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176303 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 361255 Page 1 of 1 ONE CIVIC SQUARE CARRIE KEAVENEY CARMEL, INDIANA 46032 CHECK AMOUNT: $400.00 13789 FIELDSHIRE TERRACE WESTFIELD IN 46074 CHECK NUMBER: 176303 CHECK DATE: 8/1912009 DEPARTMENT ACCOUNT PO NU MBE R INVOI NUMB AMOUNT DESCRIPTION 1047 4357004 REIMB 400.00 EXTERNAL INSTRUCT FEE r': Ca a rks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense OD, t oo 7/23/2009 ci09 Club Industry 2009 con 47 .4357004 Instructional Fees external $400.00 registration for ci conference All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $400.00 Employee Name (print) Carrie Keaveney Address 13789 Fieldshire Terrace Check payable to: City, St, Zip Westfield IN 46074 Signature: O_ OL� Approved by: Date: 7/23/200 Date Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request''t a c ox J U L 3 1 2009 k-iuo inausiry /-vuy xegistration Page 1 of 3 t: CLUB IN©USTRY w w C terenca: October 14-17 Exhibits: October 15.17 McCormck Place ic, IL 83 days until Club Industry 2009 i i i Step 1: Step 2: Step 3: Step 4: Step 5: Step 6: Name &Address Registrant Profile Session Selection Review Information Payment Information Thank You I I Information Received i THANK YOU FOR REGISTERING FOR CLUB INDUSTRY 2009. PLEASE PRINT OUT THIS SCREEN FOR YOUR RECORDS. IT IS YOUR RECEIPT AND CONFIRMATION. A COPY IS ALSO BEING SENT TO THE EMAIL ADDRESS j BELOW. i Tell a Colleague about Club Industry 2009 Click the link above to send show information to a colleague I Registration Badge Information Badge: 200481 Reg Type: Conference Name: Carrie Keaveney Company: Carmel Clay Parks and Rec i Address 1: 1235 Central Park Drive East Address 2: i City: Carmel State: IN i Postal Code: 46032 i Country: United States Phone: 3175735249 Fax: 3175735254 Cell Phone: Email: ckeaveney @carmelclayparks.com Registered Individuals /Items Purchased i Badge Last Name First Name Registration Type Item Total 200481 Keaveney Carrie Conference $400.00 (1) The Nuts and Bolts of Managing The Member /Client Experience ($0.00) (1) Retention in a Recession: Every Member Matters! ($0.00) (1) Guide to Developing an Effective and Profitable Personal Training Business System in Your Club ($0.00) (1) Record Setting Aquatics Programming ($0.00) I (1) Core Training with Small Balls ($0.00) j i (1) Program Your Club for Incredible Non Dues Revenue ($0.00) (1) The New Reality of Successful Fitness Center Operations ($0.00) (1) Inside Out Incorporating Outdoor Activities into Your Club's Programming ($0.00) (1) Stop Attrition Before It Starts: Integrating the New Member ($0.00) (1) Plan A (11 Sessions) ($400.00) (2) No Session Selected ($0.00) I Payment Records i Date Payment Type Reference Amount Paid 07/23/2009 VI XXXXXXXXXXXX2590 $400.00 j Amount Paid: $400.00 I I https /www.xpressreg.net /register /club 109 /confirm. asp ?c= &aw= TUI8765430913 98LKJH... 7/23/2009 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 361255 Keaveney, Carrie Terms 13789 Fieldshire Terrace Westfield, In 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/23/09 Reimb Registration for CI Conference 400.00 Total 400.00 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. 361255 Keaveney, Carrie Allowed 20 13789 Fieldshire Terrace Westfield, In 46074 In Sum of 400.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 Reimb 4357004 400.00 1 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 13 -Aug 2009 whiox7nIM& Signature 400.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund