213213 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366267 Page 1 of 1
ONE CIVIC SQUARE ASHLEY ULBRICHT
CARMEL INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $37.88
,
CARMEL IN 46032 CHECK NUMBER: 213213
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 NBI SEMINAR 37 . 88 EXTERNAL TRAINING TRA
I 6+P
AN ITALIAN RESTAURANT
124 Donna-
Table#78-2 Check#63028 Gsts 3
6/22/2012 1:06:21 PIVI
Tomato Basil Bisque 4.00
Asiago Ravioli 12.00
Subtotal 16.00
Tax 1.44
Amount Due 17.44
Reservations accepted (317)581-1910
Dinner Mon-Thu 5-9pm Fri/Sat 5-1 Opm
www.mangiaitalian com
t9�
(hank you for chersing
Norill "l i l u l i l I l i
tlidl onadeland Avenue
Indianapolis, III �- 2268
317-84S-6668
Server: Cashier DOB: 06/14/2012
01:21 PM 06/14/201:
Table 711/3 5/50065
SALE
Card aXXXXXXXXXX,,..-.-.
Magnetic card present: ULBRICHT ASHLEY Ii
Card Entry Method:
Approval: 880835
Anount: s 17.44
+ Tip: S 3.00
I agree to pay the above
total anount according to the
card issuer agreement.
:inner Copy
Express Event Registration
STATE, AND LOCAL GOVERNMEN T LAW 59291-� Need to register quickly?Use the product code below to complete your
Express Event Registration online or via the phone.
{;•.;.:,,w.",; -, Product ID:59291
1 ��Canyt:'Attend?��Check'Fiereao:order.';
Seminar Tuition :aheaudio`CD&reoursebookof:`,
June 14 r ;r .:}.w: .....
$339—first registrant tliisseminar;for;$339':°''".
$329—each adt'Iregistrant tf PP`9 Non-Profit Org.
Indiana 011sr IN(59291) Pleaseadd'$7.95forslii i`ri ($.1,4t`oAK,HIOi,PR). '^..;; T NX ���NAL
p $319—for new professionals -Shipmen[s to CA MN NVRI,SD TX grid WI must also I BUSINESS ESS U.S.Postage
(see tuition details inside brochure) include sales,[ax Please provide streeraddiess `- 11 \I �+ t� T'
Allow 2Cwee ks folldwing program date for delivery.' '• jN�t 1 1 �.�Tl:r,� PAID
MAIL TO:National Business Institute NBI,Inc.
A Division of NBI,Inc. PHONE:(800)930-6182
Registration P.O.Box 3067 FAX:715-835-1405
Name-_Ashley M. Ulbricht Title Assistant City Attorney Eau Claire,WI 54702 ONLINE:www.nbi-sems.com
NBI Subscription Holder?Enter Subscription#Here* E-mail aulbricht@carmel.in.gov
Company Name City of CnrTnP1, Tnd-iann
Co.Size ❑1 ❑2-5 ❑6-10 ❑11-25 ❑26-50 ❑51-100 ❑100+
Address One Civic Square
City Carmel State Indiana zip 46032
KEY CODE. FAC
Phone ( 317 ) 571-2472
Payment lnforpo, fa�����j
E]-"eek enclosed payable to National Business Institute ❑MasterCard ❑ VISA ❑ American Express ❑ Discover
Card No. Exp.Date
Signature /
XPlease bill me.(If your organization requires a P.O.please provide it.)
Can't Attend?
You can still get the training you need by purchasing the audio CD and course book of this program.See above to order.
Look inside for additional product offerings—
or visit us atnbi-sems.com *What is an NBI Subscription?Call 800-930-6182 to learn more.
5{2�7`*2
MUNICIPAL LAW SEMINAR XXIX
SAV REGISTRATION FOR
-_ E_
Your Information
SEMINAR • dame
ASHLEY M. ULBRICHT
Preferred Name for Badge As le
Atlarney Nmobor(forCLE credits)
�b/► I� +tYl Carmel
Ad One Civic Square
Carmel--
State Indiana Zip 46032
Pb0f° 317-571-2472
Emasl aulbricht @carmel.in.gov
WRI you be attendbrg the tailicheoe an?hurtday,June 21Y lies D No
Are you an Indiana alt nW? Yes O No
Registration Fees
Cities and tows may pay for the reglstratlon fee of Nefrattomey,hot only If the attomey
Is%U time or ft Is spelled out in the municipal town.
*: ": ''-, • T attarttey's contrail with the dy or
I'd®TEL;IAI�ORIW�►T10111: . tiH=GO-lMLAM*mberW Bhufer
Retake all materials In printed binder
(3=19-IMI.AMembe►WITH01Ji81nder
Full access to seminarmalertals online
Print and bring materials
s ` ! Late Fee-Af0erlmre 14 add$25
The registration deadline is June U.Any registration received afterJune 14 will be
l treated as an on-M registration with an additional dwrge of$25.
O$310 NonevemberWITH BhWer
Receive all materials In printed binder
❑$270 NwHvemberWlTHOtRBfnder
• full access to seminar materials online
Print and bring materials
INDIANAPOLIS MARRIOTT NORTH DYES,l want to jots IbtlA ant sane$50 ou my regfstraton fee.
3645 River Crossing Paway, 0 $so-sse�eim=wal member a lnelvldual
rk t#w Indianapolis, IN D $25-AB otbar pal membeni f
(Near Keystone at the Crossing)
Contact the Indianapolis Marriott North at(800)228-9290 Total$its_ D l}
and request the Indiana Association of Cities and Towns
block to receive the conference rate of$109(plus 17%tax). �
Reservation deadline is Wednesday, June 6.TACT and IMLA Method Of Payment
are not responsible for hotel reservations or cancellations. (Cirde one) CheA MasterCard Visa Olscarer
Additional directions to the hotel are available at
www.citiesandtowns.org(keyword:municipal law). Cbeck per
i
SEMINAR CANCELLATION POLICY Card Number
Refunds will be made only if TACT receives a written cancel- EivlrationDate 3-digItSeeaftCode
lation by June 14,by fax,email(nhurtOcitiesandtowns.org) Name of Cardholder
or mail.Your registration is considered your commitment to
attend.All written cancellations received by June 14 will be Autborind ftuture
refunded less a$40 administrative fee.Unless attendees fol- BMbVAddnm(Ifdi fererrtfremabove)
low the cancellation policy,no shows will be billed.
E-VERIFY COMPLIANCE s
TACT is an enrolled employer in the E-Verify Program verify- City/Town
ing the work eligibility status of its new employees and will
remain so until that program no longer exists. 0 np
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
Ashley M. Ulbricht
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9-18-12 Reimburse Ashley M. Ulbricht for monies she personally
expended for lunches as follows:
"State& Local Government Law"seminar June 14, 2012 $20.44
in indianapolis, IN pei the attached ruceipt
in
attached Indianapolis, lN per the receipt
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 $37.88
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Achlov M. I Ilhrir+h+ IN SUM OF $
$ $37.88
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430-43002 External Training & Travel
Board Members
DEPT.r # INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 NBI Seminar $20.44 bill(s) is (are) true and correct and that the
1180 I IVILA Seminar 17.44 materials or services itemized thereon for
which charge is made were ordered and
received except
20
i e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund