211330 07/31/2012 - CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOC OF CITIES&TOWNS CHECK AMOUNT: $580.00
CARMEN, INDIANA 46032 CONFERENCE REGISTRATION
200 S MERIDIAN ST,SUITE 340 CHECK NUMBER: 211330
INDIANAPOLIS IN 46225
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 295 . 00 2012 IACT-CORDRAY
1180 4357004 ML2012-02 285 . 00 EXTERNAL INSTRUCT FEE
Indiana Association of Cities and Towns INVOICE
200 S Meridian Street,Suite 340
Indianapolis, IN 46225
Phone(317) 237-6200 Fax(317) 237-6206
Email: kstorms @citiesandtowns.org
Indiana Association of Website:www.citiesandtowns.org INVOICE#ML2012-02
Cities and Towns DATE:JULY 11,2012
TO Ashley Ulbricht
One Civic Square
Carmel, IN 46032
EVENT PAYMENT TERMS
----- _ =-_Municipal--La"'Seminar-June 21-22,2012 - - - - Due-on-receipt - -- - -------- ----_ --
QUANTITY DESCRIPTION TOTAL
1 Registration Fee(Binder) $26o.00
Late Fee $25.00
TOTAL DUE $285.00
Check or Credit Card (Visa, MasterCard, Discover)
Please make all checks payable to IACT
Credit Card No 3-Digit Verification Code-
Expiration Date: Card Holder:
If you have any questions or if you have already sent payment, please let me know at kstormsPeitiesandtowns.org.
CA INDIANA RETAIL TAX EXEMPT PAGE
®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE EXEMPT
� 35 00 0972 ` _5/ EA/_
ONE'CIVIC SQUARE �f�- THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 ' VOUCHER, DELIVERY MEMO, PACKING SLIPS,
` - SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
GP tTf/
VENDOR l,�� G C men 4 �c/ � ��Ci env SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
T
31
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT -j AMOUNT
/gl� J��1Jd 7 PAYMENT a O� .J�'!'d
,.�.� • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
• VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
i
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
TPIS?C PRO�PRIATIO-fJ'SVFW IENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 5 1 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO, WARRANT NO
ALLOWED 20
IN THE SUM OF$
TA
ACCOUNT APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
sue-# I 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 _
— 20 l�
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Cost distribution ledger classification if
claim paid motor vehicle highway fund
2012 TACT .AN ICI UAL
CONFERENCE & EXHIBITION LACT
ANNUALCON�FERENCE
REGISTRATION FORM &. EXHIBITION
Pre-Registration Deadline: September 1 8 2 0 1 2 1 F I: [, N C H L I C K
Full Name Q✓lQ�� '� h�d City or Town/State/Zip
� � �
Preferred Name for Badge Phone
Title J I, Email C6 rd (:!5) it ,���• f. 7D
First Time Attendee? ❑Yes ❑,ND n Spouse/Guest Name
Municlpallty/Company p f'r� Special Needs and Dietary Restrictions
Council President's Name 12�c � s j}„ t
Address &\e_ r v l G �� v�ct �
Registration Fee Method of Payment
On/Before After EnterAmount
9/18 9/18 heck ❑Visa ❑MasterCard ❑Discover
Member Municipal Official(Population $295 $3500', Check#(Payable to[ACT)
greater than or equal to 1,000)
Cardholder Name
Member Municipal Official(Population $175 $225
less than 1,000) Credit Card Number
Associate Member $295 $350 Expiration Date
Spouse/Guest` $175 $225 3-dlglt Verification Code
Non-Member $425 $475 BIIIIngAddress
Municipal Day(WednesdayOnly) $225 $275 City or Town/State/Zip
Total Amount Due: $ s, Signature of Cardholder
*The spouse/guest registration fee is restricted to those who are not municipal officials and who have no professional interest at the conference. The
fee includes admission to all conference events,the exhibit hall,meals and participation in the spouse/guest program.
PI ase Check the Confere ce Events You Plan to Attend (For fanning purpoles only)
LSesslon ESDAY, ❑TUESDAY, TUESDAY, TUESDAY, WEDNESDAY, -WEDNESDAY, WEDNESDAY, THURSDAY,
ng Business Workshop#1:The Workshop#2: Welcome Continental Annual Awards Presidents' Closing Brunch&
Value of Parks& Funding Munici- Reception Breakfast Luncheon Reception Business Session
Recreation pal Government
'This year's IACTAnnual Awards Luncheon will have assigned seating.Only registrants who check the Annual Awards Luncheon above will be assigned a seat.We will do our best to
accommodate seating requests. Requests are not guaranteed.
Seating Requests:
Cancellation Policy
Only written cancellations will be accepted. Please mail your written cancellation to 200 South Meridian Street, E-VERIFY
Suite 340,Indianapolis,IN 46225;fax to(317)237-6206 or send to kstorms @citiesandtowns.org. Written COMPLIANCE
cancellations received on or before September 18,will be refunded less a$40 processing fee. TACT is not
responsible for hotel reservations or cancellations. IACT is an enrolled
employer in the E-Verify
Special Needs and Dietary Restrictions Program verifying the work
IACT will make the conference accessible to you. If you require special arrangements or a special diet,please eligibility status of its new
notify FACT on your registration form. g y
employees and will remain
Affiliate Group Events so until that program no
IACT affiliate groups may hold individual meetings and events at the conference. Attendees must be registered
for the conference in order to attend affiliate events. Additional meeting and event information for affiliate group longer exists.
members may be mailed out separately.
.ACT
ANNUAL CONFERENCE
& EXHIBIT ION
2012 FRENCH LICK
MEMORANDUM
To: TACT Board of Directors
From: Natalie Hurt, Special Events&Conferences Director
Date: July 26, 2012
RE: 2012 IACT Annual Conference&Exhibition
The 20121ACT Annual Conference&Exhibition is quickly approaching. This year's conference
will be held at the French Lick Resort on October 2-4.
A block of hotel rooms has been reserved specifically for IACT Board Members at both the
French Lick Spring Hotel and West Baden Springs Hotel. Reservations will be made for all
board members who return the enclosed housing form. Please be sure to return the housing
form to IACT by August 16. Please do not contact the hotel directly to make reservations.
Conference registration will be open at the French Lick Springs Hotel on Tuesday, October 2
from 1o:oo a.m.to 6:oo p.m. The Board of Directors meeting will take place in the Windsor III
Ballroom at the French Lick Springs Hotel from 2:00 p.m. —3:45 p.m. The meeting will be
followed by the Conference Welcome Reception in the Exhibit Hall. The Board of Directors
dinner will immediately follow the reception at 7:00 p.m.in the West Baden Room at the
historic West Baden Springs Hotel.
Registration for the conference may be completed online beginning on July 30 at
www.citiesandtowns.org or by filling out the enclosed registration form.
Please feel free to contact me with any questions. We look forward to seeing you in French Lick!
2U(I S.,AIzridi:ui,Suite.�EU .ludiunapoli,, I\ . 4622 .I'1�<me: (.�1-)''3%-G2U�� .Fay: (31-)23 -G2l)G .«tiuw.cit:icsandtr�wns.oig
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
IAPurchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�-7i of
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I 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
- J
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund