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Home My WebLink About168858 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00352220 Page 1 of 1 ONE CIVIC SQUARE AMERICAN PLANNING ASSOCIATION I CHECK AMOUNT: $345.00 CARMEL, INDIANA 46032 94343 EAGLE WAY CHICAGO L 60678 -9430 CHECK NUMBER: 168858 CHECK DATE: 2/17/2009 'DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMO DESC RIPTION 1192 4357004 345.00 EXTERNAL INSTRUCT FEE rE o r r 2 009 American PlanningAssociation's 2009 Planning Conference American Planning Association Saturday, April 25 through Wednesday, April 29, H Making Great Communities T/ THREE WAYS TO; REGI STER 1 REGISTER AT WWW. PLAN NING.ORG AND SAVE $50 (credit card payments only) 2 COMPLETE FORM AND MAIL TO American Planning Association Payment Center, 94343 Eagle Way, Chicago, IL 60678 -9430 (payments only) 3 COMPLETE FORM AND FAX TO 312- 786 -6735 (credit card payments only), fax line open through March 26 Please print legibly. You must submit both pages of the completed registration form or your registration will not be processed. There is a $50 processing fee for cancellations ($35 for students). NAME AN D Please check here if you are revising a previously submitted registration. (See page 80 for instructions) F HOME FIRST NAME ONLY (FOR BADGE) Y ...._.......................�nn�� M.I., LASTNAME TITLE d��F --tt�� it SS (t GW HOME PHONE 3Lf q 111P r J T l CITY e STATE ZIP OFFICE PHONE NUMBER FAX NUMBER s� 3�b l S�-1 2(Q-�2 31 5`fil q EMPLOYER/SCHOOL N ME DEPT. E -MAIL ADDRESS (REQUIRED: SEE NOTE ON FACING PAGE) oC Send APA tortes ondence to: Home Employer EMPLOYER/SCHOOLADDRESS SUITE p X Send APA invoices to ;Home CEmployer CITY k S TE ZIP O 3 2 Join APA online now! You'll qualify for the member conference price and enjoy member privileges in Minneapolis! Go towww.planning.org/join, follow the onscreen instructions, and make a note of your APA ID. (It will appear on the confirmation screen and be e- mailed to you.) (Seepage 80 for instructions) (See page 81 for instructions) Circle the preregistration fee that applies. Step 8 is required for your registration fee to be Event Quantity Total processed. Payment must be received at APA by: F eb. 26 Mar. 26 On -site Opening Reception (P001) x $70 APA member (entire conference) AICP Fellows Breakfast (X053) x $40 Regular $695 $725 775 rD Life /Retired 100 120 140 Planning Directors Breakfast (P005) x $35 lQ Student 100 120 140 v�' New Professional 295 295 295 Planners' Prayer Breakfast (P200) x $35 Outside U.S. 495 495 495 Planning and the Black Community Nonmember (entire conference)* 925 955 1,005 Division Scholarship Luncheon (P201) x $65 Saturday /Sunday only T Regular APA member 285 285 285 Planning Commissioners 0 Nonmember 385 385 385 and Other Officials Breakfast (P004) x $35 Speaker (entire conference) 695 695 695 Student Reception (P003) x $25 Planning commissioners, elected officials, and appointed officials APA Planning Board Member Awards Luncheon (P002) x $55 tQ Entire conference 695 725 775 rD Saturday /Sunday only 285 285 285 Brave New Workshop (Pi 00) x $40 Monday plus reception 195 220 240 0 Minnesota Twins Game (P101) x $30 Nonmember (verification required) N Entire conference 695 780 830 Mississippi Riverboat Dinner Cruise (P102) x $70 Saturday /Sunday only 385 385 385 Events Subtotal Monday plus reception 195 220 240 Group Rate Register 10 or more planning commissioners, elected officials, or appointed officials from the same jurisdiction and receive a 10 percent discount. (Discount applies to the cost of basic registration only.) You must submit all group partici- pants' registrations together. (Because this registration option is not available online, APA will waive the $50 paper processing fee.) For more information, call APA customer service at 312- 334 1250. *Includes one year of APA and chapter membership to begin July 1, 2009. Does not include member privileges during the 2009 National Planning Conference. 2009 National Planning Conference www.planning.org PAGE 83 Name L nu n ✓T Daytime Phone C S STEP 8: PAYMENT (See page 81 for instructions) (See page 82 for instructions) Limit ONE ticket per workshop Step 2 Subtotal Basic Registration G S MW Step 3 Subtotal Events MW Step 4 Subtotal Mobile Workshops MW Step 5 Subtotal Orientation Tours MW Step 6 Subtotal Training Workshops MW# MW# Step 7 Subtotal CAMP APA Total number of mobile workshops Processing fee for each paper submission 50.00 Mobile Workshops Subtotal Total U.S. Dollars STEP 5: ORIENTATION TOURS STEP 9' METHOD OF PAYMENT (See page 81 for instructions) (See page 82 for instructions) Function Code Quantity Check (payable to APA) Tour Credit card American Express Total Charged Total number of tickets x $49 MasterCard Total Charged Orientation Tours Subtotal Visa Total Charged (See page 82 for instructions) CARD NUMBER EXP. DATE Function Code Title Price CARDHOLDER SIGNATURE REQUIRED CARD NUMBER EXP. DATE CARDHOLDER SIGNATURE REQUIRED fV Total Payment O N Training Workshops Subtotal STEP 7: N t31 APA d (See page 82 for instructions) Chan ges/cancellatio ns 0 Please include the Camp APA form on page 88 with your registration. Please be sure this is a O by 2009 LL valid address. C Quantity Total Questio O 4- Please e registrati onchanges@p l anning.o r g Child Care x $30 /day 1 4- Meal Tickets x $15 /meal office use only cr_ Camp APA Subtotal INITIALS DATE C /Rp AMOUNT CHECK PO /BILLING CREDIT CARD CANCELLATION $50/35 REFUNDS TOTAL PAGE 84 2009 National Planning Conference Preliminary Program Prescribed by State Board of Accounts City Form No. 201 (Rev. 1 Q 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/13/09 APA Conference Darren $345.00 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. WAR NO. ALLOWED 20 American Planning Association gq3` I IN SUM OF L $345.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 43- 570.04 $345.00 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 Friday, February 13, 2009 Director, DOCS Title Cost distribution ledger classification if claim paid motor vehicle highway fund