HomeMy WebLinkAbout231829 4 /23/2014 9F. CITY OF CARMEL, INDIANA VENDOR: 368122
b it ONE CIVIC SQUARE DEAN PADDOCK CHECK AMOUNT: $""*'""'8.00"
?4 CARMEL, INDIANA 46032 C/O CFD CHECK NUMBER: 231829
, ..CHECK,o�.�o. CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343003 REIMB 8.00 TRAVEL & LODGING
Circle Centre Mall
Indianapolis, IN
Fee Computer Number: ll;'
Cashier: 151 ld #151'!
'Transaction Number: --13142d
Entered: 04/10/2014 10:10
Exited: 04/10/2014 14:58
Ticket #28976 Dispenser #41.
Lot: World Wonders
Area: —Area 1; '
Rate: Daily 2012 Rate'
Parking Fee: $ 8.00
Total Fee: 1 8.00' '
Cash: $ 8.00
Total Paid: $ 8.00
Thank You
Denison Parking
-71
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Attendee Name:
EVENT REGISTRATION
Badge ID:
REGISTRATION INFORMATION SHEET '
m
April 7_12' 2014
Indiana CnOV8nf'oO Centey & Lucas Oil Stadium
Indianapolis, Indiana
|
Registration Sponsor:
ATHLETIC GEAR FOR FIREFIGHTERS.'
REGISTRATION HANDS-ON TRAINING INFORMATION
= Fully complete the registration form.Incomplete registration forms wRegister early.Hands-On training class sizes are limited.
will Uoreturned for complete information. " Hands-On training participants must register and report tnStaging
• Placement inHands-On Training(H.0I)classes ixnot reserved by8:3Oa.m.
until registration form isfully completed and payment isreceived. mSigned liability waivers are required for all Hands-On training.
° Payment for all Early Bird registrants must boreceived VyFebruary Visit www.fdin.00mmprint aliability waiver.
27.2O14.Registration and payment received after February 2T. " Full turnout gear and/or technical rescue gear isrequired for
2O14ixsubject tnfull registration fees. certain Hands-On training.(See"Important Notes for H.OI
" Each attendee must boindividually registered.Single registrations Attendees"atwww.0Uio.00m.)
may not boseparated orshared among multiple attendees. mLunch ioprovided for all Hands-On training attendees
° There iuno refund for partial-day attendance. v SCDAwi|| be provided when neuoosary.
0 |fxe|ocUog4hourHands'Onuaininginthomoming.younanon|y
| /FpwnmGWITH PURCHASE ORDER 0puV'Purchase mo� ,must have select aHands-On training for the afternoon.You cannot combine a
|
� acredit card guarantee mthe registration will boforfeited.Payment Hands-On training and aPre-Conference workshop onthovamouux
must boreceived byFebruary 27,2014/norder toreceive the Early m H.0IClass Pricing: 4'hvv,are$z5Oeach and 8'hou,are$250
Bird rate.ApO isnot considered upayment.Payments must be each inaddition mthe registration fee.
received prior to the event o,upon arrival toreceive your badge.
PRE-CONFERENCE WORKSHOPS INFORMATION
° Morning Pre-Conference workshops begin promptly at8:OOu.m.
" Afternoon pm'Confemnoowo,xshopu begin promptly at 1:30 p.m.
aLunch isNOT provided for Pre-Conference workshop attendees.
n |fselecting o4hour Pre-Conference workshop inthe morning,
you can only select aPre-Conference workshop for the afternoon.
You cannot combine aHands-On training and aPre-Conference
workshop ont osame Uay.
�
Pre-Conference workshops are$125each inaddition tothe
registration fee.
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Attendee Name:
PIC
Phone:
REGISTRATIONEVENT
Badge ID:
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First Name Last Name Title
Department/Company(Maximum 30 Characters)
Address(To mail badge and conference information)
Address 2(Suite#,etc.) Country
City State Zip
Phone Fax E-mail(A unique Email is required for processing registration)
Cell(Required for Emergency Response Communication)
Rank/Title Do you read Fire Engineering?
❑(01)Chief of Depart. ❑(07)Firefighter/Paramedic ❑(01)Yes ❑(02)No
❑(02)Staff Chief ❑(08)Firefighter/EMT
❑(03)Other Officer ❑(06)other If yes, whose copy do you read?
❑(04)Firefighter (please specify) ❑(01)1 subscribe ❑(02)My department's copy
❑(05)Training Officer
❑(03)Iread a co-worker's copy
Job Function(Check all that apply) Do you read Fire Apparatus&Emergency Equipment magazine?
❑(01)Management ❑(08)Public Education ❑(0 1)Yes ❑(02)No
❑(02)Training ❑(09)EMS
❑(03)Prevention ❑(10)Haz Mat How many years have you attended FDIC?
❑(04)Suppression ❑(11)Rescue
❑(05)Investigation ❑(13)Wildfire I am visiting the FDIC 2014 exhibits
❑(06)Maintenance ❑(12)Other to obtain information on:(Check all that apply)
❑(07)Communication (please specify)
❑(01)Ambulances ❑(12)Hand Tools&Forcible Entry
Purchasing Responsibility ❑(02)Apparatus& ❑(13)HazMat Products
❑(04)Approve ❑(02)Recommend Apparatus Accessories ❑(14)Incident Management/
❑(01)Purchase ❑(03)Specify ❑(03)Badges,Emblems Accountability Systems
&Accessories ❑(15)Insurance/Financial
Are you a member of a purchasing committee? ❑(04)Breathing Apparatus/Air Institutions/Consulting Services
Systems/SCBA&Supplies El(16)Miscellaneous/Other
❑
(1)Yes El(0)No ❑(05)Communications Radios/
/ ❑(17)Monitors&Detectors
Dispatch Equipment ❑(18)Nozzles,Hoses,Reels
Type of Department ❑(06)Computer Services/Software &Couplings
❑(01)Volunteer ❑(04)Industrial ❑(07)Water,Diving&Ice Rescue ❑(19)Protective Clothing(PPE)/
❑(02)Career ❑(05)Military Equip.&Accessories Apparel
❑(03)Combination ❑(06)Other ❑(08)Educational Materials/ ❑(20)Pumps/Gauges
Career/Vol (please specify) Colleges/Training Services ❑(21)Rescue Tools&Equipment
&Equipment ❑(22)Ropes,Chains,Safety Belts
Population Served by Department ❑(09)EMS Equipment&Supplies &Accessories
❑(01)Under 2,500 ❑(05)50,001-100,000 ❑(10)FOAM,Environmental ❑ (23)Sirens,Alarms&
❑(02)2,501-10,000 ❑(06)100,001-500,000 Products,CAF Units Signaling Devices
❑(03)10,001-25,000 ❑(07)Over 500,000 ❑(11)Fans/Portable Generators ❑ (24)Thermal Imaging Cameras
❑(04)25,001-50,000 &Accessories ❑ (25)Wildfire Rescue Equip.&Access.
www.fdic.com
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HANDS-ON ■ 1 AND
■ ■ , ■ , ■ ' ■
Monday,April 7, 2014 :` M®hdaypii'-7 Z®
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Hands-®n Training
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4-Hour Hands On Training: 4,1116ur Pre-Conference Workshops;
Monday,April 7,8:00 a.m.-12:00 p.m.. . . . . . . . . . . . . . . ($150) Monday;April"7,8:00 a.m:=12:00 p.m:
1st 2nd 3rd 4th 5th 'Ist 2nd 3rd 4t 5th
❑❑❑❑❑ O1MAAerial and Tower Operations Ci.0,❑:0 O'20MA;Buildingthe,Foundation,of;aWinningTeam
❑❑ ❑ ❑❑ 02MA Conventional Forcible Entry ❑ ❑"❑ 0 21MA Coechirig&Mentoring:The Forgotten Elements of Leadership,
❑ ❑ ❑ ❑ ❑ 03MA Engine Company Essentials:Getting Water on the Fire! ❑ ❑0 0-22MA Command and Cokirol:We Need to,Do It Better and Safer'.
❑ ❑ ❑ ❑ ❑ 04MA Flashover ❑ ❑ ❑_-❑•❑;23MA Company Officer Development Lead from the Right Seat
[I El [I ❑ ❑ 05MA Heavy Vehicle Extrication 0 El"❑ ❑ ❑ 24MA Designing s Safe.and Effective Emergency Response Plan;
❑ ❑ ❑ ❑ ❑ 06MA Keeping Yourself Alive �.❑ 0.[]-[]"25MA Developing Preplansand Simulation TrainingUsingYourflans.
SOLD OUT 07MA Man vs.Machinery ❑ 0`0 ❑::26MA Extricatiori Zone:Hybrid/New Vehiclehn
Tecology
❑ El ❑ ❑ 08MA Rescue and Squad Company Operations on the Fireground ❑ ❑,0 ❑ 0`.27MA Freground Scenario Workshop
❑ [1 ❑ ❑ ❑ 09MA School Bus Extrication and Rescue [I ❑'❑ El El,28MA•High-Rise Operations`.Sirategic,Tac6dal,and Task Level
SOLD OUT 10MAVehicle Extrication ❑ ❑ ❑ ❑;❑-29MA Improving Behavioral Health through-Betterlnterpersonal
❑ ❑ ❑ ❑ ❑ 1 1M Vent-Enter-Search Communications T'
0.❑.❑:0 0.:30MAInstiuctoraridTrairiing6ff6er'Bootcamp
4-Hour Hands-On Training: ❑ p p`p Ey-31MA Intelligent Fire Operations: Be Aggressive But Smart
Monday,April 7,1:00 p.m.-5:00 p.m. . . . . . . . . . . . . . . . ($150) ❑ ❑ El, ;'32MA KnowYour Smoke:The:Co_mprehensive Dangers
ist 2nd 3M 4th sth ❑ ❑;0 El ❑ 33MA Leadership Deveiopment Leadership Excellence
❑ ❑ ❑ ❑ ❑ 01MP Aerial and Tower Operations ❑ ❑ p ❑ p34MA ModerriTrainingTechniques forTactical,Success
❑ ❑ ❑ ❑ ❑ 02MP Conventional Forcible Entry ❑ ❑ ❑`❑ ❑:35MA Must-Have Policies for Every Fire Department..,
❑ ❑ ❑ ❑ ❑ 03MP Engine Company Essentials: Getting Water on the Fire! ❑ ❑ ❑ ❑ 15.36MA Surviving the Firegrourid
❑ ❑ ❑ ❑ ❑ 04MP Flashoverp 0.❑ ❑',37MA Surviving Utility Emergencies and Fires
❑ [1 C3 [I [I 05MP HeavyVehicle Extrication ❑ ❑ [I ❑-❑ 38MATruckCompa6yAtoZ
❑ ❑ ❑ ❑ ❑ 06MP Keeping Yourself Alive d ❑'❑ 011 39MAWoodFra0e&;Ordinary Construction:"Principlesand Hazards
'
❑ ❑ ❑ ❑ ❑ 07MP Man vs.Machinery 4-Hour Pre-Conference Vllorkshops:
❑ ❑ ❑ ❑ ❑ 08MP Rescue and Squad Company Operations on the Fireground -
❑ ❑❑ ❑ ❑ 09MP School Bus Extrication and Rescue Mtinday,April Z;1:30,, p:m.-5,30•P.m.• .._. . . . . . ($125)
ist2nd 3rdAll 5th
SOLD OUT lOMPVehicle Extrication
❑El❑ ❑❑ 11MPVent-Enter-Search [1:[1 ❑-❑-0 ROMP"25:to Survive":Reducing Residential-Injuries and'LODDs
❑ 0,❑-0 ❑•41MP Be a•Leader,N6t7ust a.Positi n•
8-Hour Hands-On Training: O•❑ ❑ ❑ O.42MP Big Box Store.Firefighting Strategies and Tactics
Monday,April 7,8:00 a.m.-5:00 p.m. . . . . . . . . . . . . . . . ($250) ❑ 0 ❑ ❑ ❑ 93MP Blink:Making Cobcal Firegrourid Decisions
ist 2nd 3rd 4th 5th '❑ ❑ ❑ 0 ❑.44MP Chief Problem Solver
❑ ❑ ❑ ❑ ❑12M Collapse and Void Search Rescue Cl ❑ ❑ ❑❑ 45MP.Company Officer Development:Red Flags on the Fireground
❑ ❑ ❑ ❑ ❑13M Conducting NFPA 1403 Live Burn Training ❑ 0❑ ❑ ❑,46MP Drill Development The Next Level
❑ ❑ ❑ ❑ 11 14M Grain Bin Rescue and Engulfment Operations ❑ O 0.❑ ❑ 47MP F_xtrication Zone:Principles.of Extrication
SOLD OUT 15M Live Fire:First-Due Tactics ❑ ❑ ❑ ❑ 0,48MP Firefighting:CareerorVolunteer,"The Ultimate Team Sport"
SOLD OUT 16M Nozzle Forward ❑ ❑ ❑'❑ ❑ 83MP First-Due Tactics Take-Hoine Package;`
❑ ❑ ❑ ❑ ❑17M RIT Combat Drills ❑ ❑ ❑'❑ ❑ 49MP'Leadership Development F!ve46mri Leadership'.
❑ ❑ ❑ ❑ 0 18 Truck Company:Essentials ❑ ❑ ❑ ❑ ❑ 50P Leading inwChangingbmes:Three Windows for Successful
❑ ❑ ❑ El 11 19M Urban Essentials Growth
❑ ❑ ❑,❑ ❑ 51MP Lessons Learned from the SC Fatal Sofa Store Fire
.❑ 0 ❑ 0'0 52MP Modern Buildings;Recipe for.;Firefighter Deaths and Injuries
p Three Day Workshop:Monday,April_7,8a p.m.;Tuesday,April 8,8 a.m.-5 ❑ p ❑ p p 53MP NIMS and ICS:Strategies and Tactics for Large-Scale Incidents
p.m.;lNednesday,April 9,10:30 a.m.-5 p.m. ❑ ❑ ❑ ❑ ❑ 54MPTeachingAdults:Evidence-Based Best Practices -
FDIC Blue'Card Simulation Cab and Conference p ❑ ❑ El p 55MP Think Like an Incident Commander.
SOLD'0UT .Three-Day Evolution:Sunday,"April}6,,S.a.m.•5 p.m.;m ❑ ❑ ❑ ❑ 0 56MPThis^House Rocks!The Place Everyone Wants to Work.
Monday,April 7,8 a. .-5 p.m.;Tuesday,April 8,8 a.m:c [I (i5 p.m. ❑ ❑ ❑ 57MP Understanding,Surviving,and Mastering the Modern
FDTN Engine Company Operations I&FDTN Truck Company Operations I Residential Firefight
❑ ❑ ❑ ❑ ❑ 58MP Ventilation Flow Paths&Fire Growth:A Review of Recent LODDs
www.fdic.com
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AND
A TRAINING
1 1 t PRE-CONFERENCE
• , • , • •
Tuesday,April 8, 2014 Tuesday,:Apfli:�,
Hands-On Training PFe=�C6nTerence_W6tksh®ps
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4-Hour Hands-On Training: 4-Hour K6.-Conference Workshops:, _
Tuesday,April 8,8:00 a.m.-12.00 p.m. . . . . . . . .($150) Tuesday,Apol 8,8:00 a.m:=12:00•p i_n.:' ^.,;($125)
1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th Stti
❑ ❑ ❑ ❑❑ OITA Aerial and Tower Operations ❑.❑ ❑❑ ❑ 59TA Building the Ladder:Officer:Development Programs r =. =
❑ ❑ El El El02TA Conventional Forcible Entry ❑ ❑ I'] ❑ ❑ 60TA Company Officer.Development:Developing&Inspiring Exceptional Fire
❑ El El ❑ 03TA Engine Company Essentials: Getting Water on Officers-
the Fire! ❑ p ❑ 0 ❑ 611A'DC Fire:L_eadership.and Accountability
El ❑ ❑ ❑ [104TA Flashover =;D ❑ O l] 11 TA Decision Making at Commercial Building Fires =
El ❑ [1 El ❑ 05TA Heavy Vehicle Extrication [5,O O � ❑'63TA DriII Ground Instructor Academy
❑ ❑ ❑ ❑ ❑ 06TA Keeping Yourself Alive D O❑ ❑ 0.64TA Engine Company Operations:Why We Fail and How We:Succeed
❑ ❑ ❑ ❑ ❑ 07TA Man vs.Machinery l7 0 6 O 65TA Essentials.of:Fire Investigation
❑ ❑ ❑ ❑ ❑ 08TA Rescue and Squad Company Operations on .❑ p ❑'p,p 66TA Wx_ 6tion_Zone:Lar&TrucksjTrailers/Buses-
the Fireground ❑_❑•❑-❑.❑.6TrA Fireground IncidentAction`'Plan Development and beployment'.
C1 ❑ ❑ ❑ El 09TA School Bus Extrication and Rescue .p ❑ p ❑ ❑:681A.Fireground.Strategies:Command,_ConVbl,and A'ccountatiility
c.
SOLD OUT 10TA Vehicle Extrication O.❑ 13.11 EI'69TA Implementing a SuccessfulTra i ing Program- r..,
❑ El El El ❑ 1ITA Vent-Enter-Search 1i p [1p [I 70TA Leadership Development:Leadership-in the Real World _
❑ 0 O❑ O 71tA Leadership SO Everyone Goes Home
❑-❑ O b O 72TA Managing Rescue and Disaster,Operations
4-Hour Hands-On Training: 0 O O ❑ O 73TA Modem•Fire Dynamics from Concepts'to Reality
Tuesday,April 8,1:00 p.m.-5:00 p.m. . . . . . . . . .($150) 0 ❑ ❑ 11 O 74TA Pride,an d`Ownership:,The Love for the J6
1st 2nd 3rd 4th 5th ❑ 11 b:El75TA Reading-Buildings:The Rapid;Street,Approach
❑ ❑ ❑ ❑ ❑ O1TP Aerial and Tower Operations 0 ❑ 0 0 ❑ 76TA Tactical&Strategic Perspectives of.Residential Fires:Command&.Fire Attack
El El ❑ 02TP Conventional Forcible Entry ❑:�:0 O.0 77TAThe Role of the EMS Provider'in Large-Scale Incidents
❑ El ❑ El ❑ 03TP Engine Company Essentials: Getting Water on 0 0 0'❑ ❑ 18TA Volunteer&Combination Fire Departrnent,Managers Academy
the Fire!
C1 C3 ❑ ❑ ❑ 04TP Flashover 4-Hour,Pre-Conference Workshops:
❑ ❑ ❑❑❑ 05TP Heavy Vehicle Extrication Tuesday,April 8,1:30 p.m.=5:30.p.m. . . . . . . . . . . . . . .($125)
1st 2nA
❑ ❑❑❑❑ 06TP KeepingYourself Alive 3rd Ah 5th
a❑ ❑ ❑ ❑ ❑ 07TP Man vs.Machinery 0 0❑'0 79TP Company Officer Development Fireground Decision-Making for Suburban.:
Companyfficers
❑ ❑ E3 ❑ 08TP Rescue and Squad Company Operations on O
the Fireground El El El ❑ O 80TP DriIIs Your@ Not Going to Find in Books
EJ EJ ❑ ❑❑ 09TP School Bus Extrication and Rescue
1111 O,❑:❑ 81TP Extrication'Zone”-EMS.Aspects ;
SOLD OUT lOTPVehicle Extrication 0.0 0_❑ 0 82TP_Fire Officer Survival in%arters,and on"the Scene'
❑ ❑ ❑ ❑ ❑ 11TP Vent-Enter-Search ❑'O-❑ [ 0 84TP Getting the Most from Your Incident Sim1.ulation Software
❑ 0 O-O O 85TP Hazmat Initial Approach-and Actions . -
0 ❑ 0 ❑ 0 86TP High-Tech Highways: Responding to.Hybrid and EV Incidents
❑ ❑ ❑.❑!❑ 87TP How to Nail-Your First-Due Strategic Responsibility '
8-Hour Hands-On Training: ; ❑ ❑ ❑ ❑ 0 88TP Keeping Your Firefighters from.Getting,Killed
Tuesday,April 8,8:00 a.m.-5:00 p.m. . . . . . . . . . ($250) ❑.p ❑ p ❑-89TP Leadership Development Insoinhg Leadership for.Today's Fire Service
ist2nd 3rd 4th 5th ❑.p.❑.p ❑ 60TP•Modem Fire Attack Principles:Strategic,&Tactical'Perspectives,
❑ ❑ ❑ ❑ ❑ 12T Collapse and Void Search Rescue ❑ ❑:p❑.❑•91TP Next Generation Tactics and'Command.-' ,
❑ ❑ ❑ ❑ ❑ 13T Conducting NFPA 1403 Live Burn Training ❑ ❑-O ❑ ❑ 92TP No Brainer Management
El ❑ ❑El 14T Grain Bin Rescue and Engulfment Operations p,❑ ❑ pl.❑ 93TP Specifying Fire Apparatus:Back t&Basics
SOLD OUT 15T Live Fire:First-Due Tactics ❑ p'❑O ❑i 941iPTacticaLand Strategic Perspectives of Residential Fires:Search and Ventla5on'
SOLD OUT 16T Nozzle Forward ❑.❑ ❑.❑ ❑ 95TP.Techniques and Strategies,for Maintaining Mental/Psychological Preparedness
❑ ❑ ❑ ❑ ❑ 17T RIF Combat Drills ❑ ❑.❑ ❑ ❑ 96TP The Art of Reading Smoke 2014
SOLD OUT 18TTruck Company:Essentials ❑ ❑ ❑ 0,0 97TPWhat Do You See/Hear?What does It Mean?
❑ ❑ ❑ ❑ ❑ 19T Urban Essentials
www.fdic.com
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Attendee Name:
FDIC e -:i
VP'
&° Phone: ,
EVENT I x
I i
'�-• Badge ID:
1 EXHIBITS REGISTRATIONFORM,
REGISTRATION FEES (Please select only one of the following) GROUP PLANS
Fully paid Fully paid ❑ Group Plan 10(up to 10 members/employees) $4,950
on or before after (10%off the price of 10 individual full conference attendees)
2/27/14 2/27/14
El Hands On Training Premium Package $550* $700*
[:1 Group Plan 20(11 to 20 members/employees) $9,350
(15%off the price of 20 individual full conference attendees)
Includes all general sessions,classrooms&exhibits.
May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Larger Group Plans are Available(Contact Registration for Details)
Additional per class costs listed on Registration pp 3&4.
......................................................................................
❑ Two-Day Hands-On Training& $200* $250* / /• 1
Pre-Conference Workshops Only
Includes all general sessions.(DOES NOT INCLUDE CLASSROOMS OR EXHIBITS.)
May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Registration Fee$
Additional per class costs listed on Registration pp 3&4.
Hands-On Training Class Price from Registration Pages 3&4$
......................................................................................
❑ FDIC Blue Card Simulation Lab and Conference $1,000 $1,000 Total Due$
Includes 3-day workshop,Monday-Wednesday,All general sessions,classrooms,& ••••••••••••........................•.... ...."'
exhibits.Limited space available. PAYMENT
......................................................................................
All Registration Fees must be paid in full prior to event for admittance.
❑ FDTN Engine Company Operations 1 $1,200
Includes 3-day Hands-On Training,Sunday-Tuesday,all general sessions,classrooms, ❑ Check payable to Pen nWell/FDIC 14.
&exhibits.Limited space available.
❑ Signed purchase order with credit card guarantee.
......................................................................................
Please include credit card details below.
❑ FDTN Truck Company Operations 1 $1,200 ❑ Charge my credit card: E] MasterCard ❑ Visa
Includes 3-day Hands-On Training,Sunday-Tuesday,all general sessions,classrooms,
&exhibits.Limited space available. E] American Express C] Discover
...................................................................................... Card number
❑ Individual Full Conference $550 $700
Includes all general sessions,classrooms&exhibits Exp.date
...................................................................................... Name on card
❑ One-Day Conference $325 $375 Signature
Includes general session and classrooms on selected day only&all three days of exhibits
................................................................................
❑Wed.,April 10 ❑Thurs.,April 11 OR ❑Fri.,April 12
...................................................................................... 4 Ways to Register
❑ Exhibit Package $75 $75 1. Online:www.fdic.com 4. Mail to:
Includes exhibition only all exhibit days,Thurs.-Sat..April 10-12 2. Fax to:+1-888-299-8057 PennWell/FDIC14
or+1-918-831-9161 Registration Department
P.O.Box 973059,
❑ One-Day Exhibits Only $40 $50 3. Email:registration@pennwell.com Dallas,TX 75397-3059
Includes exhibits on selected day only.
Questions?Please call:+1-888-299-8016 or+1-918-831-9160
❑Thurs.,Apri110 0Fri.,Apri111 OR ❑Sat.,April 12
......................................................................................
................................................................................
❑ Spouse Exhibits Only $20 $25 Cancellation Policy
Includes exhibition only all exhibit days,Thurs,-Sat.,April 10-12 Cancellations must be received in writing before February 27,2014,in order
to receive a refund,minus a$115 administrative charge. After February 27,
Name for Badge: 2014,refunds are not available. Substitutions may be made at any time by
notifying the registration office in writing.
r ................................................................................
Fire Engineering Subscription
Your registration fee includes a 1-year print subscription to Fire Engineering
o , , , , "1 ' 1' ,.• ':;7 magazine.Check here if you DO NOT wish to receive the subscription.You will
Ft • •<•
_ �-y:. .;;;..•_' , ".c- ? not be refunded the$25.00 print subscription rate.El
r 11 / / 1• :•t. �-Y",^,.�Ac�1 '•.'g.e ;M �•.rv".*Y��"�M
PROMOTIONAL CODE:
www.fdic.com
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))
$8.00
1 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
Dean Paddock
IN SUM OF $
$8.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 43-430.03 $8.00 1 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund