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Home My WebLink About219362 04/24/2013 CITY OF CARMEL, INDIANA VENDOR 143001 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOC OF CITIES&TOWNS CHECK AMOUNT: $285.00 , ra CARMEL, INDIANA 46032 1 CONFERENCE MERIDIAN ST,STRATTON INDAMERIDIANsr,225 340 CHECK NUMBER: 219362 INDIANAPOLIS IN 4622$ CHECK DATE: 412412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 285 . 00 EXTERNAL INSTRUCT FEE 2013 IACT WORKSHOPS & SCHOOLS REGISTRATION FORM REGISTRATION YOUR INFORMATION HOTEL FEES Name RESERVATIONS Sheraton Indianapolis North CLERK-TREASURERS City/Company SCHOOL ONLY � � � Hotel at Keystone Crossing Title r N';Z \� 8787 Keystone Crossing O$95 IACT MEMBER Indianapolis, IN 46240 ❑$150 NON-MEMBER Address � Standard Room Rate: 597.00 City/fown BUDGET WORKSHOP �"'� ��` plus tax(single occupancy) ONLY State zip India- A/$95 MEMBER Please contact the Sheraton India- Phone 3\� S��_ •��o napolis Hotel directly at(888)627- ❑$150 Non-Member 7814 and to make hotel reservations Email Select Location: Mtic acs o and request the Indiana Association ndianapolis Special Needs and Dietary Restrictions of Cdies and Towns block. Hotel ❑Huntingburg reservations should be made no later ❑Munster ❑Fort Wayne than Monday,May 13. TACT is not responsible for hotel reservations or CLERK-TREASURERS METHOD OF PAYMENT cancellations. SCHOOL& I E—VERIFY INDIANAPOLIS heck ❑MasterCard El Visa ❑Discover BUDGET WORKSHOP check Number IACT is an enrolled employer in (SAVE$20!) the E-Verify Program verifying Card Number the work eligibility status of its Cl$170 IACT Member new employees and will remain ❑$280 Non-Member Expiration Date 3-digit Security Code so until that program no longer COUNCIL MEMBERS Name of Cardholder exists. SCHOOL ONLY Authorized Signature HOW TO REGISTER ❑$95 IACT MEMBER Billing Address(it different from above) MAIL: IACT, 200 S. Mendian ❑$150 NON-MEMBER Street,Suite 340, COUNCIL MEMBERS Indianapolis, IN 46225 SCHOOL& city Fax:Complete form with credit card information and send to INDIANAPOLIS state zip (317)237-6206 BUDGET WORKSHOP (SAVE$20!) PRE—REGISTRATION ❑$170IACT MEMBER CANCELLATION POLICY ❑$280 NON-MEMBER Only written cancellations received five(5)business days prior DEADLINE to the event will be refunded, minus a$40 processing fee. The deadline for pre-registration Fax your cancellation to(317)237-6206 or email to kstorms@ is(5)business days prior to Total$ citiesandtowns.org. IACT is not responsible for hotel reservations each event. Pre-registration is or cancellations strongly recommended. 2013 IACT WORKSHOPS & SCHOOLS REGISTRATION FORM REGISTRATION YOUR INFORMATION HOTEL FEES Name RESERVATIONS CLERK-TREASURERS City/Company Sheraton Indianapolis North SCHOOL ONLY Hotel at Keystone Crossing Title � 8787 Keystone Crossing ❑$95ACT MEMBER Indianapolis, IN 46240 ❑$150 NON-MEMBER Address -a--- � City/town Standard Room Rate: S97.00 BUDGET WORKSHOP plus tax(single occupancy) ONJcY State Zip $951ACT MEMBER Please contact the Sheraton India- Phone 3��_S��_��OQ napolis Hotel directly at(888)627- 0$150 Non-Member - 7814 and to make hotel reservations Salk`Location: Email 7� and request the Indiana Association Indianapolis Special Needs and Dietary Restrlc ions of Cities and Towns block. Hotel ❑Huntingburg reservations should be made no later ❑Munster ❑Fort Wayne than Monday,May 13. IACT is not responsible for hotel reservations or CLERK-TREASURERS METHOD OF PAYMENT cancellations. SCHOOL& E-VERIFY INDIANAPOLIS Check El MasterCard ❑visa CJ Discover BUDGET WORKSHOP Check Number IACT is an enrolled employer in (SAVE$20!) the E-Verify Program verifying Card Number the work eligibility status of its ❑$170 IACT Member new employees and will remain ❑$280 Non-Member Expiration Date 3-digh Security Code so until that program no longer COUNCIL MEMBERS Name of Cardholder exists. SCHOOL ONLY Authorized Signature HOW TO REGISTER ❑$95 IACT MEMBER Billing Address(if different from above) MAIL:TACT,200 S. Meridian ❑$150 NON-MEMBER Street, Suite 340, COUNCIL MEMBERS Indianapolis,IN 46225 SCHOOL& City Fax:Complete form with credit card information and send to INDIANAPOLIS state zip (317)237-6206 BUDGET WORKSHOP (SAVE$20!) PRE-REGISTRATION ❑$170IACT MEMBER CANCELLATION POLICY ❑$280 NON-MEMBER Only written cancellations received five(5)business days prior DEADLINE to the event will be refunded, minus a S40 processing fee. The deadline for pre-registration Fax your cancellation to(317)237-6206 or email to kstorms® is(5)business days prior to Total$ citiesandtowns org. IACT is not responsibie for hotel reservations each event. Pre-registration is or cancellations. strongly recommended. 2013 IACT WORKSHOPS & SCHOOLS REGISTRATION FORM REGISTRATION YOUR INFORMATION HOTEL FEES Name��\�\ \ \� RESERVATIONS CLERK-TREASURERS City/Company Sheraton Indianapolis North SCHOOL ONLY C Hotel at Keystone Crossing Title ' 8787 Keystone Crossing ❑$95IACT MEMBER Indianapolis, IN 46240 ❑$150 NON-MEMBER Address '� C� Standard Room Rate: 597.00 City/Fown BUDGET WORKSHOP C plus tax(single occupancy) ONLY state �� zip E $951ACT MEMBER Please contact the Sheraton India- Phone —�� S —��OQ napolia Hotel make to(rese 627- El$150 Non-Member Email 7814 and to make hotel reservations Se ct Location: ��ab�0 �'�-� �n• Yid request the Indiana Association Indianapolis Special Needs and Dietary Restrictions of Cities and Towns block. Hotel Cl Huntingburg reservations should be made no later ❑Munster ❑Fort Wayne than Monday,May 13. IACT is not responsible for hotel reservations or CLERK-TREASURERS METHOD OF PAYMENT cancellations. SCHOOL& INDIANAPOLIS Ch's eck ❑MasterCard ❑visa ❑Discover E-VERIFY BUDGET WORKSHOP Check Number IACT is an enrolled employer in (SAVE$20!) the E-Verify Program verifying Card Number the work eligibility status of its U$170 IACT Member new employees and will remain ❑$280 Non-Member Expiration Date 3-digit Security Code so until that program no longer COUNCIL MEMBERS Name of Cardholder exists. SCHOOL ONLY Authorized Signature HOW TO REGISTER ❑$95 IACT MEMBER Billing Address(if different from above) MAIL: TACT, 200 S. Mendian ❑$150 NON-MEMBER Street,Suite 340, COUNCIL MEMBERS Indianapolis, IN 46225 SCHOOL& City Fax:Complete form with credit card information and send to INDIANAPOLIS state zip (317)237-6206 BUDGET WORKSHOP (SAVE 0$170 $20!) CANCELLATION POLICY PRE—REGISTRATION O$280 NON MEMBER Only written cancellations received five(5)business days prior DEADLINE ❑$280 NON-MEMBER to the event will be refunded, minus a S40 processing fee. The deadline for pre-registration Fax your cancellation to(317)237-6206 or email to kstorms@ is(5)business days prior to Total$ citiesandtowns org. IACT is not responsible for hotel reservations each event. Pre-registration is or cancellations. strongly recommended. Prescribed by Stale 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)) Registration Fees-Chiefs $28500 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. ALLOWED 20 IACT IN SUM OF $ 200 S. Meridian Street, Ste. 340 Indianapolis, IN 46225 $285.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept INVOICE NO ACCT#/TITLE AMOUNT Board Members 1120 I I 43-57004 I $285.00 1 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 APR 2 2 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund