220717 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00353023 Page 1 of 1
ONE CIVIC SQUARE MICHAEL G MILLER
r CARMEL, INDIANA 46032
„o„ o CHECK NUMBER: 220717
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 325 . 00 TRAINING SEMINARS
4IAj- -CAjj,
CITY OF CARMEL Expense Report (required for all travel expenses)
` INDIANA%
EMPLOYEE NAME: Michael G. Miller DEPARTURE DATE: 5/12/2013 TIME: 12:20 AM /PM
DEPARTMENT: Carmel Police RETURN DATE: 5/16/2013 TIME: 10:26:00 PM AM / PM
REASON FOR TRAVEL: Training Conference DESTINATION CITY: Las Vegas, NV �/
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM /� XXX
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
5/12/13 $65.00 $65.00
5/13/13 $65.00 $65.00
5/14/13 $65.00 $65.00
5/15/13 $65.00 $65.00
5/16/13 $65.00 $65.00
$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 1 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.001 $0.001 $0.001 $325.001 $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:
City of Carmel Form#ER06 Revision Date 5/21/2013 Revision Date 5/21/2013
SALES PERSON: DT2 ITINERARY/INVOICE NO. 87425 DATE : APR 12 2013
ACCOUNT RHX1X4 PAGE : 01
FOR:
MILLER/MICHAEL G
TO: CITY OF CARMEL CITY OF CARMEL-POLICE DEPT
ONE CIVIC SQUARE - 3RD FLOOR ATTN:LUANN MATES
CARMEL IN 46032 THREE CIVIC SQUARE
CARMEL IN 46032
----- --------- --------- - ------ - --- --- --- -------- ----------- --- ---- - - ---
12 MAY 13 - SUNDAY MILES- 1591 ELAPSED TIME- 4 : 05
AIR LV INDIANAPOLIS 1225P SOUTHWEST FLT : 1215 COACH CLASS CONFIRMED
AR LAS VEGAS 130P NONSTOP
16 MAY 13 - THURSDAY MILES- 1591 ELAPSED TIME- 3 : 30
AIR LV LAS VEGAS 420P SOUTHWEST FLT : 207 COACH CLASS CONFIRMED
AR INDIANAPOLIS 1050P NONSTOP
**VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES
EMERG. AFT HRS CALL 8776456373 CODE A09 $20 CALL - TRANSACTION COSTS
A CANCEL FEE OF 15PCT ON TTL COST APPLIES . FOR TERMS/CONDITIONS/
AIRLINE LUGGAGE POLICIES AND OTHER SVCS. SEE WWW.TTA.TRAVEL
THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO
FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING
THIS SEE WWW.TZELL41l .COM
THANK YOU. DEBBIE TUNSTILL 317 805 5762
AIR TRANSPORTATION 380 . 46 TAX 50 . 34 TTL 430 . 80
PROCESSING FEE 35 . 00
SUB TOTAL 465 . 80
CREDIT CARD PAYMENT 46S . 80-
TOTAL AMOUNT 0 . 00
2013 ARC-CSI Crash Conference
Attendee Registration Form ` ; •
Las Vegas, NV—May 13-16, 2013
First Name: ( Last Name:
Mailing Address:
City: State: 1 ,-,J Zip: I 3 1
Company: --
Email: \J Phone: _ _ — r c;r�
How did you hear about the conference?
Name as you would like it to appear on your Certificate:
Please select one: ® Yes,reserve me a seat on the bus to the crash test site O No, I will be providing my own transportation
Conference, Non-Members - ARC Network Members ..NAPARS Members'
Early Registration (unfit 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-CS!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(o?collisionpublishing.com
Phone:(800)280-7940 Web:www.arccsi.com
I 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 S50 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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