HomeMy WebLinkAbout215337 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1
t ONE CIVIC SQUARE INDIANA ASSOC OF CITIES&TOWNS CHECK AMOUNT: $79.00
CARMEL, INDIANA 46032 CONFERENCE REGISTRATION
200 S MERIDIAN ST,SUITE 340 CHECK NUMBER: 215337
INDIANAPOLIS IN 46225
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4357004 79 . 00 EXTERNAL INSTRUCT FEE
join CJs at this Crucial Engagement!
The TACT Legislative Day is an important part ies and towns. I
of the Association's advocacy program.While it is ex- Join fellow municipal officials for a legisla- I I
pected that social issues will be prominently debated tive briefing at the OneAmerica building,
during this year's legislative session,we believe the followed by a luncheon with legislators at
Alk
IACT agenda for increased funding for local roads the Statehouse.
and streets as well as the maintenance and upkeep of Come to Indianapolis for this in-
abandoned and foreclosed properties will also gain formative event,and help IACT rein-
traction among lawmakers. force the urgent need for legislative
It is crucial that municipal officials get engaged to action that fosters efficiency
ensure that legislators make informed decisions about and flexibility at the munici-
how their actions impact the citizens of Indiana's cit- pal level. IACT LEGISLATIVE DAY
r LEGISLATIVE DAY AGENDA ".
9:30 a.m. Registration Lobby,OneAmerica Building Tf,
10:00 a.m.- IACT Legislative Briefirig,Main Auditorium,
1'1:30 p.m. OrieAmerica Building',
11:45 a.m. - Luncheon with Legislators Atrium,Indiana a?
o 2:00 p.m. Statehouse
�' '2:00'p.m. AdjoSrn'
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REGISTRAATION FORM i Pre-registration deadline: March 12
Your Information Re istration Fees Method of Payment
Name V r 79 IACT Member// (Circle0ne) Check MasterCard Asa Discover
Associate Member
Preferred Name for Badge El$99 IACT M Check Number
Member/
City/Company G f 0 Associate Member Card Number
r (late or onsite)
Title 'I ❑$130 Non-member Exp.Date
Address Ae, �iU1U C)6-(Q ❑$ISONon-member 3-digit Security Code
City/Town (late or onsite)
Name of Cardholder
❑$40 Spouse/Guest*
State .rf-
-� ❑$60 Spouse/Guest* Authorized Signature
Zip ;33 (late or onsite)'//�
Phone
Email (0) ( BillingAddress(if different from information section)
fl Please check the events you
Name of Spouse/Guest(if attending)L plan to attend.This is for
Special Needs and Dietary Restrictions planning purposes only.No
extr fees apply.
Leg lative Briefing City
gislative Luncheon State Zip
*The guest registration fee is restricted to Cancellation Policy 2 EASY WAYS TO REGISTER
those accompanying a registered attendee Only written conference cancellations
and who have no professional interest in received on or before March 12 will be 1.Mall:Complete form and mail to Indiana Association of Cities
the conference. The fee includes admis- refunded,minus a$40 processing fee. and Towns,200 S.Meridian,Suite 340,Indianapolis,IN 46225
sion to all conference sessions and meals. Fax your cancellation to(317)237-6206 or 2.Fax:Complete form with credit card information and fax to(317)
email to kstorms @citiesandtowns.org. 237-6206.
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attach pd invoice(s) or bill(s)) q
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.
6n, ALLOWED 20
("� IN SUM OF $
ebb 0'ct,, '9- #�340
I �j 4En I
ON ACCOUNT OF APPROPRIATION FOR
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.- X
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund