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185572 05/20/2010 CITY OF CARMEL, INDIANA VENDOR: 354306 Page 1 of 1 ONE CIVIC SQUARE MICHAEL PITMAN 4 CARMEL, INDIANA 46032 CHECK NUMBER: 185572 CHECK DATE: 5/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 520.00 TRAINING SEMINARS 0`1 O GIRD pri+eg CITY OF CARMEL Expense Report (required for all travel expenses) NDI�MP EMPLOYEE NAME: Michael Pitman DEPARTURE DATE: 4/30/2010 TIME: 11 :30 O PM DEPARTMENT: Carmel Police Department RETURN DATE: 5/7/2010 TIME: 6:00 AM/ OM REASON FOR TRAVEL: Police Bike Instructor School DESTINATION CITY: Chesterfield, MO. EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air -fare Car Rental. Other Parking Breakfast Lunch Dinner Snacks Per Dietn. 4/30/10 $65.00 $65.00 5/11/110 $65:00 $65-00 5/2/10 $65.00 $65.00 5/3/10 $6500 1 $65.00 5/4/10 $65.00 1 $65.00 515/10 $65.00 $65.00 5/6/1.0 $65.00 $65.00 517/10 $65.00 $65:00 $0.00 $0.00 $0:00 $0.00 $0.00 .$0.00 $0.00 $0.00 $0.00 $0.00 $0-00 $0;00 0.00 Total $0:00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.00 $0.00. $0.00 $520:00 $1 i o DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 5/1012010 Page 1 20th Annual PMBA Confe ietn Chesterfield -St, Louis, Missouri May 2010 Registration Form Page 1 of 2 P lease read Registration Checklist on back of P lease check all boxes that apply and add workshop descriptions before filling out this up the right column for your total. registration form. PRINT LEGIBLY. u o 0 To avoid rush fee, registration forms must be received by April 1 2010. You must be a current member to attend anyof Me Am confeiinee Name IAs you would LNe.11 to appear an yournamefog, and in all correspondence) fralnfng courses. Join or renew below It you are not currently a member, ®�0�0�� ❑��OOnO Bicycle Response Team Training— $375 1J F,nt 1+151 EMS Cyclist Course $325 Horne Address IPMBA Instructor Course 11550 ." You must apptyand be approved loaftend. Contact the IPMBA ofhco with questions, Maintenance Officer. Certification Course $525 ra 5v1° police Cyclist Course Cl $325 /�j, E -Mail" yj �1 rl'�I A �•�'77 &Z., i I if p:V ouparfinewal authorization forlive�flm oxen fses enclosed (ra•IPilea >j Public Safety Cyclistli Course $450 Dept. Name Ca.M2 p lc2 papartmantalauthonrarrorttor! rvehreexereseaenclosed 71 7 1 7 Mm e— Dept. Address 3 m 7�03� US lPMf3AMemberFee q $460 coy Cie cwna y MUST bar rxrrranC you must prov de your current IPWA membomhip S eie posta Dept. telephon '�itt w number on this farm orjolnlrenow wffh this regisnoon. Non -IPMBA Member Fee 0 $475 IPMBA Membership Number ._9 �-tct� Fee for Pre Conference Attendees &($350 rlendolayforC —enrondrenewtngrarOen.l rlyouareas any filejoakt attend t ence, courses. this is the roe you wd! pay fo adend the conlorance, IPMBA Instructor Number Bike Team Rate $350 Sao box ti leg mlumrl for delaas. *Confirmations will be sent via-e-mail. They wilt NOT be mailed. f? LUnc 6§ Guest Fee (per guest) Guests x $50 U Lunches are included in [he cost of each re- onerenf e cotifse. Dunn the all a n d woJ u n hrmes N A M Eue g uest to me e� on cf p 9 lW71 and two lunches NAMEIsJ: conference, lunches will be served on Thursday and Friday; please check the Rush Fee 25 appropriate boxes on the reverse. All olher meals are on your own. Registrations submitted aftar April f, 2010, mostmcluda the rush fee. Exhibit Hail -Only Pass (Pro- Reg latra {tan Required) 0 Free Register three or more members from the same agency at a flat rate of d $350 per team member! The following conditions apply: New Renew 0 U 50 Applies to CONFERENCE fees only. Tee Shirt Size ©M ❑L WkL ClXXL ❑XXXL Does NOT apply to Pre- Conference.Course Fees, Can be used by both conference -only attendees and those attending both a 0 TOTAL ENCLOSED pre- conference course and the conference. Qa Registrants MUST be IPMBA members (current, joining, or renewing), CANCE1IArl onrPOLICV: Refund reauesfamus lbe made inwri0ng and postmarA Registrations MUST be.submitted together (offer not available online). Ap 2010. Refunds. less a $50odnlinlsfmllan too, war be yrocesatd lerowiria the conlerance. No refunds afW Apol i. J7yov must cancel afterApn7.7, yovmaylocafa a subsldute and submff Nsh;erregistratlon form and a 1pffor of explanaffcn. Membership, HAVE YOU COMPLETED THE OTHER SIDE OF THIS 1=ORAT7 tomtits! on, and Instructor vAokalion fees are non- rerundable. d r a a D 1 I+ Form of Payment [MUST ACCOMPANY REGISTRATION] Purchase Order number Check or money order (payable to IPMBA) enclosed. or departmental equivalent: Visa/MasterCard accepted (circle one). bap °Am ent b winch Inc mw,co sfwufd bn sw+l Expire: _i_ Signature: Name on card: Email address for receipt: CRY 5[ala 21P Contact phone: photo Poliee an Bikcs. 1uc. dbd lnlernorionnl PnGrn blmrruairs Bikr:3zratlafton i'Frdrral LD. Number: 32- 2137781 W10 HO W TO REGISTER FOR CONFERENCE WORKSHOPS (Conference Attendees Only. Do not compiete If you are attending only a pre conference course.) Fill out your name below! Check the boxes next to the courses you wish to take. Do not select more than one workshop per time slot. Verify that your selections do not conflict with one another. Register eariy —some class sizes are limited! NAME: DEPARTMENT: e,49YA i 'C2 STATE :.Zd PHONE. EMAIL: 0745 BB45 Qpe)ning Ceremonies 0915 -1030 0915 -1200 0915 -1645 Administrative Issues ofa. Bicycle Unit Q Blown Up and Struck by Lightning (Cont. after lunch) Iniporlance of Proper Bike Fit Cl EMS Scene Safety PCI to EMSCI Tra tsitioriCourse (uctii PCA aniy) Scenario -Based Training Safcty and Administration MMR Skill Clinic: introduction ro Technicul Riding You Look Sick o niir 2) Youth Bicycle Education: What to Teach and Why Size Doen't Moller: Tearhing jot 19en SSl speed Skills pinrir20) 1045 -1200 t AUSxci Contact Apprehension pimir?0) Tipsfor. Inatn worsTeachingStudents (limit 20) Bicycle Safe(vP .ducolionfor the Adult Rider Urbnn Drug Enfonemint Drug Identification i ITALICS NEW WORKSHOP! Building a Bike Training Obstacle Course Kit whor's in those poem Bogs Anynpny? ❑Dade, Where- sAfyBfks? Using. TeehnolcVto Combat Bike Thefi Haycs Disc Brake Clinic (limit l0) CONFERENCE SCHEDULE Haw toUscaikaEfec- litilyinSchools AND INSTRUCTORS SUBJECT C3 Using theITKPoiverPoii l Presentations EfJeelively (Dedpo. instrucrors 611151) TO CHANGE Q Orntrach Ufor EMS Bike Teams: How to Increase Ymrr Certainly to be yalucd.'Funded and Sur ed 1215 -1300 Lunch; Exhiliit Hall Open 1400 -1515 1400 -1645 1400 -1815 0 Public Relations Outreach for Bike Teams Coolinuous &in- Service Training with Practical Crash/Bang! Firearms Skills for Btku Officers Terrerixln ndih'ePub&Snfslv Bike Teanr Psrrrascs (limit 1$) Manitou Suspension Tech Clinic (fimir 10) Dutch Arrest Tactics and Crowd Management 1530 -1645 Noseless Saddles? What Tcchmques (Emit 18) 13 Campus CammunitvPolleing r❑ at the knccs \!ccd q MMR SkiBClinle­ intermedlure Tec)wtrol R ding How to Becotno an IPMBA Instructor ❑J ountam Bikc Use in Search, and Rescue {limn 1 S) (linrii Panncrtng with Locof 8usin.ss Comorunfty Stealth Tactics for Bike Patrol {limit 10) Assoefailons Urban Obstacles Can be a Wreck (llmir 10J slow Speed Skills (Iiar![ )0) Whccl Truing (limo 10) 081 5 -6930 081 5 -1100 0815 -1230 Administrative Issues'of a Bicycle Unit Mountain Bike Use in Search and Rescue (limit 15) Crash/Bang! Firearms for Bike Officers (limit IS) Trrrprism a r llhe Puh1i€ Snfr11 Bike Tealn Naseless Saddles? What Dutch Arrest Tactics and Crowd Management you Look sfrk Size Doesn't barter: Teachingfor 20crr Techniques (iiinif 18) Whtti the Knees Need EMSCI to PCt /SCI Transition Course (active WhcctTruing (limit 10) �llivba'anl_v) Introduction Ea Biko Maintirnance 0945 -1100 0945.1230 MAN Skill Clinic: Advanced Technical Riding Outreach Ujor EMS Bike Teules flaw to Increase yourcertoinotohe ❑BicycleCtaahlnvcsfigition (limlt3fl) Stealth Tactics for Bike Patrol (limit 20) Yulued, Furidrrl, andSrestniried ❑Blown Up and Struck by Lightning C3 Urban Obstacles Can be alVmk (lanir 10) Pur tnering wilh Local Business d- Community .dssociationx Continuous ln- Service Training with Practical Exerciser Suspect Contact Apprehension (lint[ 20) 1115 -1230 Tlpsfur lnrhuctors Teaching Students (limit 20) Bicycle Safely Education for The Adult Rider Urban drug Enforceracat Drug Identification Dude, Where's My Bike? Using ne hnn1rWv to Conchal Bike Theft Now to Use, Bikyi Effectively in_'Schools Public Relations Outreach for. e Timm 17 Scenario -Dried Tiainirl ,1 Adminimmian 1245 -1330 d Lunch 1345 -1500 ❑Building a Bike Training Obstacle Course Kit pn campus Roundlab)c id V 0 EMS Roundtable If 1111MIN How to 6 €conic an 1P Instructor Q 0 -'Li4 0900-1315 U 'ngnc� rlKPower Poml Pratentotlons Effectively ncnve instructors only) TnurdcChesterjleld J Advanced Off -Rood Riding Youth Bicycic Education: What to Teach and Why 1700 Obstacle Course Competition (Regirier -Sire) H H H �o II9 C7 tlQn(� ■r I tl.° -Logic 11'crAi+ i> Partnering wlrh Local Business and Using 1110,17'A POwerPaint �y CommuniryA SSOCtattonS will focus on Presentations Effectively. "The IPMBA o f how bike officers can partner with local Tnstructor Tool Kit includes PowerPoint businesses, community organizations, presentations that, if used properly, can In older to speed processing and avoid errors, please and bike groups to promote safe cycling enhance the students' educational read and complete the following checklist prior to in the community. Topics include: how experience. Designed for both veteran submitting your registration form. Thanksl to raise looney, how to manage and and new instructors, this workshop will recruit volunteers, and hoW to plan and demonstrate avariety of ways to CONTACT INFORMATION. Required for nametag and all implement events. Students will benefit personalize the FM presentations using correspondence. The website address containing .your from the workshop by learning how to photos and video clips in a seamless confirmation information will be sent to your e prior to incorporate local businesses into presentation style. Participants will also the event. department events. Departments will team how to create a "splash screen" to benefit from the partnerships both allow for ease of use and hyper -links to Confirmation L formolion includes confirmed courses wndshops: list of required equipment d uniform requirements: PAR -Q (Physical Activity financially and from the positive move efficient and p professional r. Reudiness 9hiestkinnaire): navel logistical bic infnr nation; ycle shipping relationships built. Presented by Officer in an efficient andprofessiona] manner. storage derails;, an -stie check -in iusn rrcriom; and campeririwr info. Rocco Sovero of the Howard County Presented by Sgt. Bernie Hogancamp of (MD) Police Department. the Homewood M) Police Department, 1 have included ALL my contact information (address including one of the creators of the ITK PPT& zip code, phone., fax, my complete and correct email; home and work INSTRUCTOR DEVELOPMENT Open lu active IPMBA Instructors oniv. info)' Building a Bike Training Obstac Eguiprrr'enl: 4,plop loaded with the 179 IPMBA MEMBERSHIP. Required for pre conference courses Course Kit will teach attendees how to strongly encouraged for hands -on and discounted registration "IPMBA Member build a stackable. modular set of practice. Fee" on the registration form.) components for use in ereaiing an What's in Those Damn Baks, Anyway? 17 1 am a currentlreneiiing member and have included my IPMBA obstacle course. Attendees will became This session is ideal forPohee•Cyclisr membership number..(If! am renewing, I have also included the Sj0 familiar with the construction concepts. Instructors who are also certified to uiersibership durs"in the total.) materials, and skills needed build the conduct the EMS Cyclist Course. See I am joining I PMBA and have checked off the appropriate box AND kit. A scale model will be used to description under EMS Topics. included InyW membership dues. demonstrate how to use the kit to PRE CONFERENCE TRAINING COURSES (MAY 1 -5, 2010), conduct bike handling/decision rtiakntg POLICE TACTICS AND OPERATIONS training on many different levels by I have checked the box that corresponds to the pre confcrcncc course changing the difficulty of the course and Urbun DrugEnforctcmenrand Drug that pant go' ing to take. modifying the layout of the components. Identification, presented by Cpl. Eddy 1 alu en. tulling.in the Instructor Course and have also submitted the Attendees will be provided with a set of Croissant of Tampa (FL) Police instructor Application (available online or from the IPMBA office) plans to construct their own easy -to- -Department, will familiarize officers and fee. with different types of drugs as well as 1 am enrolling in the. Police Cyclist Coarse and have enclosed a letter store obstacle kit. Invented and present ideas on how to conduct bike from my department authorizing ine to participate in live -fire presctited by members of the Denton exercises• patrol in high drug activity areas. After (TA) Police Department Bike Team. I am enrolling in the Public Safety Cvclist Course and have enclosed attending this workshop, officers erg- f be. a copy of my IPMBA issued Police Cyelisi.Certificate (or equivalent) How to Become an IPMB.9 instructor, familiar with street drugs, same of and a letter my department au thorizing me to participate in See descriplionI under General Interest. which may not yet have reached their tter fro and a exercises. ri d Training Su Al)- Basefer} ant! jurisdictions, and be'prepared to mount Scena Scenarios are being effective bike mounted drug operations. 20TH ANNUAL IPMBA CONFERENCE (MAY 6 2010). incorporated into law enforcement TERRORISM TOPICS O 1 am attending the IPMBA Conference, and have selected the training more and more, and the IPMBA appropriate payment box, as explained below. courses are no exception. This Terrorism and the Public Safety Bike If you ore joining or renewing wish registration, or your workshop will address safety and Team. Since 9/11, public safety membership is current, select "IPMB.4 Member Fee. control measures necessary to ensure organizations have been trying to (fyou are not a member, oryour membership has lapsed and you, that students receive realistic training prepare for terrorist events in the United are not renewing, select "1Von- 1P1LI1lA Alernber without being subJect to unnecessary States. Many of the potential targets.are tfyou are otiending ANY of the lire- cortjerence courses. select risk ofinjury. Areas of. instruction will special events, like Siper'Bowls, World "t:eefar Coiiferei:ce Auendeas. include safety equipment, site selection, Series, fiction picture award shows, etc. If your are registering three oil more bike team members, select site access control, role player selection, Bike teams often find themselves in the "Bike Team Role and submit registration forms together. support personnel, and methods to midst of these events with limited 1 am bringing a guest(s), have'checked the proper box and included the control the action. LE- specific, but protection available to them. S50 guest fee for each,4nd I.supplied the'&v i ntiihe(s). Partici ants will gain a basic I,= attending a wli orksup(s) itivolain li EMS cyclists are welcome to attend- P g S live re exercises and have Presented by Sgt. Bernie Hogancamp, understanding of the types of agents enclosed departmental authorization allowing me to do so. IPMBA Board Member and holder of (chemical,'biological, radiological) used 1 have completed both sides or1he registration farm! numerous instructor qualifications, for terrorist events, and learn to identi FORM of PAYMENT. Pa_yrtient'MUST accompany registration. including use of force, (,rearms, and sympromoiogy and treatments. Registrations received without payment (check, MasterCard/ scenario -based training. Protective action and equipment will be Visa, or Purchase Order) will be retumed unprocessed. discussed. Presgnters Bob Dunivin and 9 Faxed registrations MUST include a MasterCard, Visa, or Scott Anderson of the Los Angeles Fire Purchase Order number. Department wilt bring their experience D Mailed registralions'MUST include a check, MasterCard, Visa, working large scale events as well as or Purchase Order number. their. DBS HazMat response training to 9 If you are paying by check, DO NOT fax your application and the classroom. This session can benefit mail the check at later date, any police, EMS, and security bike a If j ou are ain b check, a faxed re itration WILL NOT be `teams which work special events- p a y ing Y s g� 3e. IS r accepted. 1 have included the correct payment. n I have included the correct payruent, t 1 have registered after April 1, 2010,.and have included the 325 rush fee. 20TH EPMSA CONFERENCE PRODUCT I��rl'�� 4 "Jlllflitr,lt�liliE��1.�,.��i[: c <ti U %j.4. 1�sGt3 f i c iF= x,11':. �r ';;7 VOUCHER NO. WARRANT NO. ALLOWED 20 Michael A. Pitman IN SUM OF 520.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members Po# or INVOICE NO. ACCT4/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 210 570 520.00 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 May 10 20 10 &"ad A Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway,fund