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Home My WebLink About195111 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 360710 Page 1 of 1 ONE CIVIC SQUARE LIFESAVERS CONFERENCE INC INDIANA 46032 PO Box 30045 CHECK AMOUNT: $600.00 CARMEL ALEXANDRIA VA 22310 CHECK NUMBER: 195111 CHECK DATE: 3/212011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 27101 229 300.00 TRAINING 210 4357000 27101 230 300.00 TRAINING LIFESAVERS National ConfereWbidEy Safety Priorities cscott@carmel.in.gov; February 21, 2011 Curtis Scott Carmel Police Department 3 Civic Square Carmel, IN 46032 As of today, our records indicate a balance due for registration fees. If you have recently made a payment and feel it may have crossed in the mail, please disregard this invoice. For questions, please phone (304) 724 -3006. Please remit payment to: Lifesavers Conference PO Box 30045 Alexandria, VA 22310 ATTN: Accounts Receivable If you prefer to authorize credit card payment for the balance due, you may do so by faxing a copy of this invoice with the appropriate credit card information and authorization to (304) 724 -3007. You may also mail this information. Registration Number: 229 Registrant Name: Curtis Scott Early -Bird Special Registration at $300. TOTAL COST $300.00 TOTAL PAID $0 BALANCE DUE $300 PO NUMBER: 27101 Thank you for your prompt attention to this matter. Lifesavers Conference Staff March 27-29,2011 0 Phoenix Convention Center a Phoenix, Arizona April 15-18,2012 a Wait Disney World Swan and Dolphin a Orlando, Florida April 14-16,2013 a Colorado Convention Center w Denver, Colorado wwNv.lifesaversconference.org 0 P.O. Box 30045, Alexandria, VA 22310 703.9217944 13 703.922.7780 Fax LHFESAVERS National ConfererNVdd ly Safety Priorities cscott @carmel.in.gov; February 21, 2011 Ann Gallagher Carmel Police Department 3 Civic Square Carmel, IN 46032 As of today, our records indicate a balance due for registration fees. If you have recently made a payment and feel it may have crossed in the mail, please disregard this invoice. For questions, please phone (304) 724 -3006. Please remit payment to: Lifesavers Conference PO Box 30045 Alexandria, VA 22310 ATTN: Accounts Receivable If you prefer to authorize credit card payment for the balance due, you may do so by faxing a copy of this invoice with the appropriate credit card information and authorization to (304) 724 -3007. You may also mail this information. Registration Number: 230 Registrant Name: Ann Gallagher Early -Bird Special Registration at $300. TOTAL COST $300.00 TOTAL PAID $0 BALANCE DUE $300 PO NUMBER: 27101 Thank you for your prompt attention to this matter. Lifesavers Conference Staff March 27-29,2011 m Phoenix Convention Center m Phoenix, Arizona April 15-18,2012 V Walt Disney World Swan and Dolphin a Orlando, Florida April 14-16,2013 a Colorado Convention Center 0 Denver, Colorado www.lifesavcrsconference.org a RO. Box 30045, Alexandria, VA 22310 a 703.922.7944 c 703.922,7780 Fax INDIANA RETAIL TAX EXEMPT PAGE 1 1 City 6f k arme� CERTIFICATE N 003120155 002 0 PURCHASE ORDER NUMBER Police De artment p FEDERAL EXCISE TAX EXEMPT 35- 60000972 3 12MCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION December 13 2010 trainin VENDOR Lifesavers Conference, Inc.. SHIP City of Carmel.Police Department Conference Registration TO 3 Civic Sqa &aye P.O. Box 30045 Carmel, IN 46032 Alexandria, VA 22310 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2011 Lifesavers Conference for Officer Curtis 300.00 600.00 Scott and Ann Gallagher on March 2� 29, 2011 in Phoenix, AZ ffi �i g 1 t i p ..9 p °E"`b"°'.'""'a yS'�V4• City of Carmel Police, Depart meat Send Invoice To: ATTNt Teresa finders ®nn 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 670 cont ed fund PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UN08LIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. //ffJJ y C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.— WARRANT NO. ALLOWED 20 IN THE SUM OF 2 ON ACCOUNT OF APPROPRIATION FOR Board Members PO## or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund i�,l AY 10 H A L CONFERENCE ON F iGHWAlY SAFETY PRIORITIES HIGPI19 Se"", First name: Last name: y Preferred first name for badge: Organization: Address: 4 City: 5tate: Zit?; PH0ENIX ARIZ0INA Telephone: 3 1 5 ?U a Cell: Email: C SGt� G CA//rJ e f r V�s318� CS7Ju'191u��i hi!'t�d�l`ys Registration information will be sent to the email address above. List any additional email addresses where your confirmation should be sent: Send this form with your payment or purchase Check ifyou do not want your contact information printed in conference materials' order to: Special Requirements: By Mail: Indicate the g conference s) you will be attending da y undo Lifesavers Conference, Inc. y on da y h /Tuesday Conference Registration Will you be staying at one of the conference hotels? Yes No P.O. Box 30045 If not, where will you be staying? Alexandria, Virginia 22310 Is this your first lifesavers Conference? Yes E F No Or Fax: What field do you work in? Consultant /Researcher Community Programs (703) 922 -7780 Do not mail form after faxing. Insurance Industry EMS /Fire Local Government Lifesavers Fed. ID 4: 52- 1648356 Child Passenger Safety Public Health /Medical State /Federal Govt. NOTE: Ifyou do not receive a confirmation via Child Restraint Manufacturer ❑rcement Auto Industry email or U.S. mail from us within 14 days, please Advocacy /Consumer Group Iudge /Prosecutor Student contact us at (703) 922.7944 or email us at re istrar PTFAssociates.com kj�, ,q i C �t Check one) g C� Your registration fee includes an opening reception, a continental breakfast, two lunches, refreshma Teaks, exhibits, workshops, and program materials. Early -Bird Special until January 14, 2011 5300 r r _f_ Regular Registration January 15 to February 25, 2011 $3j0 Lifesavers does not accept cancellations by phone. ❑I Late /On -Site Registration after February 25, 2011 $y5o Cancellations must be mailed to Lifesavers Conference, F Moderator /Speaker $300 or emailed to registrar@ptfassociates.com. You will Madera tor] S pea ker (one day, day ofatten ding presentat ion on(y) No Charge receive a confirmation ofyour cancellation. Requests Please Indicate day received by March 14, 2o11 will be refunded less a $25 Student (attach copy ofyou( student LD.) $25 administration fee. Refunds wilt be issued after the conference- Requests made after March 14, 2011 or Note: Additional exhibit personnel please use the exhibit registration form. Total Amount Due "no-shows" are not eligible for a refund. Check one 11 Visa F2 MasterCard Check f chrchase Order' Paying by credit card or purchase order? Register online at wwsv.lifesaversconference.org T Registration must be mailed by March 16, zov. Card Number: Expires: CWz Cade: t After that date wait and register on -site. fhz Cwt mac is a 3 df ;ir,vee lound Q�,ne back ar vou� credit card N..... Registration fees must be paid by check in U.S. 1 agree to pay the above total amount according to card issuer agreement. dollars (payable to Lifesavers Conference, Inc.), credit card (Visa or MasterCard) or attached Signature: purchase order. We do not accept American Express. Print name as it appears on card: Registrations received without payment or Purchase order must be attached. Indicate bill to address if different from above registration T lre s, purchase order number will not be processed. Attn: `isf Organization: `Ar t-' 7° Address: /Ur J(C City /stote JZi o "Contact information will only be used for meeting purposes. The registration list is offered for sate to exhibitors only. NATIONAL CONFERENCE ON HIGHWAY SAFETY PRIORITIES 4E OD HIGl a u ro First name: Last name: e� M Preferred first name for bad e: Organization: Address: PH0EIN IX•ARIZ0NA City: .,e State^ Zip: V(04 Z Telephone: 3 S 1; Cell: MARCH 27-29,20 E-mail: tr �I�C hP� CA//I7e/ �ti�1 O v P�IC�6:�!' I�€ CO"liP�I�I�L�E$ Registration j06auanon will be sent to the entail address above. List any additional email addresses where your confirmation should be sent: Send this form with your payment or purchase Check if you do not want your contact information printed in conference materials.* order to: Special Requirements: By Mail: ndicate the day(s) you will be attending conference Cday day esr a Lifesavers Conference, Inc. y Conference Registration Will you be staying at one of the conference hotels? r Yes No P.O. Box 30045 If not. where will you be staying? Alexandria, Virginia 22310 Is this your first Lifesavers Conference? Yes 0 Fax: What field do you work in? Consultant /Researcher r Community Programs (703) 922.7780 00 not maii fOrrn Aterfaxing. L _i Insurance Industry ❑i EMS/Fire Local Government Lifesavers Fed. ID 5 1648356 Lf Child Passenger Safety Public HealthiMedical State /Federal Govt. NOTE: Ifyou do not receive a confirmation via Child Restraint Manufacturer ❑-Caw Enforcement Auto Industry email or U.S. mail from us within 14 days, please Advocacy /Consumer Group Cl Judge /Prosecutor 0 Student contact us at (703) 922-79 or email us at (Check one) y registrar�a PTFAssociates.com tt� JJ�:t u Ca�J trrlJ; Your registration fee includes an opening reception, a continental breakfast, two lunches, refresh nt breaks, exhibits, workshops, and program materials- (b[p a Early -Bird Special until January 14, 2011 S1 Regular Registration January 15 to February 25, 2011 $350 Lifesavers does not accept cancellations by phone. Late /On -Site Registration after February 25, 2011 $450 Cancellations must be mailed to Lifesavers Conference, Moderator /Speaker 5300 or emailed to registrar a p4assodates -corn. You wil! D Moderator /Speaker (one day, day of attending presentation only) No Charge receive a confirmation ofyoui cancellation. Requests Please Indicate day received by March 1p, 2011 will be refunded less a $25 Student (attach copy ofyourstudentI-D.) $25 administration fee. Refunds wiilbe issued after the conference. Requests made after March 14, 2011 or Note :Additfonalexhibitpersonnet— please use the exhibit registration form. Total Amount Due$ "no- shows" are not eligible for a refund. Check one 71 Visa MasterCard Check chase Order" Paying by credit card orpurchase order? Register online at wwvrclifesaversconference -org i Registration must be mailed by March 16, 2011. j After that date wait and register on site. Card Number: Expires: CW2 Code nine CW7 rode �,s a i &,ir rods f unAen the bark orvovr crevrr card rollowrny rhr crodir rant nu+nGer Registration fees must be. paid by check in U.S- i agree to pay the above total amount according to card issuer agreement, dollars (payable to Lifesavers Conference. Inc.), credit card (Visa or MasterCard) or attached Signature: purchase order. We do not accept American Express. Prink name as it appears on card: Registrations received without payment or Purchas rdei must be, at tached. (Indicate bill-to address if different from ove re islratio dress. L purchase order number will not be processed. Attm 4/9 6 rsv'n Organization: N/ 77-4 6)j/0 1 b�/�l Address: C t C Citv/State/7ip: /V(I �gi/.� .1jlJ V,5O JZ *Contact information will only be used for meeting purposes. The registration list is offered for sale to exhibitors only. VOUCHER NO. WARRANT NO. ALLOWED 20 Lifesavers Conference, Inc. IN SUM OF P.O. Box 30045 Alexandria, VA 22310 $600.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 27101 230 570.00 $300.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 27101 229 570.00 $300.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, February 25, 2011 A Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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)) 02/21/11 230 payment for training for Ann Gallagher $300.00 02/21/11 229 payment for training for Officer Scott $300.00 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