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300125 07/12/16
�/ CITY OF CARMEL, INDIANA VENDOR: L8174 ONE CIVIC SQUARE NT CHECK AMOUNT: $*******495.00* r �a CARMEL, INDIANA 46032 CHECK NUMBER: 300125 °M,�TON�` CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER i AMOUNT DESCRIPTION 1120 4357004 24845 070116 4/09�5.00RE ISTRATION FEES o" � �vo M,� tiro'" VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) IAFC- EXPERIENT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 4088 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service FREDERICK, M D 21705 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $495.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 24845 0 43-570.04 $495.00 1 hereby certify that the attached invoice(s),or 7/1/16 0 Haboush $495.00 1120 Q�,Q �/'�� 101 1120 101 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 Friday,July 01,2016 � V40a . David Haboush Fire Chief 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Snyder, Denise W From: Fire-Rescue International Customer Service <email_confirm@confmail.experient- inc.com> Sent: Friday,July 01, 2016 14:1 To: Snyder, Denise W Subject: INVOICE: Fire Rescue International (FRI) 2016 {FRI161:3555) 0 =. ***Please do not reply to this e-mail. It as sent from an automated system. *** --- Balance due - his is your invoice --- Confirmation Thank you for registering for the Fire-Rescue Ij ternational (FRI) 2016. The conference begins Wednesday, August 17, 2016. Note: you currently have a balance due. This email serves as your invoice. Confirmation ID: 3555 David G. Haboush Carmel Fire Department 2 Civic Square Carmel, IN 46032-7543 David G. Haboush — This registrant has a balance due Registration Type: FRIODP- Officer's Dev lopment Package, Advanced (before/on 7/6) Description Item Total Welcome Reception (Qty: 1) $0.00 AUG 17 2016 5:OOPM ECO I (Qty: 1) $0.00 Registration (Qty: 1) $495.00 Total Registration Fees: $495.00 Total Registration Paid: $0.00 Current Balance: $495.00 1 Please mail your check made payable to I C (in U.S. funds) along with a copy of this invoice to: IAFC c/o Experient, Inc., 5202 Presidents Court, Suite 310,.Frederick, MD 21703. Checks should be received by 8/2/16. Financial Summary Total of All Fees: $495.00 Total Amount Applied to All Fees: $0.00 Total Balance Due: $495.00 General Information Balance Due: You currently have a balance due. This emE it serves as your invoice. Please mail your check made payable to IAFC (in U.S. funds) along with a copy of this invoice to: IAFC c/o Experient, Inc., 5202 Presidents Court, Suite 310, Frederick, MD 21703. Checks should be received by 8/2/16. Updating Your Registration Record: -Should you need to make any changes to y ur registration, including changing your mailing information or adding/deleting tickets, click on this link. You may also make changes via e- mail to customer service or by calling (800) 10-7554 or(240)439-2554. Fire Rescue International Conference Schedule: For more show information, please visit the conference website. Hotel Reservations: For detailed information about making a hot I reservation, please visit the hotel page of the conference website. Don't delay—the room block fills up quickly. Airfare and Car Rental: The IAFC works with Deem for discounted airfare and car rental rates. To make reservations, please indicate you are attending Fire-Rescue International. Phone: (800)-458-9383 Email: reservationsa-atcmeetings.com Online: www.atcmeetings.com/iafc Name Badge Pickup: Your badge, as well as other pertinent infor ation related to the conference, will be available at the conference registration desk at the H anry B. Gonzales Convention Center beginning on Tuesday, 8/15. Cancellation Policy: All cancellations will be subject to a $75 ad ninistrative fee. Cancellations must be sent in 2 writing to the Registration Center via e-mail to customer service by 7/17/16. Telephone cancellations will not be accepted. After 7/17/16, substitutions will be allowed in the event the registrant is unable to attend, but no refunds will be issued. Telephone substitutions will be permitted. Regards, International Association of Fire Chiefs 3 IAFC's Annual Conference&Expo August i, 2016 POWERD BY �. FRIwtel IdExhibits: AL19LISt 19-20, 2016 THEIAFC I G--v San Antonio Convention Center San FIRE-RESCUE INTERNATIONAL Antonio, REGISTRATION FORU Complete one form per registrant Please make additional copies of the form for multiple regi nts. ° ` • • `T1,01WZ0 B 0AVX Q15 b �O 4�rc ;t e Name IAFC Member Number Title Ran ease choose one from the list of options below.): Fire Chief ❑Chief Officer ❑Compan y Officer(Fire Officer) ❑Firefighter ❑Firefighter/Paramedic ❑EMS Officer ❑Emerge cy Management ❑Other C(A1Ve e ds�t-� a- CN_�c, SQ . Organization ` t Address(Isthisaddress:❑iome❑Deparunent) ��� •5, /) 1 /} Gty ^ r r j r ,, I State (1�YI 5V 1 cc,Aip e 1 ® t V1 uv t Country yn O AS Mobile Phone t E-mail(Please complete to receive your confirmation a d conference updates.) Twitter 6vt 2 PACKAGING + 0 • 4 YI��Cl I Officer.Deve o inept Package' Expo Only QTY Price Per Person On/Before r c $35 On_Beforeluty AherJuly6-.,�^ Jul 6 AfterJuly6 $65 $30 No !VI "5725, $805 5635 L57155595 $675. '.525 550 Core Education _ �a Life Member Registration Officer Development Prog J ONBeforeluly6 AfterJuly6 General S6ssibn',..."_ '_ J J J $295 5325 Welcome Reception J J J Presidentialluncfieon;'-;' J Street Party J • • Non:AQM eC Two-Da lixpo`Pass."= - ��Add-On/Onty-- _ HIGH-IMPACTTRAINING-STRESS EXPOSURE TRAINING • *PLEASE SELECT AN ODP TRACK L C a in (COLS I,COLS II,COLS III,CHIEF I,CHIEF II,ECO I,ECO III ° Non Member _ _ st85/s3T5 :§_o5r$33s Total Registration Due: $ HIT-SETCommand Member $95/$195 $1151S215 Do you plan to attend the presidential celebration?C) Yes la/m. Add-On Only (JonMembe�„:,,: ;.x-.9115/5215:;` IAFC members,do you plan to attend your Addon'can bepurchosedwith any registration package except Expo Only! Division Luncheon? ❑ Yes�lo Only'will include free expo registration. 3 3 iIj ® 0 I I I n I 14 1 10 e To help us better serve you,please answer the following: 4.Number of members in your department 1.Are you U volunteer Kcareer ❑10-50 ❑51-100 kf01-400 U 401-99,999 2.Type of department 5.What is your purchasing responsibility? •volunteer Xareer . U combination ❑tribal A ❑airport El ❑military ❑other 'final decision maker ❑significant influence p y 'recommend U research/specify 3.Size of population served 6.Is this your first time attending the conference? ❑10-91999 Q 10,000-49,999 501000-991999 ❑Yes RIVo,I have attended for the past years. ❑100,000-199,990 C7 200,000 and up 7.Are you a federal government employee? 4 EME= U Yes ❑No If yes,list agencey D © • .• • e •e s O Check Enclosed(Please make checks payable to"IAFC"in U.S.funds.) Pt irchase Order# (Copy of PO or form must be provided to process registration.) O Credit Card ❑AMEX ❑VISA ❑MasterCard Card#(with CSV code) xpiration Date(Must be after 9/16) Name as it appears on card ignature 'HOW T iO Online:www.lafc.org/FRI Mail:IAFC c/o Expe lent,Inc.,5202 Presidents Court,Suite 310•Frederick MD,21703 Fax:301-694-5124 Phone:(Domestic)800-310-7554 or(International)240-439-2554 Email:FRI@experient-inc.com All IAFC programs are accessible to persons with disabilities.If you Not an IAFC member.Join online and reg_Ister for FRI at the IAFC memrat ll ber aat once require special accommodations or auxiliary aids,please notify us IYS;easyl Go to www rafe org/FRI 289 2386. ofyour needs in advance by calling 866