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Home My WebLink About207490 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00352482 Page 1 of 1 ONE CIVIC SQUARE IMPACT CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340 CHECK AMOUNT: $90.00 INDIANAPOLIS IN 46225 o CHECK NUMBER: 207490 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4355300 03 -26 -12 90.00 ORGANIZATION MEMBER ss� 2J� PACT Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (IACT) 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. 2012 IMPACT Annual Membership Dues Inv $50.00 Primary Member (first person from a municipality) $20.00 Secondary Member (each additional person from m ipali $100.00 Associate Membership M� 2 6 2012 TOTAL 5-:1 JO BY Please provide the following information. Name: Title: )R;Svi.f��S Municipality: c' Address: ONQ- C �'t Phone No.: I Fax No.: 31 1- E -mail Address �J�c,,, C" *EMAIL ADDRESS ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP 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 3 1 C3 1 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 (1ACT) 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. 2012 IMPACT Annual Membership Dues Invoice $50.00 Primary Member (first person from a municipality) D zj 20.00 Secondary Member (each additional person from municipa MAR 2 6 2012 $100.00- Associate Membership TOTAL 2 By Please provide the following information. Name: J��sonx Title: Municipality: L Address: C c, Phone No.: 3l'1 5`) Sg 5-:1 Fax No.: 30 5?) 21 o� E -mail Address -S� IGnX CG�Q1 '>N *EMAIL ADDRESS ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP 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 C Date 5 Z G )20� IMPACT Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (IACT) 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. 2012 IMPACT Annual Membership Dues Invoi $50.00 Primary Member (first person from a municipality) 0 Gd'120.00 Secondary Member (each additional person from mun alit�,� R 2 6 2012 $100.00- Associate Membership InIA TOTAL Zv 1 BY Please provide the following information. l Title: Municipality: LA L Address: `0NQ- C)v XivGsc- CG��.C� Phone No.: Fax No.: 31 E -mail Address: \IDS ��t�,w �Se1 *EMAIL ADDRESS ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP Mail completed form with payment to: IMPACT, 200 S. Meridian St., Suite 340, Indianapolis, IN 46225 1 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 ficial membership position to secure special privilege, gain or persona enefi (4) contribute relevant materials to the personnel information resou �e lil rary; an- (5) actively participate in training sessions and group meetings. Signature Date3 )3 I 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date N (o n ote attached invoice(s) or bill(s)) 03/26/12 03.26.12 Dues S Wolfgang $20.00 03/26/12 03.26.12 Dues B. Lamb $50.00 03/26/12 I 03.26.12 I Dues J Spelbring I $20.00 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. WA N O. ALLOWED 20 IMPACT IN SUM OF 200 S. Meridian St., Suite 340 Indianapolis, IN 46225 $90.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1201 03.26.12 43- 553.00 $20.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1201 03.26.12 43- 553.00 $50.00 materials or services itemized thereon for _1201 I 03.26.12 I 43- 553.00 I $20.00 which charge is made were ordered and received except Thursday, March 22, 2012 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund