HomeMy WebLinkAbout156240 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 360710 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS CONFERENCE INC
CARMEL, INDIANA 46032 PO BOX 30045 CHECK AMOUNT: $500.00
ALEXANDRIA VA 22310 CHECK NUMBER: 156240
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 17328 500.00 CONFERENCE REGISTRATI
a
ti
I April 13 15, 2008
Oregon Convention Center, Portland, Oregon
www.lifesaversconference.org
-v 1
HpGt1WAY SAFOETY PRIORITES
INVOICE
January 24, 2008
Teresa Anderson
City of 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 (240) 379 -7072. 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 (240) 379 -7080. You may also mail this information.
Registration Number: 547
Registrant Name: John McAllister
Early Registration at $250.
TOTAL COST $250.00
TOTAL PAID $0
BALANCE DUE $250
PO NUMBER: 17328
Thank you for your prompt attention to this matter. We look forward to seeing you in Portland!
Lifesavers Conference Staff
Lifesavers Conference, Inc. I P.O. Box 30045 Alexandria, VA 22310
phone: (703) 922 -7944 1 fax: (703) 922 -7780 Federal ID# 52- 1648356
I April 13 15, 2008
Oregon Convention Center, Portland, Oregon
www.lifesaversconference.org
IOVAA.L CON HpGHWAy SAF PR1 R1
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INVOICE
January 24, 2008
Teresa Anderson
City of 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 (240) 379 -7072. 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 (240) 379 -7080. You may also mail this information.
Registration Number: 549
Registrant Name: Ann Gallagher
Early Registration at $250.
TOTAL COST $250.00
TOTAL PAID $0
BALANCE DUE $250
PO NUMBER: 17328
Thank you for your prompt attention to this matter. We look forward to seeing you in Portland!
Lifesavers Conference Staff
Lifesavers Conference, Inc. I P.O. Box 30045 Alexandria, VA 22310
phone: (703) 922 -7944 1 fax: (703) 922 -7780 Federal ID# 52- 1648356
V
Conference Registration Form
National Conference on Highway Safety Priorities
April 13-15,, 2008 Oregon Convention Center Portland, OR
First name: Last name:
Preferred first name for badge:
Organization: (2 AR—a-02- L_
Address: (V C_
City: State Zip:
7t Payment Terms
Telephone: Z7 20 Fax:
E-mail: AC-,4LLA(�qr-pt.
5D( el a 4,o a 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:
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.
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.
processed.
M Please return this form with your
payment or purchase order.
Check here if you do not want your contact information printed in conference materials
Is this your first Lifesavers Conference? IQl Yes No By Mail:
i Lifesavers Conference, Inc.
What field do you work in? Law enforcement Conference Registration
Judge/prosecutor Public safety Automotive industry I P•O. Box 30045
Alexandria, Virginia 22310
State or federal government Community programs Insurance industry
Advocacy/consumer group Child passenger safety EMSi By Fax:
(703) 922-7780
Registration Fees: (Check one) Do not mail form after taxing
Early Registration on/before February 29, 2008 $250 LifesavL-rs Fed. ID 52-1648356
Late /On -Site Registration after February 29, 2008 $375
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
0 0 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
j processing fee. After that date there are
no refunds. Cancellations must be sent
Payment Method:
in writing to Lifesavers Conference, Inc.
Check one: Visa MasterCard Check 4urchase Order
Card Number: Expires: CW2 Code:
For Off ice Use Only
The CW2 code is a 3-digit code found on the back of your credit card following the credit card number
agree to p# the above total amount according to card issuer agreement.
Reg#:
Signature:
Date received:
Print name as it appears on card:
CK Po cc
For purchase order, indicate bill-to address if different from above stration ad ress.
Number or CC Approval#
Attn: Organizat om
Address:
City/State/Zip:
Register online with credit card or purchase order www.lifesaversconference.org
rr
Conference Registration Form
National Conference on Highway Safety Priorities
April 13-15, 2008 Oregon Convention Center Portland,, OR
First name: Last name: MCA LL I
Preferred first name for badge:
Organization:
Address:
Cit C,4R—(A-t L S,te�� 'j LA,03z
1
Telephone: 3 1 -7 Fax:( Payment Terms
_TM-r�L L C fL CIA94L,7- L 7 �-Gv
E-mail: 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: I rA 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.
M 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. processed.
M Please return this form with your
payment or purchase order.
Check here if you do not want your contact information printed in conference materials
Is this your first Lifesavers Conference? Yes No By Mail:
Lifesavers Conference, Inc.
What field do you work in? XLaw enforcement Conference Registration
P.O. Box 30045
El Judge/prosecutor El Public safety El Automotive industry 1,
i 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 Fees: (Check one) Do not mail form after faxing
Early Registration on/before February 29, 2008 $250 Lifesavers Fed. 10 52-1648356
'El Late/On-Site Registration after February 29, 2008 $375
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
5v,ou f 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
Payment Method: in writing to Lifesavers Conference, Inc.
Check one: Visa MasterCard Check Purchase Order*
Card Number: Expires: CW2 Code:
For Off ice Use Only
The CW2 code is a 3-digit code found on the back of your credit card following the credit card number
agree to pay the above total amount according to card issuer agreement.
Reg#:
Signature:
Date received:
Print name as it appears on card: El cc
CK PO
*For purchase order, indicate bill-to address if different from above re istration adrs
Number or CC Approval#
/e/ A99
Attn: Organizat
Address: City/State/Zip: L n,
Register online with credit card or purchase order www.lifesaversconference.org,
CRY w INDIANA RETAIL TAX EXEMPT PAGE
®II 1 Carmel CERTIFICATE NO.003120155 002 0 1 R 1
JL PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17 4 9 A
3 I, Z SQUARE VOUCHER, DELIVERY MEMO, PACKING AC INNG SLIPS,
CARMEL 46032,2584 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
Tnnitaru 1h nn R training
SHIP
VENDOR Lifesavers Conference, Inc. City of Carmel Police. Department
Conference Registration TO 3 Civic Square
P.O. Bost 30045 Carmel, IN 46032
Alexandria, VA 22310
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
National Conference on Highway Safety Priorities 250.00 500.00
for Sgt. John McAllister and Ann Gallagher on
April 13 15, 2008 Portland OR
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Send Invoice To: City of Carmel. Polk D¢ 1 a f
ATTN: Teresa Anderson ad�P'�r
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT. AMOUNT
210 570 cant.. 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 1 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
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE rb i e f A f' Pot i re
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO.1 7 3 Z,.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
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 except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribe 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
Lifesavers Conference Purchase Order No. 17328F
.P.O. Box 30045 Terms
.Alexandria, VA 22310
ATTN: Accounts Receivable Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1124/09 paymen for National Conference on Highway Safety 500.00
Prinritips for Sgt. John McAllister and Ann Gallagher
on Ap-H-1 13 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
Lifesavers Conference IN SUM OF
ATTN: Accounts Receivable
P.O. Box 30045
Alexandria, VA 22310
5nn- -00
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17'128F 570 0 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
JaniiarV 79 20 08
4 U"t h 'Y
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund