HomeMy WebLinkAbout160463 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00353219 Page 1 of 1
ONE CIVIC SQUARE MICHAEL L MABIE
CARMEL, INDIANA 46032
CHECK NUMBER: 160463
CHECK DATE: 6/10/2008
DEPARTMENT ACCOU PO NUMBER IN VOICE N UMBER AMOUN DESCRIPTION
1110 4343002 360.00 EXTERNAL TRAINING TRA
1110 4357004 200.00 EXTERNAL INSTRUCT FEE.
Instructions for Completing the
Application for Commission Accreditation
as a Traffic Accident Reconstruction ist
Please review the application completely before filling it out. If there is a section of the
application you don't understand, read carefully through these instructions, the answers to
almost any question will be contained in these pages.
The application was designed to allow the review committee fast and impartial review of
your application. Please do not simply staple a curriculum vitae to the application and write
in "see attached" on the application. Applications received in this fashion will not be
considered.
Please type or print on the application to ensure that the information is legible when
reviewed. Illegible application information may not be credited during your application's
evaluation.
NOTE: COMPLETED APPLICATIONS MUST BE RECEIVED AT LEAST FOUR (4)
WEEKS PRIOR TO THE CUTOFF DATE FOR THE EXAMINATION BEING
CONSIDERED!
Every ACTAR Accredited Reconstruction ist will be included in the ACTAR directory. Photos
must be included with the application. Two color or black and white "passport size" photos
must be attached to every application. In the space provided at the top of each page and
on the back of each photograph, be sure to print your name. The speed at which your
application is processed is dependent on how complete your application is when submitted.
Below is a checklist of the items to be included in each application:
the signed, completed application
two passport size photos attached to the front of the application such that the
photos are not marred by staples or tape (staple along the edge)
supporting documentation, certificates or other items showing completion of the
educational programs claimed in the application
sup portin g documentation for any other experien cla imed in the applicati
a check or mone order made out to -ACTAR for the 150 application fee ,$175 if
the applicant is not a member of one of the participating organizations). Do not
send cash. VISA or MASTER CARD can also be accepted for processing of
payment.
Optionally, a copy of the applicant's work product may be submitted. While it is not required
with the application, submission of a sample of work showing an opinion offered by the
applicant and the supporting documents for that opinion may be helpful in evaluating the
applicant's qualifications. If some manner of work product is submitted, please indicate that
portion which was actually prepared by the applicant personally.
-1-
a` e tton cdmmissi me jeeteA watieft commissiow
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P.O. Box 5436 Hudson, Florida 34674 -5436
e9eO jdent Reedcs J4 (800) 809 -3818
March 19, 2008
2045 P 031810
Michael L. Mabe
Carmel Police Department
3 Civic Square
Carmel IN 46032
Dear Mr. Mabe:
The Governing Board of Directors is pleased to inform you that your application to sit for
the ACTAR Accreditation examination for full accreditation as an ACTAR Traffic Accident
Reconstruction ist has been reviewed and approved.
Your status with ACTAR is listed as "approved to sit for the Accreditation Exam." You have
two years to successfully complete the examination process. If you fail to complete the
exam in that time, your status with ACTAR will expire and you must reapply.
A list of upcoming accreditation examination sites is enclosed. I urge you to register early
for a location near you to ensure seating. An examination fee will be required prior to the
examination LT_his fee will be either $SQ.::0.0_if_a- member_ of one of the participating ACTAR
Organizations, or, $75.00 if not. Participating organizations are listed on this letterhead.
Again, my congratulations,
Gi
Robert J. Squire
Chairman, Governing Board of Directors
Accreditation Commission for Traffic Accident Reconstruction
enclosure
International Association of Accident Reconstruction Specialists Society of Accident Reconstructionists American Society of Safety Engineers
National Association of Professional Accident Reconstruction Specialists National Association of Traffic Accident Reconstructionists and Investigators
Canadian Association of Technical Accident Investigators Reconstructionists Midwest Association of Technical Accident Investigators
Southwestern Association of Technical Accident Investigators University of Central Missouri Forensic Accident Reconstructionists of Oregon
Illinois Association of Technical Accident Investigators Maryland Association of Traffic Accident Investigators Michigan State Police Oregon State Police
New Jersey Association of Accident Reconstructionists Pennsylvania State Police Texas Association of Accident Reconstruction Specialists
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MATAI 2008 Conference
Iowa State Patrol
Post #4
3710 Highway #30 East
Denis On Iowa 51442
Attention: Trooper Downing
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REGISTRATION FORM 2008 MATAI CONFERENCE
NAME:_�/�� PHONE:_
AGENCY /COMPANY: L �'rm— EMAIL:_ 199
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ADDRESS: CrKfiL ,S cv� CITY /STATE /ZIP:
CHECK T -SHIRT SIZE (ADUL ZES): SMALL MEDIUM t '_LARGE XLXXL (soaxvxxi LARGEST SIZE)
ACTIVE MEMBER: (BEFORE 4/4/2.008) NON- MEMBER: $250.00 (BEFORE 4/4/2008)
ACTIVE MEMBER: $250.00 (AFTER 4/4/2008) NON MEMBER: $300.00 (AFTER 4/4/2008)
CHECK OUT w.ww.matai:org TO MAKE SURE YOU ARE AN ACTIVE MEMBER (NEED TO BE ACTIVE 90 DAYS BEFORE CONFERENCE
START OR 2 -04 -08 TO GET MEMBER RATE. IF YOU JOIN AFTER THAT DATE, THE NON MEMBER FEE APPLIES)
ADD $30.00 for each additional banquet guest Guest Name:_
Mail this registration form to: MATAI 2008 Conference Iowa State Patrol 3710 Highway #30 East Denison Iowa 51442
MAKE CHECKS PAYABLE TO: MATAI (Midwest Assoc. of Technical Accident Investigators) 2008 CONFERENCE
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Michael L. Mabie DEPARTURE DATE: May 4th 2008 TIME: 8:00 AM PM
DEPARTMENT: Police Department RETURN DATE: May 9th 2008 TIME: 6:00 AM/PM
REASON FOR TRAVEL: MATAI Conference ACTAR Test DESTINATION CITY: Council Bluffs IOWA
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/4/08 $60.00 $60.00
5/5/08 $60.00 $60:00
5/6/08 $60.00 $60:00
5/7/08 $60.00 $60:00
5/8/08 $200.00 $60.00 `x$260:00
5/9/08 $60.00 $60.00
$0:09
$0:00
$0:00
33, .$0:00
$0.00
ff $0.00
$0:0.0
$0.00
$0.0.0
$0:00
0 00
,:$200.00[` ;$0 00 r $0;00 "F. $0 00; $0 00 _$o.u0 $0:00 ''$360 00 $0 i
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: k od l a4x e Date:
-City of Carmel Form ER06 Revision Date 6/4/2008 Page 1
Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Michael L. Mabie Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/5/08 reimburse Sgt. Mike Mabie for tuition and meals while 560.00
attending the Midwest Association of Technical Accident
Investigators conference on May 5 7, 2008 in Council
Bluffs, IA
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
Mic:�ael L. Mabie IN SUM OF
560.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -02 360.00 bill(s) is (are) true and correct and that the
1110 570 =04 200.00 materials or services itemized thereon for
which charge is made were ordered and
received except
June 5 2 0 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund