169011 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00352482 Page 1 of 1
ONE CIVIC SQUARE IMPACT CHECK AMOUNT: $115.00
CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340
INDIANAPOLIS IN 46225 CHECK NUMBER: 169011
CHECK DATE: 2117/2009
DEPARTMENT ACC OUNT PO NUM INVO NUMBER AMOU DESCRIPTION
1201 4355300 115.00 ORGANIZATION MEMBER
VP
P d s w° III
1
IMPACT
Indiana Municipal Personnel Administrators for Cities and Towns
IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities
Towns (TACT) to provide a network for municipal human resource professionals. All
appointed and elected municipal officials who deal with personnel policies, records,
compensation, administration and benefits programs will benefit from membership in
IMPACT.
2009 IMPACT Annual Membership Dues
V$ 50.00 Primary Member (first person from a municipality)
20.00 Secondary Member (each additional person from municipality)
$100.00- Associate Membership
TOTAL D�
Please provide the followbg information. C pp��``'' Name: use_ V {IU�iI
Jll
Title: 1 e Cam` v 1
Municipality: C�
Address: Y 0. z
Phone No.: 31 7 5 11 FaxNo.: 3) 6 a `o�
E -mail Address: `a b v
Cj
Make checks payable to: Indiana Association of Cities and Towns
Mail completed form with payment to:
IMPACT, 200 S. Meridian St., Suite 340, Indianapolis, IN 46225
I understand that as a member of IMPACT, I agree to: (1) maintain the confidentiality of
shared information when warranted; (2) share information with other members of the
group; (3) abstain from using my official membership position to secure special
privilege, gain or personal benefit; (4) contribute relevant materials to the personnel
information resource library; and (5) actively participate in training sessions and group
meetings.
Signature Date
Indiana Municipal Personnel Administrators for Cities and Towns (IMPACT)
Invite You Go Abbend Their
t 4-V
W Wor OP
Wednesday, March 4 Maring-Hunt Library, Muncie
The first IMPACT workshop of 2009 will feature Amy Adolay and Linda Cooley from Krieg DeVault law firm. The
a ttorneys ttorneys focus their work in employment issues and will lead discussions on five HR Subjects during the day and be
available to answer any questions you may have.
AGENDA
For more information, contact WPAC T President
8:30 am 9. am Registration
stepfi'ai Sher at (765) 983-7202:or
9.00 am 9:10 am Welcome
ssherwood@ri chmond ind lan O.gov, or. C&krufri;
9:10 am 10:10 am Avoiding Liability During at (317) 237 6200 or bcockrurp@citiesandto"s .6
Terminations and Layoffs
10:20 am 10:50 am ADAAA
j4ie�*iegi§iidtion deadline is,F6.--15.--After this d at
11:00 am 11:30 am Documentation, Record Retention
e 0 registration
-T- late
,r e g s IJ I
su bject fees
and Legal Holds
11:30 am 12:30 pm Lunch
gegisf&-'66 I in e:a't: w w w.ci tiesan d towns. o I rg:, I
(ke orld "1*,.';
12:30 pn 1:20 pm FMLA
ri
IMPACT) ;:or,' �siubm"it regis'tration b' y m ail IMPA
-2p",
1:30 pm 2:00 pm Timely Tips
S.;Mdridiai 340, Indiana pQ]is, 4622"S. or, r; �Y.`
x '(31.7)237- 6206-
ADAAA (Americans with Disabilities Act- Amendments Act)
FMLA (Family and Medical Leave Act)
Timely Tips (USERAA Uniformed Services Employment
and Reemployment Rights Act, E-Verify, Wage and Hour)
IMPACT Winter Workshop Reqisbrabion
V $25.00 /IMPACT Member $50.00 /Non-member or Regi
sftatioh- After Feb. 25
Total
Attendees:
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Billing Info:
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Name on Card Min AddresF, (ii'different from above)
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wm r Workshop March 4, 2009 Muncie, IN
Register Now! for the March 4th workshop at
www.citiesandtowns.org (keyword: IMPACT).
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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
IMPACT Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.0
02/09/09 200 IMPACT Ann al Membership Dues, $90. 0
(Barb, Sue Dou
Total
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
1111 ARRANT NO. IMPACT ALLOWED 20
IN SUM OF
200 S. Meridian Street, Suite 340
indianapolis, IN 4622b
$115.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1201 553 oo materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignat r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund