HomeMy WebLinkAbout205674 01/25/2012 ate,£ CITY OF CARMEL, INDIANA VENDOR: 00352458 Page 1 of 1
ONE CIVIC SQUARE GOVERNMENT FINANCE OFFICERS AS %ECK AMOUNT: $760.00
CARMEL, INDIANA 46032 3076 EAGLE WAY
CHICAGO IL 60678 -1030 CHECK NUMBER: 205674
CHECK DATE: 1/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 GFOA CONF 760.00 EXTERNAL INSTRUCT FEE
Winds of Change: Public Finance in Transition 106th GFOA Annual Conference
McCormick Place West, Chicago, Illinois a June 10 --13, 2012
Please remove this registration form, fill it out, and fax it to the GFOA, Fax: (312) 977 -4806. You can also register online at: www.gloa.org.
w
r tease print or type, 'Regis,tpr online at www- gfoJ,ntq Preconference seminar registration and fees are separate from annual conference
If you are taxing this form DO NOT MAIL ORIGINAL. Faxes are accepted with credit card registration and tees. Check the seminars) of your choice:
payments only. Please affix your mailing label here, and make any changes to your record Best Practices in Procurement June 8, 2012 %2 Day 8:30 a.m. —12:30 p.m.
in the spaces provided C %a vided below. Taming Employee Health -Care Benefit Casts June 8, 2012 Day 1:00 p.m.— 5:00 p.m.
_I IV 4 Using the CIPFA -GFOA FM Model to Achieve Your Financial Management Goals
First Name i �I I MI Last Name r— I/L 0 June 8, 2012 /z Day 1:00 p.m. 5:00 p.m.
V 1 ��I 0 r 0 A ern L Taking Charge of Internal Control: A Managerial Perspective
Title Position Organization /Company June 9, 2012 %2 Day 8:30 a.m. —12:30 p.m.
1 C The Finance Officer's Role in Labor Relations
Mail in Address June 9, 2012 Day 8:30 a.m. —12:30 p.m.
C �i��Mli (v jz O Using Performance Management to Rethink Service and Funding Priorities
City State /Province Zip /Postal Code Country June 9, 2012 %2 Day 1:00 p.m.— 5:00 p.m.
z ±Z9 Taking the Mystery out of Alternative Service Delivery Options
June 9, 2012 %2 Day 1:00 p.m. 5:00 p.m.
Telephone Check rate below: Each Half Day
l Government Member $160
Fax Private- Sector Member LJ $185
CSIn{' ��S C Gt fYl e` 1� P Nonmember Government $175
1 V Nonmember Private Sector Q$210
E -mail Addr ss (REQUIRED) GFOA M ership (if available)
Pref N ame for Badge Member Type' Please Check One:
Indicate if you are substituting for an active member. Government Member Private- Sector Member
'Join the GFOA today and receive $25 off your conference registration lee with a paid new mem-
bership. For new membership fee information, please visit www.giaa.organd click on "Join GFOA,"
N ame of Active Member GFOA Membership (it available) e-mail membership@gfoa.org, or call GFOA at 312 977-9700. All lees payable in U.S. funds except for
Canadian governments which may pay membership does in Canadian funds.
Print names} of additional guests Please anacn addnimiai names it needed
1 61�iEiK�7 Conference Registration:
M1
First Name Last Name Group Discount:
Preconference Seminar(s):
First Name Last Name
New member tee: Visit www.gfoa.org or call GFOA at (312) 977 -9700 for foe.
Children 12 or Under: Print name(s) of child(ren) 12 or under. Please attach additional names if needed
Discount for paid new member: $25.00')
First Name Last Name Sub Total:
Q-13( LH "6j&1f__1 S GFOA Tuesday night event: of tickets /adufts $40.00 x
First Name Last Name of tickets/ children teens under 21 $15.00 x
of tickets /children under 5, Complimentary D
Early Registration Advanced Registration full Registration Total Fees:
(Postmarked and paid (Postmarked and paid (Postmarked and paid 'You will receive a 10 percent discount on your conference registration if three or more people from
byJan 1 u a 3y� 31, 2012) by April 11, 2012) by April 12, 2012) your jurisdiction are attending the annual conference (registrations must be submitted together).
Government Member dY$38a $425 S475 This discount does not apply to preconference seminars.
Private Sector Member $525 $570 Ll $645
Nonmember Government U $535 $575 Q $630 a
Nonmember Private Sector $815 $845 CJ $920 Please do not submit duplicate copies.
Student (Fun -lime, unemployed only) $130 O $135 $145
Payment by Check: Payable to "Government Finance Officers Association"
Send to: GFOA 3076 Eagle Way Chicago, IL 60678 -1030
Payment by Credit Card or billed registration, Fax: J31 2) 977 -4806
A copy of the confirmation and invoice will he sent as a PDF attachment via a -mail from Send to: GFOA 203 N. LaSalle 51. Suite 2700 Chicago, IL 60601.1210
training @gfoa.org. Please add this address to your allowed senders list. Amex 0 Discover MasterCard VISA
Pleatse remove this registration faros. fill it out, and Name an Car
fax it to tire GFOA, t=ax: 1312) 977.4806.
You can also register online at_ www,gfoB.org Card N umber E xpiration Date
OR scan the completed turn) and e-mail it to: ssdterencaC +gftra -erg.
H you need login information, e mail Itsoirrsf�gfna.org• Si gnature
Bill Me. (Scan and e-mail it to: conferenceftfoa.org or tax: (312) 977 -4806)
Cancellation and Refund Policy GFOA Tax ID Number: 36- 2167796
April 15, 2012: No fee for cancellations received before this date.
April 16, 2012: Cancellations postmarked between April 16 May 21 will be refunded,
less a 25 percent Service fee. Covernunerrt Finance Officers Assuciatiun
May 21, 2812: Cancellations postmarked after May 21 but by June 4 will be refunded, r zo t ry „ror €.asane st C r s„ir, 2700 (:1miago, minis 60601-12 10
less a 50 percent service fee. V 31 2- 977 -9700 (ar: 312- 977.4so6 w,r,v�oa.org
June 5, 2012: No refunds will be issued this date forward.
Winds of Change: Public Finance in Transition 106th GFOA Annual Conference 0;
McCormick Place West, Chicago, Illinois June 10 —13, 2012
Please remove this registration form, fill it out, and fax it to the GFOA, Fax: (312) 977 -4806. You can also register online at: www.gfoa.org.
Please print or type. Register online at www.gfoa.nrg Preconference seminar registration and fees are separate from annual conference
If you are taxing this form 00 NOT MAIL ORIGINAL. Faxes are accepted with credit card registration and fees. Check the seminar(s) of your choice.
payments only. Please affix your mailing label here, and make any changes to your record Best Practices in Procurement June 8, 2012 %2 Day 8:30 a.m. -12:30 p.m.
i the esspares provided below. ��J Taming Employee Health -Care Benefit Costs June 8, 2012. Day 1:00 p.m. 5:00 p.m.
L-J l t'� J .L L 0,64 K Al Using the CIPFA -GFOA FM Model to Achieve Your Financial Management Goals
C a First Name I Last N e �(.�Q��/j�i June 8, 2012 Y2 Da 1:00 m. 5:00 m.
\F- �V O F LV r 1�►► r y Taking Charge of Internal Control: A Managerial Perspective
Title /Position Organization /Company June 9, 2012 %z Day 8:30 a.m. -12:30 p.m.
V �C y� The f=inance Officer's Role in Labor Relations
Mailing Addresses `61J June 9, 2012. Day 8:30 a,m. -12:30 p.m.
,ABC r 2 Using Performance Management to Rethink Service and Funding Priorities
City d State /Province Zip /Postal Code Country June 9, 2012 Day 1:00 p.m. 5:00 p.m.
