HomeMy WebLinkAbout204264 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA ASSOC OF CITIES TOWNS CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 CONFERENCE REGISTRATION
200 S MERIDIAN ST, SUITE 340 CHECK NUMBER: 204264
INDIANAPOLIS IN 46225
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 275.00 EXTERNAL INSTRUCT FEE
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TACT NEWLY ELECTED OFFICIALS TRAINING REGISTRATION FORM
Full Name r `d Phone
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Preferred Name for Badge I^ Email
Title i /J 'q& I r Spouse /Guest Name
�r t
i Municipality t\ Special Needs and Dietary Restrictions
Address o
City /State /Zip Car A z U 4) 3 21
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REGISTRATION FEES MET OD OF PAYMENT
1 heck Visa MasterCard Discover
On /Before Aker
11/23 11/23 Check (Payable to TACT)
Nov. 29 Huntingburg $45 $55 Cardholder Name
Nov. 30 Columbus $45 $55 Credit Card Number
Dec. I/ Fort Wayne $45 $55 Expiration Date
Dec. 3 Carmel $45 $55 3 -digit Verification Code
Dec. 6/ Merrillville $45 $55 Billing Address
MAYORS 1 1 City or Town /State /Zip
On /Before After Signature of Cardholder
11/30 11/30
Municipal Official $145 $155 PLEASE CHECK THE BOOT CAMP EVENTS YOU
*Spouse /Guest s 7 5 $ss PLAN TO ATTEND
WORKSHOP (For planning purposes only. No extra fees apply.)
Monday Welcome Tuesday Conti- Tuesday
On /Before After Reception nen (Breakfast Luncheon
12/22 12/22
Tuesday Reception 4TUesdaylACT P4ednesday Wednesday
Municipal Official $95 $105 in the Exhibit Hall Dinner Party Continental Closing Luncheon
Breakfast
Save $20! Register for $350 $360
both Clerk- Treasurers
Workshop Boot Camp Reimbursement and Reference Materials
Attendees of Regional Training and Mayors School will be given a jump drive
BOOTCAMP of helpful reference materials. Included in these materials will be a detailed
memo regarding how elected officials in transition can be reimbursed for IACT
On /Before After Newly Elected Officials Training expenses. This memo can also be viewed
12/22 12/22 online at www.citiesandtowns.org.
Municipal Official S275 $300 Cancellation Policy
Only written cancellations will be accepted. Please mail your written
*Spouse /Guest $175 $200 cancellation to 200 South Meridian Street, Suite 340, Indianapolis, IN
46225; fax to (317) 237 -6206 or send to nhurt @citiesandtowns.org. Written
cancellations received five business days prior to the event, will be refunded
Total Amount Due: �L J less a $40 processing fee. IACT is not responsible for hotel reservations or
cancellations.
Special Needs and Dietary Restrictions
*The spouse /guest registration fee is restricted to those who IACT will make the conference accessible to you. If you require special ar-
are not municipal officials and who have no professional interest at rangements or a special diet, please notify IACT on your registration form. We
the conference. The fee includes admission to all conference social may not be able to accommodate such requests made the day of the event.
events, meals and the opportunity to network with the spouses and Meeting room temperatures may vary beyond our control; please wear layers
guests of veteran elected officials in the guest lounge. Boot Camp of clothing for your comfort.
registration also includes admission to the exhibit hall.
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11/1012011
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ndiana Association of
Cities and Towns
00 S. Meridian St., Suite 340
ndianapolis, IN 46225
Carmel
All Elected Officials,c; c Clerk Treasurer
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One Civic Square
Carmel, IN 46032
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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.
Payee
I Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
I ALLOWED 20
IN SUM OF
AUD
ON ACCOUNT OF APPROPRIATION FOR
q -75 z4 la,
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