173962 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360470 Page 1 of 1
ONE CIVIC SQUARE NATIONAL RECREATION PARK ASSO
HECK AMOUNT: $530.00
CARMEL, INDIANA 46032 P o BOX 7600
MERRIFEILD VA 22116 -7600 CHECK NUMBER: 173962
CHECK DATE: 6/24/2009
DEP ARTMENT ACCOUNT PO NUM INV NUMBER AMOUNT DESCRIPTION
1125 4355300 063009 530.00 ORGANIZATION MEMBER
WOO.
y National Recreation
YA and (park Association
Mr. Mark Westermeier
Director Membership Invoice
Carmel Clay Parks Recreation
Expiration Date: 6/30/2009
1411 E 116th St
Carmel, IN 46032 -3455
Phone: (317) 573 -4017
Fax: (317) 571 -4136 J 209
Email: mwestermeier @carmelclayparks.com
Website: www.ci.carmel.in.us
Member ID 22594 Payment Upon Receipt
Number: Terms:
Q uantity Item Description Unit Price Extended Amount
1 Agency Package $530.00 $530.00
Purchase Pr fY1ehn&e IRs
Description
P.O. G? A X 4 P of A/D
a //A6_Z 23s oo JUN J 0 2009
BudLine get �r i Z r- YYle- d er. 4
Destx
Purchaser Oats
Approval Date 8�° y
Total Billed Amount $530.00
Total Amount Paid $0.00
Balance $530.00
Annual Fund Donation
Please consider a tax deductible donation to the Annual Fund. The Fund provides additional dollars O $25
to improve upon NRPA's opportunities for members including certification, education programming, O $50
O $100
and technical assistance. O Other:
Extended Total Amount Due
Renew Online:
www.nrpa.org /membership
Please Return Form and Full Payment Fax: 703.858.0794
PO Box 7600
Mail: Merrifield, VA 22116 -7600
Credit Card: VISA MasterCard American Express Discover
Credit Card Number:
Expiration Date:
Name on Credit Card:
Signature:
Thank you for your continued support of NRPA!
s +YAMaA
National Recreation
Y,
and Park Association
'To ensure the accuracy of our records, please update any necessary information and enclose your changes with payment,
or visit www.nrpa.org /membership to update your profile online.
NRPA membership brings with it the opportunity to affiliate yourself with one (1) of NRPA's special interest groups.
Additional designations may be made for an added cost of $15. To learn more about our Branch and Section Affiliations
visit www.nrpa.org
Visit www.nrpa.org /membership to renew your membership online, or contact NRPA Membership Services at
800.626.NRPA (6772), 7 -1 -1 for hearing and speech impaired or membership @nrpa.org.
Professional(1) Primary Contact Member ID Number: 96345 UPDATE
Name: Mr. Mark Westermeier
Title: Director
Company: Carmel Clay Parks Recreation
Home ;X Work
Address 1: 1411 E 116th St
Address 2:
City, State Zip: Carmel, IN 46032 -3455
Phone: (317) 573 -4017
Fax: (317) 571 -4136
Email: mwestermeier @carmelclayparks.com
Primary Branch /Section: American Park and Recreation Society (APRS)
Secondary Branch /Section:
Subscriptions:
Professional(2) Member ID Number: 29605 UPDATE
Name: Mr. Michael W. Klitzing, CPRP
Title: Assistant Director
Company: Carmel Clay Parks Recreation
Home 2f Work
Address 1: 1411 E 116th St
Address 2:
City, State Zip: Carmel, IN 46032 -3455
Phone: (317) 573 -4018
Fax: (317) 450 -1250
Email: mklitzing @carmelclayparks.com
Primary Branch /Section American Park and Recreation Society (APRS)
Secondary Branch /Section:
Subscriptions:
Professional(3) Member ID Number: UPDATE
Name:
Title:
Company:
Home Work
Address 1:
Address 2:
City, State Zip:
Phone:
Fax:
Email:
Primary Branch /Section:
Secondary Branch /Section:
Subscriptions:
Thank you for your continued support of NRPA!
t ;ANa,
w National Recreation
and Park A ssocia tion
Please provide your home address so we may stay in touch in the event that your elected or appointed civic
role should change during the year.
Citizen(1) Member ID Number: 130875 UPDATE
Name: Mr. Douglas Callahan
Title: Clay Township Trustee
Company: Carmel Clay Parks Recreation
Home -@f Work
Address 1: 10701 N College Ave Ste B
Address 2:
City, State Zip: Indianapolis, IN 46280 -1098
Phone: (317) 846 -2775
Fax: (317) 846 -0744
Email:
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Citizen(2) Member ID Number: 101916 UPDATE
Name: Ms. Patricia Chester
Title: Park Board Member
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 5041 Deer Ridge Ct
Address 2:
City, State Zip: Carmel, IN 46033 -8919
Phone: (317) 848 -2339
Fax: e..
