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217682 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00352482 Page 1 of 1 ONE CIVIC SQUARE IMPACT CHECK AMOUNT: $90.00 i4�+o CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340 INDIANAPOLIS IN 46225 CHECK NUMBER: 217682 CHECK DATE: 2126/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4355300 4540 20 . 00 ORGANIZATION & MEMBER 1201 4355300 4541 20 . 00 ORGANIZATION & MEMBER 1201 4355300 4557 50 . 00 ORGANIZATION & MEMBER ��•^-acs l )", �1�f�^�y' IMPAU Invoice: 4541 Date: February 15,2013 Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns (TACT) to provide a network for municipal human resource professionals. All appointed and elected municipal officials who deal with personnel policies, records, compensation, administration and benefits programs will benefit from membership in IMPACT. IMPACT exists to provide a network for municipal human resources professionals to: • Foster professional development through training and information sharing • Better define the role of the human resources function in municipal government • Stimulate and encourage interaction among human resources professionals to share information and provide expertise to one another and to other municipal officials • Assist IACT in the design and implementation of human resources-related training for municipal officials and employees • Share resources through personal interaction and the creation of a personnel management resources bank • Promote the profession of local government human resources management 2013 IMPACT Annual Membership Dues Invoice 1:1-$-5-0.00-Primary Member(first person from a municipality) $20.00-Secondary Member(each additional person from municipality) $100.00-Associate Membership TOTAL$� Please provide the following information. Name: Jim Spelbring Title: Office Administrator Municipality: Carmel Address: One Civic Square 317 571-2499- 2�I,5 /2LZl n"a��nn Phone No.: � ) Fax No.: -5-'1t- 2'�-9 Email Address: 1pspelbring @carmel.in.gov *EMAIL ADDRESSES ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP Make checks payable to: Indiana Association of Cities and Tozons Q Mail completed form with payment by May 31,2013 to: D IMPACT,200 S.Meridian St., Suite 340, Indianapolis,IN 46225 FEB 15 2013 i u I understand that as a member of IMPACT, I agree to: (1) maintain the confi_ a of shared information when warranted; (2) share information with other members of the group; (3) abstain from using my official membership position to secure special privilege, gain or personal be efit; (4) contribute relevant materials to the personnel information resource library; a d (5) actively participate in training sessions and group meetings. Signature Date Z, 13 ❑ Please ck if would be interested in receiving Actionlines or e-newsletters. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Invoice: 4541 IMPACT accepts the following credit cards (please compete the following) Paying by: ❑ MasterCard ❑ Visa ❑ Discover Card Amount: 2 LV�Check Card Number: (make payable to "IACT"): Expiration date: 3-digit security code: Name on Credit Card: ❑ Credit Card Billing Address of Credit Card: Signature: IMPAU Invoice: 4557 Date: February 15,2013 Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns_(IACT)_to.provide a_network for municipal human resource professionals.-A11--- appointed and elected municipal officials who deal with personnel policies, records, compensation, administration and benefits programs will benefit from membership in IMPACT. IMPACT exists to provide a network for municipal human resources professionals to: • Foster professional development through training and information sharing • Better define the role of the human resources function in municipal government • Stimulate and encourage interaction among human resources professionals to share information and provide expertise to one another and to other municipal officials • Assist IACT in the design and implementation of human resources-related training for municipal officials and employees • Share resources through personal interaction and the creation of a personnel management resources bank • Promote the profession of local government human resources management 2013 IMPACT Annual Membership Dues Invoice U $-5-0.00--Primary Member(first person from a municipality) ❑$20.00-Secondary Member(each additional person from municipality) El$100.00-Associate Membership TOTAL$ Please provide the following information. Name: Barbara Lamb Title: Director of Human Resources Municipality: Carmel Address: One Civic Square l Phone No.: 3 i? - 5'71 - Z4 6J Fax No.: 30 - Email Address: blamb @carmel.in.gov *EMAIL ADDRESSES ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP Make checks payable to: Indiana Association of Cities and Tozons Mail completed form with payment by May 31,2013 to: IMPACT,200 S.Meridian St., Suite 340, Indianapolis,IN 46225 � aI understand that as a member of IMPACT, I agree to: (1) maintain the confide 1 alit of shared information when warranted; (2) share information with other mem Vial of FEB 2 5 2013 the group; (3) abstain from using my official membership position to secure sp privilege, gain or personal benefit; (4) contribute relevant materials to the persqnnel information resource library; and (5) actively participate in training sessions an V meetings. 2 Signature `�"� Date ❑ Please check if you would be interested in receiving Actionlines or e-newsletters. — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Invoiee: 4557 IMPACT accepts the following credit cards (please compete the following) Paying by: ❑ Master Card ❑ Visa ❑ Discover Card Amount: 5® Y C:heck Card Number: (make payable to "IACT"): Expiration date: 3-digit security code: Naive on Credit Card: ❑ Credit Card Billing Address of Credit Card: Signature: MPACT Invoice: 4540 Date: February 15, 2013 Indiana Municipal Personnel Administrators for Cities and Towns IMPACT formed in 1997 as an affiliate group of the Indiana Association of Cities Towns_(IACT)_to provide a network-for municipal human resource professionals. All appointed and elected municipal officials who deal with personnel policies, records, compensation, administration and benefits programs will benefit from membership in IMPACT. IMPACT exists to provide a network for municipal human resources professionals to: • Foster professional development through training and information sharing • Better define the role of the human resources function in municipal government • Stimulate and encourage interaction among human resources professionals to share information and provide expertise to one another and to other municipal officials • Assist IACT in the design and implementation of human resources-related training for municipal officials and employees • Share resources through personal interaction and the creation of a personnel management resources bank • Promote the profession of local government human resources management 2013 IMPACT Annual Membership Dues Invoice $50.00--Primary Member(first person from a municipality) W$20.00-Secondary Member(each additional person from municipality) ❑$100.00-Associate Membership TOTAL$ 1IU1 III -- v Please provide the following information. Name: Sue Wolfgang Title: Employee Benefits Adminstrator Municipality: Carmel Address: One Civic Square Phone No.: (317)571 - Fax No.: 31?` S'?1 Email Address: solfgang@carmel.in.gov *EMAIL ADDRESSES ARE CRUCIAL TO KEEPING IN TOUCH WITH OUR MEMBERSHIP _ Make checks payable to: Indiana Association of Cities and Tozons �} Mail completed form with payment by May 31,2013 to: v IMPACT,200 S.Meridian St., Suite 340,Indianapolis, IN 46225 FEB 2 2013 I understand that as a member of IMPACT, I agree to: (1) maintain the col "-T9aa1 y of shared information when warranted; (2) share information with other members of the group; (3)abstain from using my official membership position to secure special privilege, gain or personal benefit; (4) contribute relevant materials to the personnel information resource library; and (5) actively participate in training sessions and group meetings. Signature jw� Date a a / J ❑ Please check if you would be interested in receiving Actionlines or e-newsletters. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Invoice: 4540 IMPACT accepts the following credit cards (please compete the following) aO Paying by: ❑ Master Card F-1 Visa E] Discover Card Amount: Ly'Check Card Number: (make payable to "IACT"): Expiration date: 3-digit security code: Name on Credit Card: ❑ Credit Card Billing Address of Credit Card: Signature: VOUCHER NO. WARRANT NO. ALLOWED 20 IMPACT IN SUM OF $ 200 S. Meridian St., Suite 340 Indianapolis, IN 46225 $90.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1201 4541 43-553.00 $20.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1201 4557 43-553.00 $50.00 materials or services itemized thereon for 1201 I 4540 I 43-553.00 I $20.00 which charge is made were ordered and received except Monday, February 25, 2013 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/15/13 4541 James Spelbring $20.00 02/15/13 4557 Barbara Lamb $50.00 02/15/13 I 4540 I Sue Wolfgang I $20.00 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