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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 RIT /f rN 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 =�n 4j ,N 4 0 f 1 5 g ma a xs X40 Ia aea` e 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