot Camp Indianapolis NAME OF CARD HOLDER January 14 -16 Boot Camp Attendee January 14 -16 Guest /Spouse Attendee BILLING ADDRESS January 14 Welcome Reception CITY/TOWN STATE ZIP CODE Total Cost for All Events: e:�-) C)y Three ways to register CREDIT CARD NUMBER Mail: IACT, 200 S. Meridian Street, Suite 340, Indianapolis, IN 46225 EXPIRATION DATE 3 -DIGIT VERIFICATION CODE Fax: (317) 237 -6206 Online: www. dtesandtowns.org SIGNATURE OF CARD HOLDER C "ANC,1.LL- ITIONS Cancellations can be sent to Nina Lewis at nleuis d iesandtowns.org or by fax to (317) 237 -6206. Cancellations must be made in writing. Regional Trainin& A full refund will be given if written cancellation is received by November 21. No refunds will be given after that date. Boot Cam A full refund will be given minus a $20.00 processing fee if written cancellation is received by Jan. 4. No refunds will be given after that date. SPECIAL NEEDS IACT will make all programs accessible to you. If you require special arrangements or a special diet, please notify IACT by sending requests to lhein .Zman @citiesandtowns.org. We may not be able to accommodate such requests the day of the event. Meeting room temperature may vary beyond our control; please wear layers of clothing for your comfort. BOOT CAMP HOTEL RESERVATIONS IACT has a limited number of specially priced rooms available at The Westin for Boot Camp attendees. Single occupancy is available for $97.00 /night and double occupancy is $127.00 /night. Attendees can contact The Westin at (317) 262 -8100 to f make their reservation. To receive the special rate, be sure to request the "IACT room block." Reservations can also be made online via the IACT website at Y4,vw.citiesandtowns.org. Look for the Newly Elected Officials Training information page. C3 O CD -0, C O O\ F N n O Cn Newiv Elected 0 C1. r+ Ofl JA(/ T BOOT "AMP Mao MD ll.l'.IOCJ.:J llJ.:.I.DIJ�.'J B a sic Tr I 4 L municipal i January 14J16, 2008 T prosentad by 0 rn Y n Z m!,- V E CT R E N indiana nssockat;o„ Cities and'1'otvns Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. r Payee Alf Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) C) D. �.9 n y r JY f1 f 7 Total 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 o 2an 3 ON ACCOUNT OF APPROPRIATION FOR U/ Board Members PO INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or jsa bill(s) is (are) true and correct and that the ell1ri P cc4--77 570v 2 materials or services itemized thereon for which charge is made were ordered and received except 20 ignature Cost distribution ledger classification if Title claim paid motor vehicle highway fund