206786 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 254452 Page 1 of 1
ONE CIVIC SQUARE PURDUE UNIVERSITY
CARMEL, INDIANA 46032 CEC BUSINESS SERVICES CHECK AMOUNT: $42.00
128 MEMORIAL MALL
o CHECK NUMBER: 206786
WEST LAFAYETTEIN 47907
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 40596339 26.00 EXTERNAL INSTRUCT FEE
2200 4357004 REDDEN 16.00 EXTERNAL INSTRUCT FEE
The 98th Annual Purdue Road School RegOnline Page 1 of 2
The 98th Annual Purdue Road School
Tuesday, March 06, 2012 9:00 AM Thursday, March 08, 2012 5:00 PM (Eastern Time)
Stewart Center East Foyer
128 Memorial Mall
West Lafayette, Indiana 47907
United States
Phone: 765 494 -1898 Email Us
Personal Info Agenda and Optional Fees Checkout Confirmation
Thank you for registering for the 98th Annual Purdue Road School.
F Personal Info
Registration ID: 40596339 u
Registrant: Michael McBride
City Engineer
City Of Carmel
One Civic Square
Carmel, IN 46032
Registration Date: 2/14/2012 1:39 PM
Registrant Type: Government (Complimentary)
Status: Confirmed
Work Phone: 317 571 -2441
Email: Mmcbride @Carmel.in.gov
Have you been to this event before Yes
Great, how many times 10
Affiliation: City/Town
City /Town: City Engineer /Staff
I plan to attend the Tuesday evening Welcome Reception at the Four Points by Sheraton West Lafayette.: No
I am requesting a vegetarian meal.: No
I am interested in learning more about Road School text messages.: No
Agenda and Optional Fees 1
Tueday Track
Selection: MPO Hot Topics
Wednesday Track Preference
Selection: Leadership /Communication /Management
Key Luncheon with Governor M Dani
$20.00
https: /www.regonline.com/ register /confirmation.aspx ?Eventld= 1041156 &Attendeeld =Ck... 2/14/2012
The 98th Annual Purdue Road School RegOnline Page 2 of 2
Transcript of PDH /C
$6.00
T Fees
Fee Quantity Unit Price Amount
Fee
Ke Luncheon with Governor Mitch Daniels 1 $20.00 $20.0
ranscript of PDH /CEU 1 $6.00 $6.0
Subtotal: $26.0
otal: $26.0
Transactions
nsaction Type Date Amount Balance
Amount 2!1412012 $26.00
rent Balance: $26.00
Payment Method
Payment Method: Check
F Payment Instructions
PEC Business Services
Purdue University
Stewart Center, Room 110
128 Memorial Mall
West Lafayette, IN 47907 -2034
Contact Us:
Purdue Conferences
roadschoolconfna I) urdue.edu
Phone: 765- 494 -1898
Fax: 765 494 -0567
https: /www.regonline.com /register /confinnation.aspx ?Eventld= 1041156 &Attendeeld =Ck... 2/14/2012
0
98th Annual Road School
Purdue University March 6-8,2012
Register on -line at: www.conf.purdue.edu /RoadSchool P m Ar
Advance registration will close on March 1, 2012. After that attendees will need to register on -site.
Confirmation of registration will be emailed to the address provided.
CONTACT INFORMATION Please type or print separate forms for each person from your organization. AFFILIATION
y/ C e' Z�SCv e 1!5-Al City/Town
First name Middle Initial Last Name Elected Official
Name to appear on badge if different than above IFCity Engineer/ Staff
,Q ❑Street Commissioner/ Staff
Title G A N V/ V4 (f o n K O/ ATO A ❑Other
Company /Organization Ty O F C 4 County
Address Line 1 0^/c C y/ C c z (2 A Auditor Staff
-y� (d Commissioner
City A L. State /Province —/y Zip /Postal Code 0 3.Z
Council Member
Phon 7/ .5_71 *Email Address In r e CR dL e.✓i C6D c-orm e I� o V Highway Supervisor/ Staff
Email address is required in order to send confirmations and other important communication. Surveyor Staff
Other
Please help us plan our space requirements by indicating which track 21will ional Activities FHWA
you plan to follow: be attending the Tour Purdue University Faculty Staff
Fgnericans with Disabilities Act Major Moves of the Bowen Labs, Tuesday Purdue University Student
Bridges MPO Hot Topics March 6 from 2 4:50 p.m. Contractor
Construction Pavement Space is limited. All reservations for Consulting Engineer
Design Planning the tour will be confirmed.
Emerging Topics Railroads and Utilities ❑Equipment /Materials
I plan to attend the Tuesday Representative
Fleet Management Roadway Operations and evening Welcome Reception
Funding and Finance Maintenance at the Four Points by MPO
Geotechnical Roadway Safety Sheraton West Lafayette. Other
INDOT Local Public Agencies Super Bowl I am requesting a vegetarian
Leadership Communication Surveying meal. Purdue is committed to making its
Management ❑Temporary Traffic Control programs accessible to individuals
1 am interested in learning with disabilities. If you require an
Legal Aspects Traffic Operations more about Road School text accommodation or special assistance
Local Agency Management messages. for this program due to a disability,
please contact us at 765 494 -1898
REGISTRATION FEE INFORMATION PAYMENT INFORMATION
Non-Government $50.00 Enclosed is a check payable to Purdue University
[Government Complimentary Please charge my credit card
Any local agency, state and federal personnel MasterCard Visa Discover American Express
qualifies for the complimentary rate.
Optional Fees: Account Number:
1 would like to attend the luncheon on Wednesday, March 7 $20.00 Expiration Date:
would like to have a transcript of the PDH /CEU
recorded by Purdue at this conference $6.00 Signature:
Vparking $10.00 Printed Name:
Total Due: Enclose payment and return to: PEC Business Services
By registering for this event, I understand that atthis event, or related activities, Purdue University
I may be photographed. I agree to allow my photo, video or film likeness to Stewart Center, Room 110
be used for any legitimate purpose by the event holders, producers, sponsors 128 Memorial Mall
and /or or a ers f)tho compe ation or n tice tore. West Lafayette, IN 47907 -2034
i ned FAX with credit card information to: 765 494 -0567
Prescribed by State 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
RM60M, QaP�M 'P8gOumber of hours, rate per hour, number of units, price per unit, etc.
OCEC Business Services
ayee
Stewart Center Room 110
Purchase Order No.
128 Memorial Mall
Terms
West Lafayette, IN 47907 -2034
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/27/12 Road School gf 2 .on
Mike McBride, Nick Redden,
Total 2 •tea
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
Vq�&W60 OW-WARRANT NO.
OCEC usiness S ervices ALLOWED 20
Stewart Center Room 110 IN SUM OF
128 Memorma' Ma'!
2 11� 1Z
CVC.?l GYYf��. CC
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
(are) true and correct and that the
:UU
MdLerials or services itemized thereon for
which charge is made were ordered and
received except
20
ignature
C c1,► A 0 AA
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund