The URL can be used to link to this page

Home My WebLink About158891 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1 ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $240.00 CARMEL, INDIANA 46032 171 PARKVIEW COURT CARMEL IN 46032 CHECK NUMBER: 158891 CHECK DATE: 4/30/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343002 240.00 EXTERNAL TRAINING TRA Conference Registrat National Conference on Highway Safety Priorities April 13.15, 2008 Oregon Co nv e nti on Center Portland, OR First name: A'Y N Last name: t+ LC Preferred first name for badge: A A�1 EC' Q Y g Organization: Address: A G U (C (.3�� Cit C" L Y State -L c, Zip: i Telephone: 4J S� Z 7 20 Fax: ?1 '7) Payment 7eC97t5 E -mail: �f d 0 All registrations must be received by March 3, 2008. After that date wait Registration information will be sent to the email address above. List any additional and register on -site. email addresses your confirmation should be sent to. =s Registration fees must be paid by check in U.S. dollars (payable to Lifesavers Conference, Inc.), credit card (Visa or Special Requirements: Mastercard) or attached purchase order. IN Registrations received without payment Registration fee includes opening reception, 3 lunches, 2 continental breakfasts, refreshment or purchase order number will not be breaks, exhibits, workshops, and program materials. i processed. Please return this form with your payment or purchase order. Check here if you do not want your contact information printed in conference materials p� Is this your first Lifesavers Conference? IQJ Yes No I By Bail: Lifesavers Conference, Inc. What field do you work in? Law enforcement Conference Registration Judge /prosecutor Public safety Automotive industry 1 P.O. Box 30045 Alexandria, Virginia 22310 State or federal government Community programs Insurance industry Advocacy /consumer group Child passenger safety EMS /medical By Fax: (703) 922.7780 Registration lees: (Check one) Do not mail form after faxing i Early Registration on /before February 29, 2008 $250 Lifesavers Fed. 113 52- 1648356 Late /On -Site Registration after February 29, 2008 $375 j NOTE: If you do not receive a confirmation Moderator /Speaker $250 via email or U.S. mail from us within 14 days, Moderator /Speaker (one day, day of attending presentation only) No Charge please contact us at (703) 922 -7944. Please Indicate day Cancellation Policy: Total Amount Due Registration cancelled on or before March 31, Note: Additional exhibit personnel please use the exhibit registration form. 2008 will receive a refund minus a $25 processing fee. After that date there are no refunds. Cancellations must be sent Pd}+lrtent Method: in writing to Lifesavers Conference, Inca Check one: Visa MasterCard Check Aurchase Order* Card Number: Expires: CW2 Code: For Office Use Only The CW2 code is a 3 -digit code found on the back of your credit card following the credit card number I agree to pay the above total amount according to card issuer agreement. Reg Signature: Date received: Print name as it appears on card: C PO CC *For purchase order, indicate bill -to address if different from above stration Aadess. Number or CC Approval# Attn: /FaES /�i oe'-sm Organization: 6� Address: 3 City /State/Zip: Register online with credit card or purchase order www.lifesaversconference.org THE TRAVEL AGENT tel 317846.9619 800.347.2512 fax 317848.3998 lished1979. emai info @thetravelagent.travel VIRTUOSO MEMBER. 11562 Westfield Boulevard l Carmel, Indiana 46032 web www.thetravelagent.travel SPECIALISTS IN THE AE1 OEI-L SALES PERSON: A09DT ITINERARY /INVOICE NO. 43780 DATE: JAN 22 2008 ACCOUNT CPD M41HQ8 PAGE: 01 FOR: GALLAGHER /ANN TO: CITY OF CARMEL CITY OF CARMEL— POLICE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN:LUANN THURSTON CARREL IN 46032 THREE CIVIC SQUARE CARMEL IN 46032 12 APR 08 SATURDAY MILES— 977 ELAPSED TIME— 2:53 AIR LV INDIANAPOLIS 640A FRONTIER AIR FLT: 615 SPECIAL CLA CONFIRMED AR DENVER 733A NONSTOP RESERVED SEATS 13B AIRLINE CONFIRMATION:F9 HBCUTW MILES— 992 ELAPSED TIME— 2:48 AIR LV DENVER 821A FRONTIER AIR FLT: 791 SPECIAL CLA CONFIRMED AR PORTLAND ORE 1009A NONSTOP RESERVED SEATS 12B AIRLINE CONFIRMATION:F9 HBCUTW 1`5 APR 08 TUESDAY MILES— 992 ELAPSED TIME— 2:26 AIR LV PORTLAND ORE 620A FRONTIER AIR FLT: 102 COACH CLASS CONFIRMED AR DENVER 946A NONSTOP RESERVED SEATS 13E AIRLINE CONFIRMATION:F9 HBCUTW MILES— 977 ELAPSED TIME— 2:25 ?1IR LV DENVER 10.35A FRONTIER AIR FLT: 618 COACH CLASS CONFIRMED AR INDIANAPOLIS 300P NONSTOP RESERVED SEATS 11E AIRLINE CONFIRMATION:F9 HBCUTW THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO 'ID AT CHECK IN WITH CONF. TICKET IS NONREFUNDABLE IF UNUSED. :`-'MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY. CONF FRONTIER AIRLINES HBCUTW *YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED `FEES AND PENALTIES EXIST FOR.REISSUES REFUNDS AND CHANGES AS YOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALL TRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER.. FORTERMS AND CONDITIONS, REFER TO: �TTATRAVEL/TERMS THE TRAVEL AGENT tel 317846.9619 800.347.2512 /�h�2aanuGE2�eGa�rsd�e fax 317848.3998 Fscabhshed1979 email info @thetravelagent.travel VIRTUOSO MEMBER 11562 Westfield Boulevard Carmel, Indiana 46032 web www.thetravelagent.travel f PE C, A L I ITS,N TH. A SIT U F TtAVOt -SALES PERSON: A09DT ITINERARY /INVOICE NO. 43780 DATE: JAN 22 2008 ACCOUNT CPD M41HQ8 PAGE: 02 FOR: GALLAGHER /ANN TO: 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 FOR AFTER HOURS EXISTING RESERVATION EMERGENCY CALL 877 645 6373 CODE A09. A $15.00 PER CALL FEE WILL BE CHARGED. A FEE OF 5PCT ON THE TOTAL COST APPLIES TO ALL CANCELLATIONS FOR BOOKED TOURS CRUISES OR LAND HOTEL PACKAGES. .'.THE TRAVEL AGENT THANKS YOU -317 846 9619..DEBBIE WWW.TTA.TRAVEL 'TICKET NUMBER /S: GALLAGHER /ANN AIR TRANSPORTATION 217.10 TAX 58.28 TTL 275.38 PROCESSING FEE 35.00 SUB TOTAL 310.38 CREDIT CARD PAYMENT 310.38 TOTAL AMOUNT 0.00 AS YOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALL TRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER.. FOR TERMS AND CONDITIONS, REFER TO: �(ITA UA_VELJIRMS I OF Cqq�� \Ell,p CITY OF CARMEL Expense Report (required for all travel expenses) /NUTANP EMPLOYEE NAME: Ann Gallagher DEPARTURE DATE: 12- Apr -08 TIME: 6:40 AM DEPARTMENT: Police RETURN DATE: 15- Apr -08 TIME: 3:30 PM REASON FOR TRAVEL: Lifesaver's training DESTINATION CITY: Portland, OR EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 4/12/08 $60.00 $60.00 4/13/08 $60.00 $60.00 4/14/08 $60.00 $60.00 4/15/08 $60.00 $60.00 $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 0.00 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $240.00' $0.00 e 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: U J 44 D Date: I 1 r 4 City of Carmel Form ER06 Revision Date 4/16/2008 Page 1 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 Ann Gallagher Purchase Order No. 171 Parkview Court Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/24/08 reimburse Ann Gallagher for meals while attending 240.00 Highway Safety Priorities school on April 12 15 2008 in Portland OR Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Ann.Gallagher IN SUM OF 171'Parkview Court Carmel, IN 46032 240.00 ON ACCOUNT OF APPROPRIATION FOR police genreal fnd Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -02 240.00 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 April 24 20 08 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund