211968 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1
0 ONE CIVIC SQUARE JOHN THOMAS
CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $500.00
CARMEL IN 46033 CHECK NUMBER: 211968
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 500 . 00 EXTERNAL TRAINING TRA
2012 INAFSM Conference - Confirmation I Online Registration by Cvent Page 1 of 2
2012 INAFSM Conference
General Options
Name: John Thomas
Title: Storm Water Administrator
Address: One Civic Square
Carmel, IN 46032
USA
Number of People Registered: 1
Confirmation Number: PNNY4PTR9TG (needed to modify your registration)
Event Title: 2012 INAFSM Conference
Location: Brown County State Park-Abe Martin Lodge
1405 State Road 46 West
Nashville,IN 47448
USA
Phone: (812)988-4418
Date: 09/12/2012
Time: 12:30 PM Add to my calendar
Current Registration Details
Registration Items
John Thomas Conference 2012 INAFSM Member $210.00
Registration
Order Summaries
Date Type Amt Ordered Amt Paid Amt Due
08/03/2012 4:42 PM ETonline order $210.00 $210.00 $0.00
Total: $210.00 $210.00 $0.00
Payment Details
Date Type Reference# Amt Paid
08/03/2012 $210.00
https://www.cvent.com/Events/Registrations/MyRegistration.aspx?i=e93tba 10-a075-4a 10-b... 8/3/2012
2012 INAFSM Conference - Confirmation I Online Registration by Cvent Pagel of 2
2012 INAFSM Conference
General Options
Name: Kurt Anderson
Title: Storm Water Inspector
Address: One Civic Square
Carmel, IN 46032
USA
Number of People Registered: 1
Confirmation Number: DCN534V682W (needed to modify your registration)
Event Title: 2012 INAFSM Conference
Location: Brown County State Park-Abe Martin Lodge
1405 State Road 46 West
Nashville,IN 47448
USA
Phone: (812)988-4418
Date: 09/12/2012
Time: 12:30 PM Add to my calendar
Current Registration Details
Registration Items
Kurt Anderson Conference 2012 INAFSM Member $210.00
Registration
Order Summaries
Date Type Amt Ordered Amt Paid Amt Due
08/03/2012 4:55 PM ETonline order $210.00 $210.00 $0.00
Total: $210.00 $210.00 $0.00
Payment Details
Date Type Reference# Amt Paid
08/03/2012 } $210.00
https://w-,vw.cvent.corn/Events/Registrati ons/MyRegi strati on.aspx?i=d31 cc 108-24ef-442-9... 8/3/2012
Page 1 of l
Thomas, John G
From: udahl @ cbbel-in.com [mrummel @cbbel-in.comj
Sent: Friday, August 03, 2012 4:35 PM
To: Thomas, John G
Subject: Receipt for INAFSM Membership 2012
Receipt for 2012 INAFSM Membership
Amount Ordered: $40.00
Amount Paid: $40.00
Balance Due:
Order:XVNJ5Y5YWNX Order Date:03-Aug-2012 4:35 PM
Item Price Amount
2012 INAFSM Membership 40.00 $40.00
Order Total $40.00
If},ou do not want to receive future emails from this person, click here to opt-out.
8/3/2012
Page 1 of I
Thomas, John G
From: Anderson, Kurt M
Sent: Friday, August 03, 2012 5:07 PM
To: Thomas, John G
Subject: FW: Receipt for INAFSM Membership 2012
From: udahl @cbbel-in.com [mailto:mrummel @cbbel-in.com]
Sent: Friday, August 03, 2012 4:36 PM
To: Anderson, Kurt M
Subject: Receipt for INAFSM Membership 2012
Receipt for 2012 INAFSM Membership
Amount Ordered: $40.00
Amount Paid: $40.00
Balance Due:
Order:QYNT5BQ8KLW Order Date:03-Aug-2012 4:36 PM
Item Price Amount
2012 INAFSM Membership 40.00 $40.00
Order Total $40.00
If you do not want to receive future emails from this person, click here to opt-out.,
8/3/2012
Account Activity Page I of I
CHASE
slate-
CREDIT CARD(...7799)
Posted Activity
Since Last Statement
Trans Date Post Date Type Description Amount
......................-...................................—......................-.................................... .......... ...... ----------------
08/04/2012 08/05/2012 Sale INDIANA ASSOC FOR FLOP $40.00
-------- ---------- --------I-- -----------
08/04/2012 08/05/2012 Sale INDIANA ASSOC FOR FLOP $210.00
....-------------------....................... .......--------............. ---—---------------- ----............ --------- ------------ -----------------------
08/04/2012 08/05/2012 Sale INDIANA ASSOC FOR FLOP $40.00
..........----.....-------...........-----------------------------------------------I------------------------I-----------I--------11--------------------------------I--------------- -------------I-------------------
08/04/2012 08/05/2012 Sale INDIANA ASSOC FOR FLOP $210.00
----------------------° ------------ ------------------------- -------------------------......... ...- -------- -------------- ---------------------------
https://cards.chase.com/cc/AccounUActivity/103951029 8/14/2012
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
John Thomas Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
1/0/1900 0 Conference and dues; INAFSM $ 500.00
Total $ 500.00
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.
John Thomas ALLOWED 20
IN SUM OF $
$ 500.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4343002 500 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
13/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund