231854 04/23/14 •CAA .
o� ��E CITY OF CARMEL, INDIANA VENDOR: 00351674
® j _ ONE CIVIC SQUARE STEVE REEVES CHECK AMOUNT: $ .....*42.00'
�, ?� CARMEL, INDIANA 46032 C/O CFD CHECK NUMBER: 231854
�"y�1�aNGO CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343003 42.00 TRAVEL & LODGING
A- 1A6 AI
®_ Attendee Name:
Phone:
Badge ID:
t
(TN
.r
April 7-12, 2014
Indiana Convention Center & Lucas Oil Stadium
Indianapolis, Indiana
Registration Sponsor:
= ATHLETIC GEAR FOR FIREFIGHTERS"
REGISTRATION HANDS-ON TRAINING INFORMATION
• Fully complete the registration form.Incomplete registration forms ■ Register early.Hands-On training class sizes are limited.
will be returned for complete information. e Hands-On training participants must register and report to Staging
e Placement in Hands-On Training(H.O.T.)classes is not reserved by 6:30 a.m.
until registration form is fully completed and payment is received. ■ Signed liability waivers are required for all Hands-On training.
■ Payment for all Early Bird registrants must be received by February Visit www.fdic.com to print a liability waiver.
27,2014.Registration and payment received after February 27, e Full turnout gear and/or technical rescue gear is required for
2014 is subject to full registration fees. certain Hands-On training.(See"Important Notes for H.O.T.
• Each attendee must be individually registered.Single registrations Attendees"at www.fdic.com.)
may not be separated or shared among multiple attendees. a Lunch is provided for all Hands-On training attendees
. There is no refund for partial-day attendance. ° SCBA will be provided when necessary.
■ If selecting 4 hour Hands-On training in the morning,you can only
IF PAYING WITH PURCHASE ORDER(PO)-Purchase order must have select a Hands-On training for the afternoon.You cannot combine a
a credit card guarantee or the registration will be forfeited.Payment Hands-On training and a Pre-Conference workshop on the same day.
must be received by February 27,2014 in order to receive the Early ■ H.O.T.Class Pricing: 4-hour are $150 each and 8-hour are$250
Bird rate.A PO is not considered a payment.Payments must be each in addition to the registration fee.
received prior to the event or upon arrival to receive your badge.
PRE-CONFERENCE WORKSHOPS INFORMATION
a Morning Pre-Conference workshops begin promptly at 8:00 a.m.
I I I e Afternoon Pre-Conference workshops begin promptly at 1:30 p.m.
e Lunch is NOT provided for Pre-Conference workshop attendees.
r a If selecting a 4 hour Pre-Conference workshop in the morning,
you can only select a Pre-Conference workshop for the afternoon.
You cannot combine a Hands-On training and a Pre-Conference
workshop on the same day.
���� .� •�,,,, e Pre-Conference workshops are $125 each in addition to the
registration fee.
www.fdic.com
Attendee Name:
Phone:
IIRBadge ID:
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 ❑(01)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
❑(1)Yes ❑(o)No Systems/SCBA&Supplies El(16)Miscellaneous/Other
❑(05)Communications/Radios/ ❑(17)Monitors&Detectors
Type of Department Dispatch Equipment ❑(18)Nozzles,Hoses,Reels
❑(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/
E](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
®- Attendee Name:
Phone:
1 it I
Badge ID:
i 14
Monday,Apru0 7, 2014 Monday,Apffl 7,2014', =. .i
Hands-On TTaining "Poe-C®nfegende WoT' s'hops.t 77W
i
4-Hour Hands-On Training: 4-Hour Pre-Conference Workshops:
Monday,April 7,8:00 a.m.-12:00 p.m.. . . . . . . . . . . . . . . ($150) Monday,April,7,8:00 a.m.-12:OO.p.m.: . . •($125)
1st 2nd 3rd 4th 5th 1st 2nd 3M 4th 5th ,
❑❑❑❑❑ 01MA Aerial and Tower Operations ❑ ❑❑ ❑❑ 20MA Building the Foundation of a WinningTeam
❑❑ ❑ ❑ ❑ 02MA Conventional Forcible Entry ❑ ❑ ❑ ❑ ❑ 21MA Coaching&Mentoring:The Forgotten Elements of.Leadership
❑ ❑ ❑ ❑❑ 03MA Engine Company Essentials:Getting Water on the Fire! ❑ ❑ ❑ ❑ ❑-22MA Command and Control:We Need to Do It Better and Safer
❑ ❑ ❑ ❑ ❑ 04MA Flashover ❑ ❑ ❑ ❑ ❑ 23MA Company Officer Development:Lead from the Right Seat {
❑ ❑ ❑ ❑ ❑ 05MA Heavy Vehicle Extrication ❑ ❑ ❑ 0 ❑ 24MA Designing a Safe and Effective Emergency Response Plan. i
❑❑ ❑ ❑ ❑ 06MA KeepingYourself Alive Cl ❑ ❑ ❑.❑"•25MADeveloping Preplansand SimulationTraining.UsingYour Plans
SOLD OUT 07MA Man vs.Machinery ❑ ❑ ❑ EJ ❑ 26MA Extrication Zone:Hybrid/New Vehicle Technology ;
❑ ❑ ❑ ❑ ❑ 08MA Rescue and Squad Company Operations on the Fireground ❑ ❑ ❑ ❑ ❑ 27MA Fireground Scenario Workshop
❑ ❑ ❑ ❑ ❑ 09MA School Bus Extrication and Rescue ❑ ❑ ❑ 0"0 28MA High-Rise Operations:Strategic,Tactical,and Task Level
SOLD OUT 10MAVehicle Extrication ❑ ❑ ❑ ❑ ❑ 29MA Improving Behavioral Health through Better Interpersonal
❑ ❑ ❑ ❑ ❑ 11MA Vent-Enter-Sea rch Communications .
❑ ❑"❑ ❑ ❑ 30MA Instructor and Training"Officer Bootcamp
4-Hour Hands-On Training: ❑ p ❑ ❑ ❑'31MA Intelligent Fire Operations: Be Aggressive But Smart,. ;
Monday,April 7,1:00 p.m.-5:00 p.m. . . . . . . . . . . . . . . . ($150) ❑ ❑ ❑ ❑.❑ 32MA KnowYour"Smoke:The Comprehensive Dangers i
ist 2nd 3rd 4th 5th '❑ ❑ ❑ ❑ ❑"33MA Leadership Development:Leadership Excellence
❑ ❑ ❑ ❑ ❑ 01 MP Aerial and Tower Operations ❑ ❑ ❑ ❑ ❑34MA,Modern Training Techniques for Tactical Success
❑❑ ❑❑❑ 02MP Conventional Forcible Entry ❑ ❑ ❑ ❑ ❑-35MA Must-Have.Policies for Every Fire Department
❑ ❑ ❑ ❑ ❑ 03MP Engine Company Essentials: Getting Water on the Fire! ❑ ❑ ❑ ❑ p'36MA Surviving the Fireground
❑ ❑ ❑ ❑ ❑ 04MP Flashover ❑ ❑ ❑ ❑ ❑ 37MA Surviving Utility Emergencies,and Fires
❑ ❑ ❑ ❑ ❑ 05MP Heavy Vehicle Extrication ❑ ❑ ❑ ❑'❑ 38MATruck Company A to Z
❑ ❑ ❑ ❑ ❑ 06MP Keeping Yourself Alive ❑ ❑ ❑ ❑"❑ 39MA Wood Frame,&Ordinary Construction:Principles and Hazards--?
❑❑❑❑❑ 07MP Man vs.Machinery ;
❑ ❑ ❑ ❑ ❑ 08MP Rescue and Squad Company Operations on the Fireground 4-Hour Pre Conference Workshops: ,
❑ ❑ ❑ ❑ ❑ 09MP School Bus Extrication and Rescue Monday,April.7,1:30.0.m.-5:30 p.m:. . ."
SOLD OUT IOMP Vehicle Extrication ist2nd 3rd 4th 5th .
❑❑❑ ❑❑ 11MP Vent-Enter-Search ❑ ❑ ❑ ❑ ❑ 40MP"25 to Survive":Reducing Residential Injuries and LODDs"
❑ ❑ ❑ ❑ ❑ 41MP Be a Leader,Not Just a:Position
8-Hour Hands-On Training: [1-b❑ ❑ ❑ 42MP Big Box Store Firefighting Strategies and Tactics
Monday,April 7,8:00 a.m.-5:00 p.m. . . . . . . . . . . . . . . . ($250) ❑ ❑ ❑ ❑ ❑ 43MP Blink:Making Critical Fireground Decisions
1st 2nd 3rd 4th 5th ❑ ❑ ❑ ❑ ❑ 44MP Chief Problem Solver
❑ ❑ ❑ ❑ ❑12M Collapse and Void Search Rescue ❑ ❑ ❑ ❑ ❑ 45MP Company Officer Development:Red Flags on the Fireground .
❑ ❑ ❑ ❑ [113M Conducting NFPA 1403 Live Burn Training ❑ ❑ El El ❑ 46MP Drill Development:The Next Level
❑ ❑ ❑ ❑ 014M Grain Bin Rescue and Engulfment Operations ❑ ❑ ❑ ❑ ❑ 47MP Extrication Zone:Principles of Extrication
SOLD OUT 15M Live Fire:First-Due Tactics '❑ ❑ ❑ ❑ 0,48MP Firefighting:Career or Volunteer,"The UltimateTeamSport•'
SOLD OUT 16M Nozzle Forward ❑ ❑ ❑ ❑ ❑ 83MP First-Due Tactics Take-Home Package"
❑ ❑ ❑ ❑ 11 17M RIT Combat Drills ❑ ❑ ❑ ❑ ❑ 49MP Leadership Development:Five-Alarm Leadership
❑ ❑ ❑ ❑ ❑18M Truck Company:Essentials ❑ ❑ ❑ ❑ ❑ 50MP Leading in Changing Times:Three•Windows for"Successful
❑ ❑ ❑ ❑ 1319M Urban Essentials Growth
❑ ❑ ❑ ❑ ❑"51MP.Lessons'Learned from the SC Fatal Sofa Store.Fire
E] EI El El 52MP-Modern Buildings;Recipe for Firefighter Deaths and Injuries,.
❑Three-Day Workshop:Monday April 7,8 a.m.-5 p.m.;Tuesday,April 8,8 a.m.-5 ❑ ❑ ❑ ❑ ❑ 53MP NIMS and ICS:.Strategies and Tactics for Large-Scale Incidents I
p.m.;Wednesday,April 9,10:30 a.m.-5 p.m.• ❑ ❑ ❑ ❑ ❑ 54MP Teaching Adults:Evidence-Based Best Practices
FDIC Blue Card Simulation Lab and Conference ❑ ❑ ❑ ❑❑"55MPThink Like an Incident Commander.
SOLD OUT Three-Day Eyolution:Sunday,April 6,8"a.m.-5 p.m.; ❑ ❑ ❑ ❑ ❑ 56MPThis House Rocks!The Place Everyone Wants to Work.? > .
Monday,April 7,8 a.m.-5 p.m.;Tuesday,April 8,8 a.m.-5 p.m. El El El [157MP 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
Attendee Name: 20
AT
Phone:
IVIV.R
[GI T 1 I
Badge ID:
Tuesday,April 8, 2014 Tuesday,April 8, 2014 '
Hands-On Training Pre-Conference Workshops
4-Hour Hands-On Training: 4-Hour Pre-Conference Workshops:
Tuesday,April 8,8:00 a.m.-12:00 p.m. . . . . . . . .($150) Tuesday,April 8,8:00"a.m.-12:00 p.m.. . . . . . . . . . . . . . . . . . . . (S125)
1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th
❑ ❑ ❑ ❑❑ 01TA Aerial and Tower Operations ❑ ❑ ❑ ❑ ❑ 59TA Building the Ladder:Officer Development Programs
❑ ❑ ❑ ❑ ❑ 02TA Conventional Forcible Entry ❑ ❑ ❑ ❑ ❑ 60TA Company Officer Development:Developing&Inspiring Exceptional Fire
❑ ❑ ❑ ❑ ❑ 03TA Engine Company Essentials: Getting Water on Officers
the Fire! ❑ ❑ ❑ ❑ ❑ 61TA DC Fire:Leadership and Accountability I
❑ ❑ ❑ ❑ ❑ 04TA Flashover ❑ ❑ ❑ ❑ ❑ 62TA Decision Making at Commercial Building Fires
❑ ❑ ❑ ❑ ❑ 05TA Heavy Vehicle Extrication ❑ ❑ ❑ ❑ ❑ 63TA Drill Ground Instructor Academy j
❑ ❑ ❑ ❑ ❑ 06TA Keeping Yourself Alive ❑ ❑ ❑ ❑ ❑ 64TA Engine Company Operations:Why We Fail and How We Succeed
❑ ❑ ❑ ❑ ❑ 07TA Man vs.Machinery ❑ ❑ ❑'❑ ❑ 65TA Essentials of Fire Investigation
❑ ❑ ❑ ❑ ❑ 08TA Rescue and Squad Company Operations on ❑ ❑"❑ ❑ ❑ 66TA Extrication Zone:Large Trucks/Trailers/Buses
the Fireground ❑ ❑ ❑ ❑ ❑ 67TA Fireground Incident Action-Plan Development and Deployment
❑ ❑ ❑ ❑ ❑ 09TA School Bus Extrication and Rescue ❑ ❑ ❑ ❑ ❑ 68TA Fireground Strategies:Command,Control,and Accountability i
SOLD OUT 10TA Vehicle Extrication ❑ ❑ ❑"❑"❑ 69TAImplementingaSuccessful Training Program
❑ ❑ ❑ ❑ ❑ 11TA Vent-Enter-Search ❑ ❑ ❑ ❑ ❑ 70TA Leadership Development:Leadership in the Real World
❑ ❑ ❑ ❑ ❑ 71TA Leadership So Everyone Goes Home
❑ ❑ ❑ ❑ ❑ 72TA Managing Rescue and Disaster Operations
4-Hour Hands-On Training: ❑ ❑ ❑ ❑ ❑ 73TA Modern Fire Dynamics from Concepts to Reality
Tuesday,April 8,1:00 p.m.-5:00 p.m. . . . . . . . . . ($150) ❑ ❑ ❑ ❑ 0 74TA Pride and Ownership:The Love for the Job
ist 2nd 3rd 4th 5th ❑ ❑ ❑ ❑ ❑ 75TA Reading Buildings:The Rapid Street Approach '
❑ ❑ ❑ ❑ ❑ 01T Aerial and Tower Operations ❑ ❑ ❑ ❑ ❑ 76TA Tactical&Strategic Perspectives of Residential Fires:Command&Fire Attack
❑ ❑ ❑ ❑ ❑ 02TP Conventional Forcible Entry ❑ ❑ ❑ ❑ ❑ 77TA The Role of the EMS Provider in the Large-Scale Incidents
❑ ❑ ❑ ❑ ❑ 03TP Engine Company Essentials: Getting Water on ❑ ❑ ❑ ❑ ❑ 78TA Volunteer&Combination Fire Department Managers Academy
the Fire!
❑ 0000 04TP Flashover 4-Hour Pre-Conference Workshops: ;
Tuesday,April 8,1:30 p.m.-5:30 p.m. . . . . . . . . . . . . . . . . . . . . ($125)
❑ ❑❑❑❑ 05TP Heavy Vehicle Extrication
ist2nd 3rd 4th 5th
[10[1 C3 El06TP KeepingYourself Alive
❑ ❑El ❑❑ 07TP Man vs.Machinery ❑ ❑ [1 El [I79TP Company Officer Development:Fireground Decision Making for Suburban
Company Officers
❑ ❑❑❑ ❑ 08TP Rescue and Squad Company Operations on ❑ ❑ ❑ ❑ ❑ gOTP DriIlsYou're Not Going to Find in Books
the Fireground ❑ ❑ ❑ ❑ ❑ 81TP Extrication Zone-EMS Aspects
❑ ❑ ❑ ❑ ❑ 09TP School Bus Extrication and Rescue
❑ El ❑ ❑ 82TP Fire Officer Survival in Quarters and on the Scene
SOLD OUT 1OTPVehicle Extrication !
El ❑ [1 [1 [1 11T Vent-Enter-Search ❑ ❑ ❑ El E384TP Getting the Most from Your Incident Simulation Software:
❑ ❑ ❑ ❑ ❑ 85TP Hazmat:Initial Approach and Actions
❑ ❑ ❑ ❑ ❑ 86TP High-Tech Highways: Responding to Hybrid and EV Incidents
❑ ❑ ❑ ❑ ❑ 87TP How to Nail Your First-Due Strategic Responsibility
8-Hour Hands-On Training: ❑ ❑ ❑ ❑ ❑ 88TP Keeping Your Firefighters from Getting Killed
Tuesday,April 8,8:00 a.m.-5:00 p.m. . . . . . . . . . ($250) ❑ ❑ ❑ ❑ ❑ 89TP Leadership Development:Inspiring Leadership forToday's Fire Service
1st 2nd 3rd 4th 5th ❑ ❑ ❑ ❑ ❑ 90TP Modern Fire Attack Principles:Strategic&Tactical Perspectives
❑ ❑ ❑ ❑ ❑ 12T Collapse and Void Search Rescue ❑ ❑•❑ ❑ ❑ 91T Next Generation Tactics and Command
❑ ❑ ❑ ❑ ❑ 13T Conducting NFPA 1403 Live Burn Training ❑ ❑ ❑ ❑ ❑ 92TP No Brainer Management
❑ ❑ ❑ ❑ ❑ 14T Grain Bin Rescue and Engulfment Operations ❑ ❑ ❑ ❑ ❑ 93TP Specifying Fire Apparatus:Back to Basics -
SOLD OUT 15T Live Fire:First-Due Tactics ❑ ❑ ❑ ❑ ❑ 94TPTactical and Strategic Perspectives of Residential Fires:Search and Ventilation
SOLD OUT 16T Nozzle Forward ❑ ❑ ❑ ❑ ❑ 95TPTechniques and Strategies,for Maintaining Mental/Psychological Preparedness
❑ ❑ ❑ ❑ ❑ 17T RIT Combat Drills ❑ ❑ ❑ ❑ ❑ 96TP The Art of Reading Smoke 2014
SOLD OUT 18TTruck Company:Essentials ❑ ❑ ❑ ❑ ❑ 97TPWhat Do You See/Hear`?What does-It Mean?
❑ ❑ ❑ ❑ ❑ 19T Urban Essentials
www.fdic.com
D
O Attendee Name:
NT.11
MIST
� I
Phone: r
ON
Badge ID:
Agora
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
❑ Group Plan 20(11 to 20 members/employees) $9,350
❑ Hands-On Training Premium Package $550* $700* (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.
......................................................................................
RICE,DOES NOT INCLUDE
❑ Two-Day Hands-On Training& $200* $250* o e.
Pre-Conference Workshops Only
Includes all general sessions.(DOES NOT INCLUDE CLASSROOMS OR EXHIBITS.)
May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Registration Fee$
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 PennWell/FDIC14.
&exhibits.Limited space available. ❑ Signed purchase order with credit card guarantee.
......................................................................................
Please include credit card details below.
❑ FDTN Truck Company Operations 1 $1,200
Includes 3-day Hands-On Training,Sunday-Tuesday,all general sessions,classrooms, ❑ Charge my credit card: ❑ MasterCard ❑ Visa
&exhibits.Limited space available. ❑ American Express ❑ 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.
❑Thurs.,April 10 ❑Fri.,April 11 OR ❑Sat.,April 12 Questions?Please call:+1-888-299-8016 or+1-918-831-9160
......................................................................................
................................................................................
❑ 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.
I
. - Fire Engineering Subscription
r r r r Your registration fee includes a 1-year print subscription to Fire Engineering
magazine.Check here if you DO NOT wish to receive the subscription.You will
not be refunded the$25.00 print subscription rate.❑
r 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))
$24.00
$18.00
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
Neil Reeves
IN SUM OF $
$42.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.03 $24.00 1 hereby certify that the attached invoice(s), or
1120 43-430.03 $18.00 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
APR 2 e Snag
r �
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund