167122 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 360710 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS CONFERENCE INC
CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 Po aox 30045
ALEXANDRIA VA 22310 CHECK NUMBER: 167122
CHECK DATE: 12/1712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
x1110 4357004 18979 500.00 CONFERENCE FEES
Page 1 of 4
Anderson, Teresa K
From: Thurston, Luann
Sent: Saturday, December 06, 2008 4:38 PM
To: Anderson, Teresa K
Subject: FW: Lifesavers 2009 National Conference Confirmation
Teresa,
FYI- See below this is the invoice for Ann's registration. Have not received one for John yet.
From: registrar @ptfassociates.com [ma i Ito: reg istra r@ ptfassociates. com]
Sent: Friday, December 05, 2008 4:59 PM
To: Thurston, Luann
Subject: Lifesavers 2009 National Conference Confirmation
12/05/2008
Ann Gallagher
Carmel Police Dept.
3 Civil Square
Carmel, IN 46032
Dear Ann Gallagher,
We are pleased to confirm your registration for the Lifesavers Conference, The National Conference on
Highway Safety Priorities, to be held in Nashville, Tennessee, March 29 -April 1, 2009 at the Gaylord
Opryland Resort and Conference Center.
Please note the schedule change for 2009 the conference will begin on Sunday evening with an
opening reception in the exhibit hall, workshop sessions start on Monday morning, and the
conference will end on Wednesday at noon.
Please carefully review your mailing and registration information. Fax any changes or corrections to
Lifesavers Registration at 240 379 -7080, or email registrar ptfassociates.com A revised confirmation
will be issued any time your registration is changed /updated.
PAYMENT:
Registration 143 (Exhibitors note: this is not your booth assignment number; it will follow.)
12/8/2008
Page 2 of 4
Early Registration at $250.
Amount Due: $250.00
Amount Received: $0.00
Authorization Information: PO
balance Due: 1$250.00
If there is a balance due above, please consider this an invoice and remit payment within 21 days
to secure your registration:
Lifesavers Con f erence, Inc.
PO Box 30045
Alexandria, VA 22310
Please make checks payable to Lifesavers Conference, Inc. MasterCard and Visa are accepted (we do
not accept.American Express). Federal ID# is 52- 1648356
REGISTRATION:
Badges and conference materials will be available at the registration counter located in the Delta B /C /D
lobby on Level 2 at the Gaylord Opryland. Registration hours are as follows:
Sunday, March 29 10:00 am 6:00 pm
Monday, March 30 7:30 am 5:00 pm
Tuesday, March 31 7:30 am 4 :30 pm
Wednesday, April 1 7:30 am 12:00 pm
All meetings, exhibits and functions will be held at the Gaylord Opryland. Your registration includes
admission to all workshop se s sions, the Sunday evening reception, opening plenary, NHTSA Awards
luncheon, box lunch in the exhibit hall, two continental breakfasts, closing plenary breakfast,
refreshment breaks, conference materials, and access to over 100 exhibits.
LATEST TECHNOLOGY WORKSHOP:
New for 2009! The Manufacturers' Update two -part workshop usually held during the Lifesavers
Conference will instead be held prior to the conference on Sunday afternoon, from 3:00pm- 5:00pm.
Child restraint manufacturers will highlight their latest technology /new product features and designs.
Visit the Lifesavers website 'Pre /Post Activities' page to register.
HOTEL RESERVATIONS:
Please reserve your room at the Gaylord Opryland, Lifesavers' conference hotel. A valid credit card
number is required to guarantee your reservation. If you need to cancel your reservation, refer to your
Gaylord confirmation 1 e tter for instructions. Be sure to cancel 72 hours before your arrival date to
avoid the penalty of one night's room rate plus tax. You are responsible for canceling your hotel
reservation.
Make your hotel reservations early; although conference rates are guaranteed until February 27, 2009,
12/8/2008
Page lof4
Anderson, Teresa K
From: Thursbon.Luann
Sent: Monday, December 08.2OO80:26AyW
To: Anderson, Teresa K
Subject: FVV� Lifesavers 2009 National Conference Confirmation
See invoice below for John. Thanks
From: McAllister, John VV
Sent: Monday, December 08, 2008 9:24A;4
To: Thurston, Luann
Subject: FVV: Lifesavers 2009 National Conference Confirmation
From: vegistrar@othxssociates.com [mai|to:vegistrar@ptfnssociotes.cnm]
Sent: Friday, December 05, 2008 5:00 PM
To: McAllister, John VV
Subject: Lifesavers 2009 National Conference Confirmation
l2/0j/2008
John McAllister
Carmel Police Dept.
Civil Sgoacc
Carmel, IN 46032
Dear John McAllister,
We are pleased to confirm your registration for the Lifesavers Conference, The National Conference on
Highway Safety Pr tobcheld io Nashville, Tennessee, March 29-/\pci}l,20O4o1 the Gaylord
pryioud Resort and Conference Center.
Please note the ouhedmUm uhmogm for 2009 —the conference will begin on Sunday evening with an
opening reception in the exhibit hall, workshop xmmmiwmm start on Monday morning, and the
conference will end on Wednesday at noon.
Please carefully review your mailing and registration information. Fax any changes o[ corrections io
l7/8/7008
M&S ,'TENNESSEE
National Conference on Highway Safety Priorities
Miarch 29 April 1, 2009 Gaylord Opiryland Nashville, TN
First name: Last name: A/c 17111 S f e r I
Do you know a colleague who would be inter
Preferred first name for badge: �ch ested in the Lifesavers Conference?
Organization: Car I Name:
Address: C 1 u i L S tt'CJr_ i Email:
Cit C. Ar M State: Zip: 'A V 3
Have you been to the Gaylord Opryland Hotel
Telephone: 3 v Fax: Z J Z before? Yes No
E-mail: JN' C P) I If _S t c e YjV i
Registration information will be sent to the email address above. Payment Terms
List any additional email addresses your confirmation should be sent to: 1 Registration must be received by March 19,
2009. After that date wait and register on -site.
Registration fees must be paid by check in
Special Requirements: U.S. dollars (payable to Lifesavers Conference,
Inc.), credit card (Visa or MasterCard) or
Your registration fee includes an opening reception, two continental breakfasts, two lunches, I attached purchase order. We do not accept
closing plenary breakfast, refreshment breaks, exhibits, workshops, and program materials American Express.
Registrations received without payment or
Check here if you do not want your contact information printed in conference materials purchase order number will not be processed.
Is this your first Lifesavers Conference? El Yes 1?<
What field do you work in? Consultant/Researcher Community Programs
Send this form with your payment
EMS /Fire Local Government or purchase order to:
El Child Passenger Safety ❑Public Health /Medical El State/Federal Govt. !l
❑Child Restraint Manufacturer Law Enforcement Auto Industry rsa Conference, Inc.
El Advocacy /Consumer Group Judge /Prosecutor El Insurance Industry ce Registration
P.O. Box 30045
Ieyi tration Fees' (Check One) Alexandria, Virginia 22310
Early Registration on /before February 13, 2009 $250 Or Fox.
Late /On -Site Registration after February 13, 2009 $375
9 Y l (703) 922 -7780 fJO not mi-,i; form Wile; farinr,
Moderator /Speaker $250 Lifesavers Fed. ID 52- 1648356
Moderator /Speaker (one day, day of attending presentation only) No Charge
I NOTE: If you do not receive a confirmation via email
Please Indicate day or U.S. mail from us within 14 days, please contact us
Total Amount Due So O 0 at (703) 922 -7944.
Note: Additional exhibit personnel please use the exhibit registration form. Cancellation Policy
Registrations cancelled on or before March 4, 2009
P 3yment fvlethod: Check one: Visa MasterCard Check rchase Order* i will receive a refund minus a $25 processing fee.
Card Number: Expires: CW2 Code: I After that date there are no refunds. Cancellations
must be sent in writing to Lifesavers Conference, Inc.
The CW2 code is a 3 -digit code found on the back of your credit card following the credit card number
1 agree to pay the above total amount according to card issuer agreement.
I For Office Use Only
Signature: Reg
Print name as it appearss on card: Date received:
Purchase order must be attached. Indicate bill -to address if different from above r ration address. I El CK El Po El cc
Attn: 6F" 3A Y917 ge "jot Organization: CAI C�� /Cn l/C� T I Number or CC Approval#
Address: 3 �r S�rh��e City /State/Zip: C 2i.� Y(e �3Z
Contact information will only be used for meeting purposes. The registration list is offered for sale to exhibitors only.
Register online with credit card or purchase order www.lifesaversconference.org
INDIANA RETAIL TAX EXEMPT PAGE o 11 Carmel CERTIFICATE NO.003120155 002 0 1 c7 1
C i t y PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1
3 QRFN CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
December 2 20(8 trainin
VENDOR Lifesavers Conference, Inc. SHIP City of Carmel Police Department
Conference Registration To 3 Civic Square
P.O. Box 30045 Car 1, IN 46032
Alexandria, vA 22310
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
National Conference on Highway Safety Priorities for 50.00 500.00
Sgt. John McAllister and Ann Gallggher on March 29
April 1, 2009 in Nashville, TN
City f Carmel Pol�
Send Invoice To: y V
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUP KATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 570 -04 instructional fees PAYMENT
J 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 UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY `L 11 ��1G�1 t�- /I.(_,�.
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THER J
CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
j ALLOWED 20
IN THE SUM OF
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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PresciUed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 7995)
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
Lifesavers Conference, Inc. Purchase Order No. 18979F
P.O. Box 30045 Terms
Alexandria, VA 22310 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/8/08 payment for Lifesavers Conference for Sgt. John 500.00
McAllister and Ann Gallagher on March 29 —Aril 1, 200
in Nashville, TN
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.
1
ALLOWED 20
Lifesavers Conference,ilnc. IN SUM OF
P.O. Box 30045
Alexandria, VA 22310
500.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Member
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), O r
18979F 570 -04 500.00 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
December 8 20 OR
Signature
Chief of Pol i rc
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund