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Home My WebLink About196536 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 278140 Page 1 of 1 g 0 ONE CIVIC SQUARE CURTIS D. SCOTT CHECK AMOUNT: $263.50 CARMEL, INDIANA 46032 14309 NOLAN DRIVE FISHERS IN 46038 CHECK NUMBER: 196536 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 263.50 TRAINING SEMINARS CITY OF CARMEL Expense Report (required for all travel expenses) /NpInN' EMPLOYEE NAME: Curtis Scott DEPARTURE DATE: 3/26/2011 TIME: 5:45AM AM PM DEPARTMENT: Police Department RETURN DATE: 3/30/2011 TIME: 12.57AM AM/PM REASON FOR TRAVEL: Training DESTINATION CITY: Phoenix, AZ 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 Diem 3/26/11 $1.75 $65.00 $66.75 3/27111 $65.00 $65.00 3/28/11 1 $65.00 $65.00 3/29/11 $1.75 $65.00 $66.75 $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 $0.00 $0.00 $0.00 0.00 Total. $0.00 $0.001 $3.501 $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $260.00 $0.00 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 3/3112011 Page 1 pN HiGN Sco First name: T r S Last name: L Y d� Preferred First name for badge: r Organization: Address: C ��n�/ U �iv City. Slate: Zip: Telephone 3 t_7 7 Cell: e sGV C',9/ tv E -mai r „rr r,fua i� K cyrar ara. ors n Registration information will be sent to the email address above, List any additional email addresses where your confirmation should be sent: f 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 Lifesavers Conference, Inc. Indicate the day(s) you will be attending conference G,Sunday ❑�onday L�Tuesday 1 Conference Registration Will you be slaying at one of the conference hotels? Yes El No I P.O. Box 30045 If not, where will you be staying? Alexandria, Virginia 22310 Is this your first lifesavers Conference? yes ❑iHo What field do you work in? Con sultant /Reseafchef Community Programs (703) 922 -7780 Do not mail form after faxing, Insurance Industry EMS(Fae Local Government I Lifesavers Fed. ID 52- 1648356 Child Passenger Safety Public Health /Medical State /Federal Govt, NOTE: Ifyou do not receive a confrmation via I❑I Child Restraint Manufacturer E Enforcement Auto Industry email or U.S. mail from us within 14 days, please Advocacy/Consumer Group Iudge/Proseculor Student 7 contact us at (703) 922-7944 or email us at registrar @PTFAssociates.com (Check one) U Your registration fee includes an opening reception, a continental breakfast, Iwo lunches, refresh n "W teaks, exhibits, workshops, and program materials. ahti4c Early -Bird Special until lanuary 14, 2011 $300 t L Regular Registration lanuary 15 to February 25, 2011 535° Lifesavers does not accept cancellations by phone Ll Late/On Registration after February z5, 2011 450 Cancellations must be mailed to Lifesavers Conference, Moderator /Speaker 5300 i or emailed to tegislrar @plfassociates.com. You will Moderator /Speaker (one day, day of attending presentation only) No Charge receive a confirmation ofyour cancellation. Requests Please Indicate day I received by March 14, 2011 will be refunded less a S25 Student (attach copy of your student t.D.) $25 administration fee. Refunds will be issued after the conference. Requests made after March 14, tort of Note: Additional exhibit personnel please use the exhibit registration form. Total Amount Due "no- shows" are not eligible for a refund. Checkone ❑visa ❑MasterCard ❑Check C chase Order Paying by credit card orpurchase order? Register online at wwrv.lifesaverscortference.org Registration must be mailed by March 16, 2013, Card Number. Expires CWz Code: After That dale wait and register on -site. the 1147 rodr �s a Jdipi root loupe on Inr EacA or vow tirdir card brlm•nq she r nett tarn nuc,Dr. i Registration fees must be paid by check in U.S. agree to pay the above total amount according to card issuer agreernent. 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 re s. purchase order number will not be processed. Alin: I L.lz SA �/I rCJ r` Organization: C 1 y C. S��C f�i'/1�e 0 z Address: r D CilylSla[e /Zip: C(( a j Contact information will only be used for meeting purposes. The registration list is offered for sale to exhibitors only. .THE TRAVEL AGENT tel 317846.9619 800.347.2512 �fi��a�i <cdU2a fax 317848.3998 v email info @thetravelagent.travel Established 1979. web www.thetravelagent.travel N R'1'U0 S0 M IM B E 1Z. 11562 Westfield Boulevard I Carmel, Indiana 46032 of az„FrR f SALES PERSON: DT2 ITINERARY /INVOICE NO. 68332 DATE: JAN 10 2011 ACCOUNT P4XBJA PAGE: 01 ?OR SCOTT /CURTIS D MR PO: CITY OF CARMEL CITY OF CARMEL— POLICE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN:LUANN THURSTON CARMEL IN 46032 THREE CIVIC SQUARE CARMEL IN 46032 26 MAR 11 SATURDAY MILES— 1489 ELAPSED TIME— 4:07 SIR LV INDIANAPOLIS 545A US AIRWAYS FLT: 180 COACH CLASS CONFIRMED AR PHOENIX 652A NONSTOP FOOD TO PURCHASE RESERVED SEATS 19A AIRLINE CONFIRMATION:US A3HT7W 29 MAR 11 TUESDAY MILES— 1489 ELAPSED TIME— 3:17 kIR LV PHOENIX 640P US AIRWAYS FLT: 500 COACH CLASS CONFIRMED AR INDIANAPOLIS 1257A NONSTOP FOOD TO PURCHASE RESERVED SEATS 13D OPERATED BY -30 MAR AIRLINE CONFIRMATION:US A3HT7W US AIRWAYS CONF A3HT7W THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY. "YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED FEES AND PENALTIES EXIST FOR REISSUES REFUNDS CHANGES. AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373 CODE A09— $15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL FOR TERMS AND CONDITIONS— AIRLINE LUGGAGE POLICES AND OTHER SERVICES OFFERED. THANK YOU. DEBBIE TUNSTILL 317 730 6210 OR OFFICE AT 317 846 9619 TICKET NUMBER /S: SCOTT /CURTIS D MR 7860461190 CARD 339.40 ELECTRONIC ASYOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALLTRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER.. FOR TERMS AND CONDITIONS, REFER TO: WWW.TTA.TRAVEL/TERMS -THE TRAVEL AGENT tel 317.846.9619 800347.2512 fax 317848.3998 Established 1979, email info @thetravelagent.travel web www.thetravelagent.travei VI WC UO S O M F M B F 1Z. 11562 Westfield Boulevard I Carmel, Indiana 46032 ,PEr,AL IN TIIE AR-F T-FI SALES PERSON: DT2 ITINERARY /INVOICE NO. 68332 DATE: JAN 10 2011 ACCOUNT P4XBJA PAGE: 02 OR: SCOTT /CURTIS D MR 0: CITY OF CARMEL CITY OF CARMEL— POLICE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN:LUANN THURSTON CARMEL IN 46032 THREE CIVIC SQUARE CARMEL IN 46032 AIR TRANSPORTATION 295.81 TAX 43.59 TTL 339.40 PROCESSING FEE 35.00 SUB TOTAL 374.40 CREDIT CARD PAYMENT 374.40 TOTAL AMOUNT 0.00 ASYOUR TRAVELADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALLTRAVEL COMPONENTS. TRAVELEX INSURANCE SERViCES IS OUR PREFERRED PROVIDER.. FORTERMS AND CONDITIONS, REFERTO: WWW.TTA.TRAVEUTERMS VOUCHER NO. WARRANT NO. ALLOWED 20 Curtis D, Scott IN SUM OF 14309 Nolan Drive Fishers, IN 46038 $263.50 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 210 570.00 $263.50 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 Thursday, March 31, 2011 Chief of Pol Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 03/31/11 reimburse Officer Scott for meals 1 train for training $263.50 I 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