177258 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA ASSOC OF CITIES TOWNS CHECK AMOUNT: $135.00
CARMEL, INDIANA 46032 CONFERENCE REGISTRATION
200 S MERIDIAN ST, SUITE 340 CHECK NUMBER: 177258
INDIANAPOLIS IN 46225
CHECK DATE: 9/1512009
DEPARTMENT ACC PO NUMBER INVOICE NUM BER A AMOU DE SCRIPTI ON
2200 4357004 A 135.00 EXTERNAL INSTRUCT FEE
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Page 1 of 3
E C E I P T back
To: "Michel McBride" mmcbride @carmel.in.
From: jmuehlfeld @citiesandtowns.org
?r Subject: Conference Registration
Date: Sep 3, 2009 1:03 PM
Tracking CONF9891251997399
Thank you for registering for the TACT Annual Conference tt Exhibition.
Please print a copy of this page for your records; this will serve as your receipt. There is a printer friendly
option on the upper right -hand side of the page.
Ify u_ ei ted-th a tnvoice�ke'= o ption,; please- pr nt- off this -p a as�your_lttva�te�an a o ch ck
oAde 1 aaav e- to a ddress-below
If you require special arrangements we will do our best to accommodate you.
Cancellation Policy
Written cancellations received on or before September 25, will be refunded less a $40 processing fee. Only
written cancellations will be accepted. Please mail your written cancellation to 200 S. Meridian St., Suite 340,
Indianapolis, IN 46225, Attn: Lindsay Heinzman; fax to (317) 237 -6206 or send to
Ihei nzmon@citiesandtowns.or g.
IACT is not responsible for hotel reservations or cancellations.
Transaction Summary
Item Cost Qty Total
Contact Information
First Name: Michel
Last Name: McBride
Municipality /Company: City of Carmel
Telephone: (317)571 -2441
Address: One Civic Square
City: Carmel
State: IN
ZIP Code: 46032
Conference Registration Form
1 Registration Type: 135 135.00 1 135.00
First Name: Michael
Last Name: McBride
Title: City Engineer
Municipality /Company: City of Carmel
Address: One Civic Square
https /w%vw.citiesandtowns.orglegov /apps /conferencelregi st rat i on. fego0path— prnt &transl... 9/3/2009
Page 2 of 3
City: Carmel
State: IN
ZIP Code: 46032
Telephone: (317)571 -2441
Email: mmcbride @carmel.in.gov
First time attending IACT Annual Conference
Exhibition 'No'
Sunday Welcome Party: 'No'
Monday Nelson Steele Memorial Run /Walk: 'No'
Monday Opening Business Session and Continental
Breakfast: 'No'
Monday Annual Awards Luncheon: 'No'
Tuesday Breakfast in Exhibit Hall: 'No'
Tuesday Lunch in Exhibit Hall: 'No'
Tuesday Closing Business Session: 'No'
Tuesday Presidents Reception Annual Banquet: 'No'
Wednesday Closing Breakfast: 'No'
Golf at Donald Ross: 'No'
Sub -total 1 135.00
Shipping /Handling /Access Fee 0.00 0.00
Total Cost 135.00
Billing Contact
Michel McBride
City of Carmel
One Civic Square
Carmel, IN 46032
mmcbride@carmel.in.gov
Payment Details
Paid: Invoice
Method: Other
Card Type: NULL
Card Number: NULL
Expiration Date: xxx xxxx
Indiana Assocation o1�Cities and Towns
Station Place
200 South Meridian Street, Suite 340
Indianapolis 4622
(317) 237 -6200
littps: /www.Citiesandtowns.or /apps/ conference /registiation.1'e ?path =pint &trans]... 9/3/2009
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
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Pa ee
200 South Meridian Street, Suite 340
Purchase Order No.
Indianapolis,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
coNF9891251997 99 on erence
Mike McBr'de $135. 0
135.00
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
TACT IN SUM OF
200 South Meridian Street, Suite 340
Indianapolis, IN 46225
$135.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
na
materials or services itemized thereon for
which charge is made were ordered and
received except
20 11
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund