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176849 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 363297 Page 1 of 1 0 ONE CIVIC SQUARE MICHIGAN REC. PARK ASSOCIATION CARMEL, INDIANA 46032 2465 wOODLAKE CIRCLE CHECK AMOUNT: $270.00 SUITE 180 CHECK NUMBER: 176849 OKEMOS MI 48864 CHECK DATE: 9/2/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4357004 8313 270.00 EXTERNAL INSTRUCT FEE J MICHIGAN REC. PARK ASSOC 2465 WOODLAKE CIRCLE I -VD Suite 180 AUG 1 0 2009 OKEMOS, MI 48864 Phone (517) 485 -9888 Fax (517) 485 -7932 8 313 09/04/09 1 CARCLA Ship To /Remarks CARMEL CLAY PARKS REC 1235 CENTRAL PARK DR EAST CARMEL IN 46032 NET 30 DAYS PO 22342 THERAPEUTIC REC INSTITUTE REGISTRATION 260.00 CEU FEE BROOKE TAFLINGER 10.00 AUG 17 2009 MLA Bmudc eat 270.00 We appreciate your support. 0.00 270.00 270.00 Register on-line at Registration Form ��1 np, www.mrpaonline.org Name: �lO 1 nff Agency: l J (As to appear on name badge) Address: (please no PO Boxes City: cn( A State: Zip Code: q(_6�� Phone: 3�� 3 ',DQu5 C J y E- mai ADt&\ f Q dbuxt CG Cancellation Policy: A fee of $25 will be assessed on all cancellations received after 9114/09. Cancellations must be received in writing via fax (517) 485 -7932 or e-mail Reyistration Fees (includes lunch each day does not include lodging) MRPA Member Rates Non Member Rates Join MRPA and save! Full Conf. Delegate (Wed, Thurs Fri) $215 Full Conf. Delegate (Wed, Thurs Fri) $260 Pre- conference choice (circle: A B C) Pre conference choice (circle: A B C Regular Conference (Thurs Fri Only) $150 Regular Conference (Thurs Fri Only) $195 Wednesday Session Only (circle: A B C) $80 Wednesday Session Only (circle: A B C $115 Thursday Sessions Only $80 Thursday Sessions Only $115 El Friday Sessions Only $80 Friday Sessions Only $115 Registration Extras: MRPA is a statewide professional association that is committed to supporting agencies, individual professionals, citizens, and communities in the parks, recreation and leisure CEU's (Optional) $10 services professions. Visit our website at www,mrpaonline.org to learn more. I would like "veggie" option for all meals. A ticket will be placed in your conference packet. ORPA Late Fee (after 9/14/09) $25 T aQ) al�A C Michigan R reatlon and Park Association Payment Information: 'Total Amount Due Check Credit Card (circle Visa or MasterCard Please complete this form and mail or fax by September 14, 2009 Card Michigan Recreation and Park Association 2465 Woodlake Circle, Suite 180, Okemos, MI 48864 Exp. Date Signature Phone: (517) 485 -9888 Fax: (517) 485 -7932 www.mrpaontine.org cefe-br v th e passio t FV wheelchairs walkers canes lift chairs power carts nebulizers home ventilators home oxygen equipment supplies ostomy, urological wound care supplies bath safety items aids to daily living 4 t� equipment repair Visit our new showroom at: 2540 28th Street SW I OR p featuring H OPE N E Y V K Sleep and Wellness Products �0 REHABILITATION SERVICES �t W A v ��1 \Yr1"�i Comprehensive Clinical Services OXYGEN Physical Therapy C%� INC. Occupational Therapy Speech-Lang Pathology 935 Madison Ave SE Grand Rapids ua gY 2540 26th Si S SW Wyoming 2955 Clydon Ave SW Wyoming Therapeutic Recreation www.airwayoxygenin .com 616.247.3900 800.632.0730 With other location* In: BATTLE CREEK BENTON HARBOR CADILLAC COLDWATER HASTINGS HOLLAND KALAMAZOO LANSING MT. PLEASANT MUSKEGON PETOSKEY SAGINAW TRAVERSE CRY WARSAW, IN 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. Michigan Rec. Park Assoc. Terms 2465 Woodlake Circle, Ste 180 Okemos, MI 48864 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 815109 8313 Conference 22342 270.00 Total 270.00 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. Michigan Rec. Park Assoc. Allowed 20 2465 Woodlake Circle, Ste 180 Okemos, MI 48864 In Sum of 270.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1047 8313 4357004 270.00 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 27 -Aug 2009 Signature 270.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund