HomeMy WebLinkAbout220698 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00353219 Page 1 of 1
ONE CIVIC SQUARE MICHAEL L MABIE CHECK AMOUNT: $585.96
y •io CARMEL, INDIANA 46032
CHECK NUMBER: 220698
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 585 . 96 TRAINING SEMINARS
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Michael L. Mabie DEPARTURE DATE: 5/12/2013 TIME: 10:00 AM / PM
DEPARTMENT: Police Department RETURN DATE: 5/17/2013 TIME: 12:01 AM /PM
REASON FOR TRAVEL: ARC CSI Crash Training DESTINATION CITY: Las Vegas
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/12/13 $9.00 $53.99 $65.00 $127.99
5/13/13 $9.00 $53.99 $65.00 $127.99
5/14/13 $9.00 $53.99 $65.00 $127.99
5/15/13 $9.00 $53.99 1 $65.00 $127.99
5/16/13 $9.00 $65.00 $74.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.00 $45.00 $215.96 $0.00 $0.00 $0.00 $0.00 $325.00!$0.00 • •
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: Date: F
City of Carmel Form#ER06 Revision Date 5/23/2013 Page 1
MICHAEL MABIE Room Number: PT 15030
Arrival Date: 05/12/2013
3667 STRATFORD PL Departure Date: 05/16/2013
CARMEL IN 46033
Confirmation Number: 413745482029
Group Code: PCIARC3
Page No: 1 of 1
Date: 05/16/2013
Date Description Transactions
05/12/2013 APPLIED DEPOSIT 61.60-
***********1008
05/12/2013 HOTEL SERVICES FEE 16.79
HOTEL SERVICE FEE $14.99
05/12/2013 HOTEL SERVICES FEE 9.00-
REDUCED HOTEL SERVICE FEE
05/12/2013 ROOM CHARGE PT 15030 55.00
TAX 6.60
05/13/2013 HOTEL SERVICES FEE 16.79
HOTEL SERVICE FEE $14.99
05/13/2013 HOTEL SERVICES FEE 9.00-
REDUCED HOTEL SERVICE FEE
05/13/2013 ROOM CHARGE PT 15030 55.00
TAX 6.60
05/14/2013 HOTEL SERVICES FEE 16.79
HOTEL SERVICE FEE $14.99
05/14/2013 HOTEL SERVICES FEE 9.00-
REDUCED HOTEL SERVICE FEE
05/14/2013 ROOM CHARGE PT1503.Q 55.00
TAX 6.60
05/15/2013 HOTEL SERVICES FEE 16.79
HOTEL SERVICE FEE $14.99
05/15/2013 HOTEL SERVICES FEE 9.00-
REDUCED HOTEL SERVICE FEE
05/15/2013 ROOM CHARGE PT 15030 55.00
TAX
05/16/2013 FRONT DESK 215.96-
Balance C0
Thank you for staying at Palace Station
2411 W.Sahara Avenue
Las Vegas, NV 89102
702.367.2411
http://www.palacestation.com/
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Thanks for choosilm soulhwest tor your trip!You'li fine everything you need to know
about your reservation below, Happy travels!
Upcoming Trip: ARC-CSI conference Reconstruction
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AIR Confirmation: GD4YRM Confirmation tare'02125,12013
Ticket Est.Points '7
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Date Flight i3eparlure,Arrival :'
Sun May 12 1215 Depart INDIANAPOLIS IN(IND)on Southwest Airlines at 12:25 PM Shop liat+elr
Arrive in LAS VEGAS NV(LAS)at 1-30 PM
Travel Time 4 1115 mini
Wanna Get Away
Tby May 16 207 Depart LAS VEGAS NV(LAS)on Southwest Airlines at 4:20 PM
Arrive in INDIANAPOLIS IN(IND)at 10:50 PM
Travel Time 3 hirs tnirs
Wanny Get Away
What you need to know to travel:
• Don't forget to check in for your flight(s)24 hours before your trip on southwest.com or
your mobile device.This will secure your boarding position on your flights.
• Southwest Airlines does not have assigned seats,so you can choose your seat when you
board the plane.You will be assigned a boarding position based an your checkin time.The
earlier you check In,within 24 hours of your flight,the earlier you get to board,
Air Cost: 755,60
2013 ARC-CSI Crash Conference
Attendee Registration Form
Las Vegas, NV—May 13-16, 2013
First Name: �RT(JIAPA Last Name:
Mailing Address: 3 (11
City: State:
Company: 61,- e/ /I Ice- /
Email: MlInAl e uT' /r�sJd 14. Phone: /7 O
How did you hear about the conference?
Name as you would like it to appear on your Certificate: 4111
Please select one: Yes,reserve me a seat on the bus to the crash test site 0 No, I will be providing my own transportation
Conference Non-Members ARC Network Members NAPARS Members
Early Registration (until December 21,2012) $699.00 $649.00 $649.00
Early Registration (until April 1,2013) $799.00 $749.00 $749.00
Late Registration(after April 1,2013) $999.00 $949.00 $949.00
ARC-CSI Boot Camp Experience(before April 1,2013) $1599.00 $1599.00 $1599.00
Includes ARC-CSI Conference registration
ARC-CSI Boot Camp Experience(after April 1,2013) $1899.00 $1899.00 $1899.00
Includes ARC-CSI Conference registration
PAYMENT INFORMATION:
Conference Price(from table above) Quantity(#of attendees) Total
2013 ARC-CSI Crash Conference
2013 Boot Camp Experience
TOTAL: $
PAYMENT METHOD:
Check Purchase Order Check/PO# Make Payable to"Collision Publishing"
Credit Card Type(check one): VISA MASTERCARD AMERICAN EXPRESS
Card#: Ex.Date:
Name on Card:
Billing Address:
City: State: Zip:
Instructions:Please send the completed registration form and registration fees(made payable to Collision Publishing)to the following address:
Collision Publishing LLC FAX:(866)966-7033
PO Box 3383 1 Kirkland,WA 98083-3383 Email:sbaker(a)collisionpublishing.com
Phone:(800)280-7940 Web:www.arccsi.com
/certify all the above information is true,correct and complete to the best of my knowledge. I agree to the"Conference Refund and Cancellation Policy"stated
below and I authorize Collision Publishing,LLC to verify the above information and charge my credit card(if paying by credit card).
Conference Refund and Cancellation Policy
Registration payment for the conference must be completed by submitting either a conference registration form along with tuition or a government signed and
approved PO to"Collision Publishing LLC"or by registering using the online shopping cart.Full tuition or a government agency signed and approved PO must
be received no later than 14 days prior to the start of the conference and should conference maximum enrollment level(s)be reached,no seat in the
conference will be reserved or held until either a government signed and approved PO or full tuition is received. Refunds are available for paid registrations
cancelled more than 45 days prior to the start of the conference.A$50 processing fee will be charged for each cancelled registration,all requests for refunds
must be submitted in writing via US Mail or Fax. No tuition refunds are offered less than 45 days before the conference start date.Due to the worldwide appeal
of this conference,Collision Publishing LLC cannot be held responsible and will not offer a refund or credit for those who cancel due to weather or other
unforeseen circumstances out of our control less than 45 days prior to the start of the conference.
(signature) (date)
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Every year for the past 11 years running,the ARC-CSI Crash Crew has
conducted multiple instrumented,and documented,full scale crash
tests which have consistently been noted for their value as the basis
for research and as reference in other research and projects.Without
fail, conference attendees leave the conference with a complete
collection of the detailed crash data, photos and video.This year,one
of the main goals of the 2013 ARC-CSI Crash Conference will be to
conduct a series of crash tests designed to update a study done some
20 years ago with newer model cars,CDR data,computer simulations,
comparative measurement techniques and more. Don't miss out on
being part of and witnessing this landmark research!
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Pubh�Mh MMa Be a part of the ARC-CSI Crash
Don't miss this exceptional graining opportunity. 'Team and take your conference
experience to the next level.
REGISTER EARLY & SAVE Sign up for the Crash Team
Boot Camp.
Rooms starting at only $45 per night! ace is limited
(800) 280-7940 www.arccsi.com www.crashteambootcamp.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael L. Mabie
IN SUM OF $
$585.96
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
210 -570.00 $585.96
I hereby certify that the attached invoice(s), or
I I
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
Thursday, May 23, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/23/13 reimbursement for training $585.96
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