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216747 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOC OF CITIES&TOWNS CARMEL, INDIANA 46032 CONFERENCE REGISTRATION CHECK AMOUNT: $30.00 w; a� 200 S MERIDIAN ST,SUITE 340 CHECK NUMBER: 216747 INDIANAPOLIS IN 46225 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4357004 30 . 00 EXTERNAL INSTRUCT FEE SAVE THE DATE FOR THESE 2013 Statewi table Agend de Town Rounda ............. TOWN ROUNDTABLES! 4:00 p.m. Registration 6:45 p.m. IACT Legislative Briefing Matthew C.Greller, 4:30 p.m. Welcome Executive Director& Matthew C. Greller. CEO, TACT JULY Executive Director&CEO, Rhonda Cook, IACT Director of Govern- 9 Hebron ment Affairs&Legisla- 4:45 p.m. Legislator Insight 10 Andrews tive Counsel Matthew C. Greller,Execu- I Justin Swanson, 17 Cicero tive Director&CEO, IACT V, Government Affairs J: 23 Lado . Moderator A number of State Legisla- ga Specialist — tors have been invited to Jodie Woods, 24 Spencer participate on this panel and r, General Counsel share their perspective on 7:15 p.m. State Board of Accounts 25 Seelyville the 2013 Legislative Ses- Charlie Pride, AUGUST sion. Office,Supervisor'-Cities, 7 Georgetown 5:45 p.m. Indiana Public Retirement Towns and Libraries —------- System(invited) s 7:45 p.m. Question&Answer 13 West College Session Corner 6:15 p.m. Dinner 8:00 p.m. Event Concludes, 14 New Whiteland - -------------------------------------------------------------------------------------------------- 15 Yorktown 2013 IACT STATEWIDE TOWN ROUNDTABLE REGISTRATION FORM -Name city OCTOBER Preferred Name for Badge State Zip 15 Ferdinand Title L)V01 Phone 16 Holton Municipality/Company Email z 17 Owensville Address 1C Special Needs and Dietary Res rictions , 23 Wakarusa 24 r 0-1 cott REGISTRATION FEES METHOD OF PAYMENT 29 Kirklin Enter Amount heck I C3 visa 1 ❑MasterCard ❑Discover 30 Fowler Frequent Attendee Price' $20 Check#(Payable to IACT) ACT Member $30 Cardholder Name NOVEMBER Guest of Municipal Official $30 Credit Card Number 6 Bloomfield Associate Member $75 Exp.Date 3-digit Verif.Code Non-member $85 Billing Address 7 Nashville Total: $ city State zip T 12 Grabill j Signature of Cardholder Did you attend both the summer and fall Town Found- 13 Hagerstown table Sessions in 2012?It so,you are eligible for the 2 EASY WAYS TO REGISTER! Frequent Attendee Price of$20. 14 Morristown CANCELLATION POLICY 1. Mail: Complete 2. Fax: Complete Only written cancellations received on or before January 31 will form and mail to form with credit card be refunded. Fax your cancellation to(317)237-6206 or email Indiana Association of information and fax to to nhuQ@citiesandtov4ns.org Cities and Towns, (317)237-6206. E-VERIFY 200 S. Meridian St., IACT is an enrolled employer in the E-Verify Program verifying Suite 340, the work eligibility status of its new employees and will remain Indianapolis, IN so until that program no longer exists. 46225. tte NO MATTER 1 � WHERE YOU ' RE FROM, JON US N NDY FOR THE so 113 E To pgril qIIxIg 1 1 Ora I' Indiana Association of Cities and Towns Join fellow town officials 1 �' ����9'r,1 February 7,2013 from around the state at this _ 4:00 p.m.—8:00 p.m. casual gathering that will `s + . highlight issues important to Office of Midwestern your community. ' 1 Engineers, Inc. Listen to TACT staff and (at The Pyramids) representatives from state ; ° ( 3500 DePaw Boulevard Lh Lower Level— agencies, including CharlieNM ; Pyramid No. 3 Pride from the State Board of Accounts,as they dis Indianapolis, IN 46268 a cuss the latest in legislative action and policy. g „. 'Frequent Attendee Price:$20.00 Legislators will also •' r � 1„ attend to give their p( 151" 5�» "' '`' rt p IACT Municipal 1 g' five on the 2013 legis Member: $30.00 lative .. ' t. # , I�t ? ,. a Guest: $30.00 session. Thank you to TACT �� t „�+"� �- � , �, Town Roundtable sponsors, � A IACT Associate Midwestern Engineers, Inc. ?� , ,` Member: $75.00 and Umbau h. " g -'�.` „xM Non-Member Municipality:$85.00 SPONSORED BY r r, erg is