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HomeMy WebLinkAbout320618 01/11/18 o"! CITY OF CARMEL, INDIANA VENDOR: 365824 ONE CIVIC SQUARE JON ALVERSON CHECKAMOUNT: $*******370.90* CARMEL, INDIANA 46032 C/O CFD CHECK NUMBER: 320618 CHECK DATE: 01/11/18 , DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION 1120 4343002 370.90 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT, NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 365824 JON ALVERSON IN SUM OF$ CITY OF CARMEL C/O CFD 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 $370.90 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 0 43-430.02 $370.90 1 hereby certify that the attached invoice(s),or 1/2/18 0 Reimbursement Flight $370.90 1120 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,January 05,2018 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer i I MOVINGEDUCATIO11i r. ..i` FORWARD > , I 9JADIA CHARLOTTE,NC !!!!! CI-ARLOTTE CONVENTION CENTER 111/1 •• ► 4 WW W.EMSTODAY.COM 111 #EMS'TOD AY 4 WAYS TO REGISTER: First Name L!-on-*j-.tq Last Naive /Vtf-s'6 f\- 1. • Job Title PC,f-Gr.,: F - (lia i&ion_ �t��^'� i"r0 C �/ 2.Email: Add ress"1 CI ✓I 0a r Address 2 (US Only)888-299-8057 +1-918-831-9161 City '�A�J✓I el State/Province-1 Postal Code O . . Counfry V f t t 18 PO Box 973059, Telephone(+)( 31 7/— 2,b Fax,(+) •' 75397-3059 USA Emaily r56 C�� mel . / n 0 ✓ 'u Questions. Call us at: +1.918.831.9160(direct)or Your individual email address is required confirmation is sent via email and is needed for CEN certificate login. +1.888.299.801.6(U.S.only)or . . If you have-multiple licenses or an NREMT#,please contact registration via phone or-email. +441992 656717.(or 01992 656717 from UK). Certification/License#: License State: Date of Birth: License Type(E.G.,EMT-B,EMT-P) License Category(BLS,ALS;o�Other) License Expiration Date: PLEASE VCUPATION/POSITION(CHOOSE ONLY 1) 2.EMPLOYER/AFFILIATION(CHOOSE ONLY-1) 4.WITHIN THE NEXT.24.MONTHS, ol.Paramedic(EMT-I,EMT-D) 1.Hospital or Health System/District. I WILL RECOMMEND;SPECIFY,-OR 02.EMT(Basic,First Responder) 2;Private Ambulance/EMS 'PURCHASE'PRODUCTS/SERVICES. 04.Instructor/Coordinator/Trainer 4..Municipal EMS agency/Third Service IN THE FOLLOWING CATEGORIES: 05.Administrator/supervisor 5.Industrial/Commercial 01 Airway Equipment - 06.EMS Chief- 6.Education/Institutional 2 AmbulancesNehicles" . 07.Fire Chief 7.Military/Federal Government 03 Bags,Cases,Kits 09.Pres,Dir,CEO VP,"Mgr. 8.Law Erlforcement/Police ©04 Basic Life Saving Equipment 10.Student (]�11.Volunteer Fire Dept./Rescue Squad a 05 Billing Systems&Software 11.Emergency/Public Safety Manager 12.Paid Fre Dept./Rescue Squad 13 06 Computers/Computer Systems/Software 12.Medical Director : ®13.Combination Fire Dept./Rescue Squad 07 Education and Training 13.Physician 98.Other(Specify)• - 08 First Responder Equipment.• �.14.Registered Nurse ©09 Medical Equipment 15.Other Chief. 3.PURCHASING ROLE ©10 Rescue Equipment 16.Captain/Lt/Commander/Other Officer (CHOOSE ALL THAT APPLY) 1111 Simulators/Manikins - 98.Other(Specify) [3 12 Other ©A Purchase ©B Approve 131 am not an authorized buyer: C Recommend D Specify WE Influence _ .. _ Penn ell°- f , ❑SILVER PASSPORT(2-Day) ❑INTERNATIONAL CONFERENCE ATTENDEE(3-day) ❑EXHIBIT HALL Paid by 1119118:$325 *Use promo code EMSTINTLI8 to register online. VISITOR ONLY ' Paid after 1119118:$425 . , 1Paid by 1/19/18:$325 Paid by 1119118:$25 . Choose One: Paid after 1119118:$425 Paid after 11-19118:$45 ' $ ,0 Wed./Thurs.. r Thurs./Fri. PRE-CONFERENCE , ' , ' Please select the-Pre-.Conference Workshop you would like to attend and add the price.to your registration total.All are at a first-come,first-served basis.Lunch is included with all B-hour . . (full day)workshops.and two,4-hour(half day)workshops: "FULL-DAY Workshops: HALF-IJIN Workshops: ❑ EMS Supervisor Leadership Academy(#19882) ❑ 12-Lead ECG Acquisition and Interpretation Made Easy(#19892) . 8:00 AM--5:00 PM 11"Before 1/19/18:$225 1 After 1119/i8:$250 8:00 AM-12:00 PM I/.-Before 1/19118:$125 1 After 1119118:$150"` ❑ Essentials of Advanced Airway Management(#19880) [1 Tactical Tips and Treatment Techniques for EMS Providers(#20559) 8:00 AM-5:00 PM J/ Before 1/19/18:$225 1 After 1/19/18:$250 8:00 AM-12:00 PM-ll Before 1119118:$125 1 After 1119118:$150 .- ❑ Stimulating Simulation-A Deep Dive Into EMS Best Practice S!mulation Techniques. -❑ Proper Post Exposure Medical Follow Up-The Latest and Greatest(#19868) . (#19881)*OFFSITE 8:00 AM-12:00 PM 11 Before 1/19118:$125 1 After 1719/18:$150 8:00 AM 5:00 PM 11 Before 1/19/18:$250 1 After 1/19/18:$275 ❑ Ultrasound Use in Prehospital Care&Resuscitations(#20531) ❑The National Conference on Law&Policy(#20086) 8:00 AM-12:00 PM.11.Before 1119/18:$125 After 1/19/18:$150 8:00.AM-5:00 PM:/1 Before 1/19118:,$225 After 1119/18:$250. M Emerging'Challenges in EMS.(#19878 )) ❑ The Entrepreneurial EMS Agency-How EMS Service Leaders Can Take Advantage of'- 1:00 PM-5:00 PM /1 Before 1119/18:$125 1 After,//19/18:$150 the EMS 3.0 Transformation-(#20087) - ❑Advanced Concepts in 12-Lead Interpretation(#19895) 8:00AM 5:00 PM II Before 1/19/18:$225 IAfter.1/19/18:$250 1:00 PM'-5:00 PM 11 Before 1119/18:$125 1 After 1/19118:$150 . D'Essentials of Wilderness Medicine for EMTs and Paramedics(#.19869)*OFFSITE ❑ Classrooms that Engage-(#19866) 8:00 AM-S:OO PM 11.Before 1/19/18:$250 1 After"1119118'$275 1:00 PM-5:00 PM 11"Before 1/19/18:$1251 After 1/19118:$150:.- 0 Drones&Artificial Intelligence as Tools for Public Safety(#20088) - ❑Tactical Tips and Treatment Techniques for EMS Providers(#20560) 8:00 AM-5:00 PM 11 Before 1/19118:$250 lAfter 1119/18:$275 1:00 PM-5:00 PM // Before 1/19/18:$125 After 1/19118:$150 Ultrasound Use in Prehospital Care&Resuscitations(#20058) 1:00 PM 5:00 PM I! Before 1119118:$125 lAfter 1119118:$150. MILITARY PRICINGMilitary ID will *• CREW PRICING �1 Early Bird Rate- Regular Rate- Send More and SAVE! before 1119118 after 1/19/18 Amount of people Price Name of reg type 3- 5 $1;000 CODE ALPHA. 6-10 $2,000 CODE BRAVO BREAKFAST ROUND 11 —19 $3,000 CODE CHARLIE February 22,2018//8:00 AM-9:30 AM //:COST.$40 11 SPACE IS LIMITED 20-29 $4,000 CODE DELTA pRural&Wilderness EMS ❑Identifying&Diverting Stroke Patients 30 OR MORE $5,000 CODE ECHO [31'm a New Manager,NowWhat? ❑Epinephrine:To Use or Not to Use? ALCK HERE to learn more and get your crew registered! ❑Best Practices in Peer Support ❑Benefits of"Prehospital ECMO ❑Provider Stress&Resiliency (extracorporeal membrane oxygenation) ❑:Sepsis Screening&Alert!nd,.- p Issues in Mobile Integrated Healthcare(MIH) *Use promo code EMSTMIL18 to register online. ❑America's Opioid Crisis /" ' ••. • • • •• • • Your registration fee includes a 1•year digital subscription opportunities . • - • • to JEMS magazine. First come first serve basis.Liability waiver required. ❑Check here if you do not wish to receive JEMS.. TOTAL PAYMENT METHOD OF PAYMENT Payment must be received prior to the conference Please add all selections ` O� ❑Check Enclosed(U.S.funds only.Checks payable to PennWell/EMS Today 2018) and total here: I -- � [3 Wire Transfer(wiring info provided upon confirmation) PROMO/SOURCE CODE: Credit Card: Payment must be received by.published date to receive early registration discounts. [3 Amex ❑Visa ❑MasterCard ❑Discover []DinersClub Cancellations must be received in writing by February 9,2018 to receive a_refund minus Card Number a$100:00 administrative fee.NO REFUNDS will be permitted after February 9,2018.. Exp.Date Substitutions may be made at any time by written notification to the registration office. Name on Card Signature PeTlll , Snyder, Denise W From: Alverson,Jonathan L Sent: Tuesday, December 19, 2017 14:23 To: Snyder, Denise W Subject: Fwd:Your trip confirmation-EEAGEV 19FEB Sent from my iPhone Begin forwarded message: From: American Airlines<no-reply&notify.email.aa.com> Date: December 19, 2017 at 1:29:42 PM EST To: "JALVERSON@CARMEL.IN.GOV" <JALVERSON&QARMEL.IN.GOV> Subject: Your trip confirmation-EEAGEV 19FEB Hello Jonathan Alverson! Issued: Dec 19, 2017 X Your • confirmation and receipt Record locator: EEAGEV View your trip Monday, February 19, 2018 IND CLT Seats: 19B Class: Economy(N) 1 :46 PM � = 3 :25 PM Meals: Indianapolis Charlotte 1 American Airlines 2379 Friday, February 23, 2018 CLT IND Seats: 20B x Class: Economy(N) 7:45 PM I — 9:23 PM Meals: Charlotte Indianapolis American Airlines 1151 Jonathan Earn miles with this trip. Alverson Join AAdvantage » Ticket# 0012163254638 Your trip receipt Discover XXXXXXXXXXXXX9447 Jonathan Alverson FARE-USD $320.00 TAXES AND CARRIER-IMPOSED FEES $ 50.90 TICKET TOTAL $370.90 FE E Book a car Book a hotel Buy trip insurance SuperShuttle 2