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Home My WebLink About204954 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 354956 Page 1 of 1 Q� ONE CIVIC SQUARE S H R M CHECK AMOUNT: $1,160.00 �4 +.r CARMEL, INDIANA 46032 P 0 BOX 79482 BALTIMORE MD 21279 -0492 CHECK NUMBER: 204954 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4357004 12 -19 -11 1,160.00 EXTERNAL INSTRUCT FEE ATLANTA ADDITIONAL CONFERENCE ACTIVITIES Join Now! $165 with additional conference activities S Premium Package Upgrade O 'Member$295 O NonmemberS560 S 0 6.24 -0 6.2 7 Super Sunday Sessions Session A q (j 3 ((ode is required; no feel Preconference Workshops SHRM'S 64TH ANNUAL CONFERENCE EXPOSITION Session N (code is required) O I -Poo Workshop O 2 -Pmt Workshop NO TELEPHONE REGISTRATIONS WILL BE ACCEPTED. Print clearly. Use one form for each registrant. Member Reg Fed +$335 Reg Fee +$565 O( 2z Nonmember Reg fee +S610 Reg Fee +$840 SHRM MEMBER NUMBER: 3 514RM Seminars' Name C 0 ,S'u e Member 5i 605. Nonmember 52 LAST f FIRST M. 1. 0 Essentiiils of Human Resource Management O FioameTor Strotegi(HR Partners Name for Badge so—Q Lj2l7-GC[/) l 1 1 Member 51,905 Nonmember 59j,"T �G c3 Global Cultural Competence for Business lenders Job Tide 1 S AiemLer S2,010 Hor�rnember S2.2i Business /Company f L1 0 T C' crn e O Employee Relations O,HR Business Partners Street Address L[ G Sc e aC- re l O HR Generalist City Lal e State /Province ZIP /Postal Code e e''62 1 5 Human CapitolAnalyt¢s Using HR Metric stoDmeResults CC O Strategic Human Resources: Del uenng Business Results Country $HRM Certification Preparation Courses' Is this your O home or 1D business address? The address listed above will be encoded on your Meni6ei 52 010' Nonmember 52,215 smart card and is the address that your conference materials will be mailed to. PHR /SPNR(ertNicationPreparation {nu se O On Ce t'rfication Preparation Course Business Number 31 7 J7l J E5 Business Fax 377 5 7� c 4 0 SHRM.Executive Education' E -mail Address (Print clearly): Fcict /7�} (c' G�l� n} f7 .q U y/ MemH( +r 52,755 Har;nienrber S3,(i20 O Strategic leadership The Next :Paiadigni for HR (Presented in Padneshi wiihCarnel0 prices Conf erence COn f y P re istrury0n p J Improyingfmployees Financial Fitness (Presented in partnership Until 1.21.12 4.14.12 After with the George Washington University) O Boundary Spanning leadership: (ollabomte, Innovate and 1.20.12 4.13.12 5.25.12 5.25. 12 Transform Your Organization (Presented in Partnership with (CL) MEMBER $1,160 $1,335 $1,440 $1,570 tAemhe. S2, 110 Honniember'S2,3 O Sustaining a Competitive Advantage !hmugh o Culture of JOIN NOW! $1,325 $1,500 $1,605 $1,735 Excellence (Presented in Partnership with Disney) NONMEMBER $1,575 $1,750 $1,855 $1,985 SHRM Exposition On ly: Included in full 8 une-day registrations, +x rr v cemilicote programs, and guest program. 5110 /day. a -ar. W ,Mf az� 1,, a� o, a 0 Sun, June 24 O Mon, June 25 O Tues, June 26 First Last i:EGiS7EP FOR :iit'ANNUAL REGI5TER .EORADDIr10t4ALCOt4FEPENCE CONFERENCE ONLY ACTIVITIES Guest Program: All guest registrants must he registered by a full conference attendee. Guest no me required for bodge: The registration fee includes,general sessions Gild lunch- Please note that some conference ochvities require 1 Fim last eons; odmisssiori to the SHRM Exposition, educational additional fees Select.you, addttir nil activities in concurrent sessions, one tick'et,to the Tuesday night OR the column an the'right calcu!ate,your con(etence Number of Guests x $295 show, and online access coiiference presentations. pace and indicate the total in the space belowr Tuesday Night Show: Can ticke- included in registration fee. Total number of odditionoltickets x 580 Cancellation Policy; TOTAL DUE 5 .x �f/ TOTAL DUE S' p= —A cancellation must he in writing and foxed to (70 3) 535 -6490 at T emniled to acieseorch i� 7 Confirmed registrants mayconcel and receive a full refund minus a $250 admin stiatwc fec tluough January 20, 2012. T Fifty percent (50 of the registration fee will he refunded for innc'ellntions received f om January 21 through April 13,'2012. Puyn7ent information f<., Cdncellanons received ahei Aprill3, 2012; arc nonefundable. I authorize SHRM to charge my: O AMEX O VISA 0 MasterCard P r' IfaSHRMm mbgrirarsfershisaiherregistratimrtoanonmember, c the nonmer`nber must do one of two things: Pay the difference of the Card Ex Date .n Exp. ate_ SHRM member and nonme'mher price of the time of the transfer or become h SHRM member at the time of the hansfer. Signature S Plan Note: Premium Package purchases ore nonrefundable. Please Take o Moment to complete the following. NAME AS IT APPEARS ON CREDIT CARD BILL O No I do not want to receive additional SHRM Annual Conference related mailings from exhibitors and sponsors. Cardholders Daytime Phone Number, Year Entered Profession: Aa Company Size: How marry individuals are employed in your organize. Lion worldwide? O 1 -24 0 25-49 O 50 -99 O 100 -249 Accounting Use Only O 250 -499 SDO -999 O 1,000 -2,499 O 2,500 -4,999 =MD FAX form to: Date 0 5;000 -9,999 O 10,000= 24,999 O 25,000+ (703) 535-6490 Amt 82 Please allow 5 -7 business days for processing. C (hk. s Job Function: O Director O Manager 21279 0492 Pers. (hk. Other: P3e%e/c� For quicker processing, register Chat. Chk. s *SHRM Serninors, SHRM Certification Preparation Courses eeks for processing. online at http: /annual.shrm.org. Mny Order A and SHRM Executive Education pricing includes conference Source Code: ANN12WE8rs registration. Prescribed by 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/19/11 12.19.11 Annual Conference $1,160.00 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. WARRANT NO. ALLOWED 20 SHRM PO Box 79482 IN SUM OF Baltimore, MD 21279 -0492 $1,160.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1201 12.19.11 43- 570.04 $1,160.00 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 Monday, December 19, 2011 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund