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223012 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350402 Page 1 of 1 ONE CIVIC SQUARE INDIANA CHAMBER OF COMMERCE CARMEL, INDIANA 46032 115W WASHINGTON ST CHECK AMOUNT: $299.00 STE 650 S CHECK NUMBER: 223012 INDIANAPOLIS IN 46204 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 26421 183253 299 . 00 WELLNESS PROGRAM Page: 1 of 2 _moire indi.EI3a �.,jt.Et thei't)f Cd}R�ft4 et'C£', 115 M tF: trirlgtl}n St,tit^850 S,Indianapolis,I N,462€34.1 SSA IYh t111e:{..}1?12{r.I=,.I 111 f'il'l:1.117}�fs4-!t'E.vC �r�a-v�.lutlicln;t4'i't:tulht r.ca�taa 1 INVOICE Date: 05-Aug-2013 Bill-To: 000000215204-0 �'� Order Number: 5000623477 Order Date: 05-Aug-2013 Invoice Number: 0000183253 Ms.Sue Wolfgang Employee Benefits Administrator City of Carmel One Civic Sq Cannel,IN 46032-2584 Unit Product Fulfill Status Status Qty Unit Price nisennnt Coupon Adjustment Total WELLSEPT131WELLFULLCONF-IN Health Active Active 1 299.00 0.00 0.00 0.00 299.00 &Wellness Summit:Full Conference (9/30-10/1) Ms.Sue Wolfgang Shipping: 0.00 Total: 299.00 Paid To Date 0.00 Current Amount Due: 299.00 D z 1111111110 By Picaca riatarh tha In—r nnrtinn anri rnnvn it with vniir nnvment Thank vnu Confirmation Letter Ms. Sue Wolfgang, Employee Benefits Administrator (317)571-2409 swolfgang @carmel.in.gov Thank you for registering for the IN Health&Wellness Summit: Full Conference(9/30-10/1)1 Date/Time: 9/30/2013 7:00:OOAM to 10/1/2013 5:00:OOPM Location: The Westin Indianapolis 50 S Capitol Ave Indianapolis, IN 46204-3406 LODGING For overnight rooms, please contact the Crowne Plaza Downtown reservations at(317)631-2221. Please request the Wellness Summit room block in order to receive the discounted room rate.Our group rate is available until Sept. 3. SPECIAL NEEDS If you have special accessibility or dietary needs, please call(800)824-6885 or email seminars(a)indianachamber.com at least four(4)days prior to the seminar with your special need. SEMINAR ATTIRE The attire for this conference is business casual. We try to maintain a comfortable room environment; however, the temperature can tend to fluctuate, so please dress for comfort. CANCELLATIONS All cancellations must be received in writing. A$25 processing fee will be charged for all cancellations. Cancellations received within two weeks prior to the conference will be issued a credit certificate, less the$25 processing fee. Credits can be used toward any future Indiana Chamber conferences for up to one year. Credit is fully transferable. Substitutions are welcome at anytime but are requested in advance. Indiana Chamber of Commerce P.O. Box 44926 Indianapolis, IN 46244-0926 Phone: (800)824-6885 Fax: (317)264-6855 www.indianachamber.com 451-�? firt, 1ytZ S SyyI r ; dop k 4 t ti iti k �.`� �t�, ;� i�, �` wy :j`C' � a ,qty} •'�� Ylf�• tr y_ Y ° 1 .4c w") FS AND ii, ,.., sum may SPONSOR: SEPT. 30 — OCT. 1 , 2013 CROWN PLAZA DOWNTOWN AT UNION STATION, INDIANAPOLIS s t '.Xt 3 'ns 7�k'X a, ,.� 3 C w�'E"'R.'t!' �_-`S. *Sn 3 �t ,•'$v:S�"t"Z..q ,'air j'Y +y .E a 'w'� xq'' «sk , 4r l.' `" b. *: %'3:a -,t�.� �,'.t!.��m, �'.'�`�,.��� �'..y. -3v:�:yo 1 r ec.'. t i; '�� _ l iw u' �?°,_ 3�k,,,.���°•tc ^4 �,xx„��;a� ��.� 4'` 'i,• ikt��i... � x £ .:N a:,. ,±. ..�'+v..�. a' a;'� t •F.go `�� ,� c ySk., `t &� �` .�.ha.a �w.>C.a ,�m.5�°',i�'"�' '4�t�. *;n 9 -� a'� 3f �t � "'i�+,a ` ,r �' ��,*z ti...: b".i=.�` . e»».� ^�,,.. .'tla k. --g Y t4.`' ,S` r.t' to- 4 }`7 ..•%; h.:''�3_d s R ,g".•`,.1 il 1 •.� 4 °*.s�`S�'4.,?!� +,.,,t?`:g g '4`F at ..c, y ,; - k§ wt 3.:._,a '' u qs!' y atiW. 2r-' w.5.", v. q, .,^a;.-fg'k.i �' -• "''"!° r`R; r k "1.. t�`' t a: { • § a,.y�c ..o :'xy.'_ s"t '' y,'-`7 r, ,p .;tF s k a a zip '--Ps'"LL ' '"n' �,. ~ 'F -!' `t � ► � t �,'� a tY �' �.a.. Y -� 0 9x `*'-c*- iMl 04. eu -�. , r, • w '�§ an W A V, i��� a`� �`a1333"EkSSS��k3�y�. 5 u,�� ' �-° �':.,�..t,4`� .�a-c �'A. p ;,.� .� •� r�, ,� ��, f:,�aa �Ps F id 5�"n�.,,", �r�,�,nt�'"f��`� r�a+ ��ats�- 4s4,y''��s Jx'�e'd rr�}.-,: ter ..`� h 3;;r$ _:: ".�.: � �F�va.i* gt..�,�a ,,,y�? �' "*` 'x'� t.:.,;' �*k„ kw�fi S}xd ^R6�£ ,6 R ""'••`t ,3 � �'€�;;s a�'a ...Y-.t.. 6.^fZ#...a�1�r�i?;P�.,'�.�.tz�'3.a..a9 .�':ss o.R.,..eY3•-F'.suwn 3J��'.�..,,v.','�.'� "�". v...�-.:;9.!,.'4�.±: _�s':�- , .�.^�ds.d v3,.m '�.�'�+ .'� ,..:r?3eN,r`:.a..:.}..aaG S`.���Ty,t�a, .w'`Fr� r^�-- MULTIPLi REGISTRATION OPTIONS A_VAILABLE ThIREE .EASY,WAYS-T®.. EGISTER.® Visit www.india'riawellnesssummrt com '':" 5$299 (S-60t.'30-ba l) n:. Call '(800) 824=6`885 •`"$199'(Sept. 30 only) Email::seminars @indianachamber.com •_$199 (Qct. l only) 'Send one attendee-Get 50% off 2nd registration! Priority Code' :.2288 C VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Chamber of Commerece IN SUM OF $ 115 W. Washington St., Suite 850 S. Indianapolis, IN 46204 $299.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members �L f J I 0000183253 ( 43-419.80 I $299.00 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 Monday, August 12, 2013 Director, HR Title I 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)) 08/05/13 0000183253 Wellness Conf $299.00 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