HomeMy WebLinkAbout309004 03/07/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 370436
"ONE CIVIC SQUARE INDIANA INDUSTRIAL OPERATORS ASSWECK AMOUNT: S'• "'"185.00"
CARMEL, INDIANA 46032 5439 N.ACORN COURT CHECK NUMBER: 309004
GREENFIELD IN 46140 CHECK DATE: 03/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2423 185.00 OTHER EXPENSES
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Indiana Industrial Operators Association, Inc. Invoice
5439 N. Acorn Ct.
Date Invoice#
Greenfield, IN 46140
2/12/2017 2423
Bill To
City of Carmel
30 W.Main Street
Carmel TN 46032
Phone# 317-823-9269
P.O. No. Terms Project
S-tlewis
Quantity Description Rate Amount
Government Rate-Thursday,April 6,2017(City or State Employee Only) 185.00 185.00
ATTENDEE:
Theresa Lewis
Please remit to above address.
www.iioa.net Total $185.00
Early Registration WITtee.. 2017
ATTENDEE REGISTRATION FORM,April 4-6,203.7,WYNDHAM INDIANAPOLIS WEST
Please send registration form with payment to: IIOA c/o Martha Martin,Business Manager
5439 N.Acorn Court, Greenfield, IN 46140 IIOA Phone 317-823-9042 email: martin@iioa.net www.iioa.net
Mr. Mrs. Ms. Name: Teresa Lewis
Company Name:City of Carmel Title: Manager of Customer Relations&Edi
Mailing Street Address:30 W. Main St. City:Carmel State:IN Zip Code:46032
Telephone: 317-571-2477 Fax:317-571-2265 email:tlewis@carmel.in.gov
Payment Type Accepted: Credit Card,Company or Personal Check,Purchase Order -US Dollars
For Credit Card Payments -We Accept Most Major Credit Cards
Card Number: Expiration Date: (3 digit Verification Code)
Signature: Name on Card: CC Bill Zip Code
Govt Purchase Order: S- 'eW1S *Contact hours to be approved by IDEM-State of Indiana.
Print form and save for your records-mail to IIOA or email to martin@iioa.net
TUESDAY APRIL 4 COURSES - 8:00 AM US6011an
TUES/WED—WW Operations/Safety 2-Day Course(OSHA 10 Hr Card,Lunches,7 Tech,6 Gen*) 395.00
$225-All Courses -Please Check Boxes Below
TUESDAY—Advanced Surface Finishing&Pollution Prevention Course(lunch,4 Tech,2 Gen*) 225.00
TUESDAY—Environmental Management Course—New Credential Course(Lunch,8 Tech*) 0 225.00
WEDNESDAY APRIL 5 COURSES - 8:00 AM
WEDNESDAY—IIOA-New PhD Industrial RIWPhD Credential Course(lunch,8 Tech*) 225.00
WEDNESDAY—IWEA-Certified Pretreatment Coordinators Course(CPC)—(lunch, 8 Tech*) 0 225.00
WEDNESDAY—IIOA- Industrial Hot Topics Course (lunch,7 Tech*) Q 225.00
WEDNESDAY—Evening Program Dinner&Awards Program (included in full 2-Day registration) [2.5 Tech*] 50.00
THURSDAY APRIL 6-8:00 AM
THURSDAY—IIOA/IWEA Member Concurrent Sessions(lunch,6-7 Tech,1-2 General*) 0 210.00
Government Rate (City-State Employee) (lunch,6-7 Tech,1-2 General*) 185.00
CONFERENCE PACKAGES (2-DAY Wednesday and Thursday) - 8:00 AM
IIOA/IWEA Member Includes one of 3 Wednesday courses (please check desired course box above) 460.00
all lunches,breaks,Wednesday Dinner Program and Thursday concurrent sessions
Government Rate(City-State Employee)Includes one of 3 Wednesday courses (please check
desired course box above)and Wednesday Dinner Program and Thursday Concurrent Sessions. 0 410.00
Not an IIOA or IWEA Member? Check box to register at IIOA/IWEA Member Rate 0 50.00
[*Technical/General Hours approved by INDIANA-IDEM] Late Fee after March 18 50.00
TOTAL DUE 185.00