158891 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