�(_(t Taking the Mystery out of Alternative Service Delivery Options
Telephone June 9, 2012 %2 Day 1:00 p.m. 5:00 p.m.
Check rate b Ea ch
Government M Member $160 ay
Fax /1 Private- Sector Member $185
It r /1L� ic7/ c I/V1(�� D Nonmember Government 0$175
E m Address (REQUIRE l" Y GFOA MciaWership (if available) Nonmember Private Sector $210
l Ai\�, L
Preferred Dame for Badge Member Typo` Please Check One:
Indicate if you are substituting for an active member. Government Member Private-Sector Member
`Join the GFOA today and receive $25 off your conference registration fee with a paid new mem-
bership. For new membership tee intormation, please visit www.gloa.org and click on "Join GFOA,"
Name of Active M ember GFOA Membership (if available) e -mail membership ®gfoa.org, or call GFOA at 312 977.9700. All tees payable in U.S. funds except for
Canadian governments which may pay membership dues in Canadian funds.
Print name(s) of additional guest(s). Please attach a0lienai names it needed.
Conference Registration:
First Name Last Name Group Discount:
First Name Last Name Preconference Seminar(s):
New member fee: Visit www.gfoa.org or call GFOA at (312) 977 -9700 for fee.
Children 12 or Under: Print name(s) of chlld(ren) 12 or under. Please anaO additional namesitneeded.
Discount for paid new member: $25.00')
First Name Last Name Sub Total:
GFOA Tuesday night event: of tickets /adults 540.00 x
First Name Last Name of tickets /children /teens under 21 S15,00 x=
of tickets lahlldran under 5, Complimentary x D
Early Registration Advanced Registration Full Registration Total Fees:
(Postmarked and paid (Postmarked and paid (Postmarked and paid "You will receive a 10 percent discount on your Conference registration If three or m0 a e0pe 1rOm
by Jauoa 31, 20121 by April 11, 2012) by April 12, 2012) your jurisdiction are attending the annual conference (regislralions must be submitted together).
Government Member ;;80 $425 $475 This discount does not apply to preconference seminars.
Private Sector Member 0$525 $570 $645
Nonmember Government $535 13$575 $630�:
Nonmember Private Sector Q $815 $845 $920 PI e ado not submit duplicate copies.
Student {Full -time, Unemployed only) $130 $135 $145
Payment by Check: Payable to "Government Finance Officers Association"
M Send to: GFOA 3075 Eagle Way Chicago, IL 60678 -1030
Payment by Credit Card or billed registration, Fax: (312) 977 -4806
A copy of the confirmation and invoice will be sent as a PDF attachment via e-mail from Send to: GFOA 203 N. LaSalle St. Suite 2700 Chicago, IL 60601 -1 21 0
trainingftfoa.org. Please add this address to your allowed senders list. Amex O Discover MasterCard VISA
Please remove this registration form, fill it not, and Name on Car
fax it to thy GFOA, Fax: (312) 9774806.
You can a lso register online at: Card Number Lxpiration Cate
OR scary the carnpieted form arld e-mail it to: annterenre yfo q.org.
it you newt login information, e-mail ingins(�gfoa.org• S ignature
Bill Me. (Scan and e-mail it to: conference @gfoa.arg or fax: (312) 977.4806)
Cancellation and Refund Policy GFOA Tax ID Number: 36- 2167796
April 15, 2012: No tee for cancellations received before this date.
April 16, 2012: Cancellations postmarked between April 16 May 21 will be refunded,
less a 25 percent service fee. Government Finance Officers Assuciatiou
May 21, 2012: Cancellations postmarked after May 21 but by June 4 will be refunded, 203 North L.35alic Str,:et sine 2700 Chicago, Illinois 60601 -12
less a 50 percent service fee. 312- 977 -9700 f ax: 312- 977 -4806 ry wdfoa.orq
June 5, 2012: No refunds will be issued this date forward.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) t
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))
a
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
WEN �03Z
J�
ON ACCOUNT OF APPROPRIATION FOR
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
r c
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund