HomeMy WebLinkAbout195111 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
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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