Email:
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Citizen(3) Member ID Number: 29588 UPDATE
Name: Ms. Sue Dillon
Title:�T��^�
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 507 Cornwall Ct
Address 2:
City, State Zip: Carmel, IN 46032 -9481
Phone:
Fax: A &,.IV"
Email: C
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Thank you for your continued support of NRPA!
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N National Recreation
and Park Association
Citizen(4) Member ID Number: 29583 UPDATE
Name: Mr. Dan Dutcher
Title:
Company: Carmel Clay Parks Recreation
A Home Work
Address 1: 11583 Sutton Place Dr E
Address 2:
City, State Zip: Carmel, IN 46032 -8679
Phone:
Fax: 0-*P ig6dM
Email: sp y
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Citizen(5) Member ID Number: 75571 UPDATE
Name: Mr. Jim Engledow
Title: Park Board President
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 13851 Riverwood Way
Address 2:
City, State Zip: Carmel, IN 46032 -9140
Phone: (317) 575 -1100
Fax: (317) 573 -7339
Email: jimengledow @engledow.com
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Citizen(6) Member ID Number: 101918 UPDATE
Name: Ms. Judith F. Hagan
Title: Park Board Treasurer
Company: Carmel Clay Parks Recreation
Home Work
ddress 1: 10946 Springmill Ln
Address 2:
City, State Zip: Carmel, IN 46032 -9565
Phone: (317) 848 -4752
Fax:
Email: rI172jf @sbcglobal.com
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Thank you for your continued support of NRPA!
'AND,
,40 Recreation
d and Park Association
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;Citizen(7) Member ID Number: 144456 UPDATE
Name: Ms. Joan Ketterman
Title: Park Board Member
Company: Carmel Clay Parks Recreation
le Home Work
Address 1: 3413 Eden Hollow PI
Address 2:
City, State Zip: Carmel, IN 46033 -3034
Phone:
Fax:
Email: E�di� Q13p G �1
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Citizen(8) Member ID Number: 101917 UPDATE
Name: Mr. Joe Miller
Title: ar r 9- la V
Company: Carmel Clay Parks Recreation
Home Work
Address 1: 13607 Thistlewood Dr E
Address 2:
City, State Zip: Carmel, IN 46032 -5133
Phone:
Fax:
Email: 1 frlrl 0 1,/ ks
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section: 0
Subscriptions:
Citizen(9) Member ID Number: 29590 UPDATE
Name: Mr. Tim Tolson
Title: Park Board Member
Company: Carmel Clay Parks Recreation
X Home Work
Address 1: 110 Shoshone Dr
Address 2:
City, State Zip: Carmel, IN 46032 -2626
Phone:
Fax:
Email:
Primary Branch /Section: Citizen Branch (CB)
Secondary Branch /Section:
Subscriptions:
Thank you for your continued support of NRPA!
AN&
ri National Recreation
and Pack Association
Citizen(10) Member ID Number: UPDATE
Name: 7 C,16 )4Ce e— TT
Title: PI. ,�'l ,F3 C7L+
Company: CA/z✓»EL
0 Home Work
Address 1: a. 4 3 2 Gi�ti d u 9 a �[Jr
Address 2: •J
City, State.Zip: CC%r' m e N 4 to 03
Phone:
Fax: AA II
Email: Gd W)
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Primary Branch /Section:
Secondary Branch /Section:
Subscriptions:
Thank you for your continued support of NRPA!
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National Recreation
and Park Ass
The following list includes other professional staff in your agency who are members of NRPA. We
will invoice these staff separately at the discounted rate of $95. If you wish to add these members
to your invoice and pay for them with one transaction, please contact NRPA Membership Services
at 800.626.NRPA (6772), 7 -1 -1 for hearing and speech impaired, or membership(aD-nrpa.orq
Mrs. Tess C. Pinter Mr. Ben Johnson
Recreation Manager Recreation Supervisor
Ms. Kate A. Schneider, CPRP
Recreation Supervisor
Thank you for your continued support of NRPA!
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.
360470 National Recreation Park Assoc. Terms
P.O. Box 7600
Merrifield, VA 22116 -7600
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/30/09 6/30/09 Membership 22004 F 530.00
Total 530.00
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.
360470 National Recreation Park Assoc. Allowed 20
P.O. Box 7600
Merrifield, VA 22116 -7600
In Sum of
530.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6/30/09 4355300 530.00 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
18 -Jun 2009
Signature
530.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund