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HomeMy WebLinkAbout195986 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 00352485 Page 1 of 1 ONE CIVIC SQUARE JOHN P REDMOND FOUNDATION CARMEL, INDIANA 46032 DOMINICK R BARBARA CONFERENCE -IAFC CHECK AMOUNT: $1,000.00 1750 NEW YORK AVE, NM CHECK NUMBER: 195986 WASHINGTON DC 20006 CHECK DATE: 3/29/2011 DEPARTMENT A CCOUNT P NU MBER INVOICE NUMBER AMOUNT DESCRIPTIO 1120 4357004 1,000.00 EXTERNAL INSTRUCT FEE i� rte; ;�?'L 3 s- 9r4Y•'a,"`�~�'EC 'e1- -r�^r "%t� •z�.� ~as W'-"�'- t"rr�,rs 1 k ra w t e ft lt u d s'•t r'w• t� .k r �t f k 1' f4 d r� r+ qw I r•v ,r i a tI 2 rF 3 w• war 5�.` ,vh f f l t".' ECG t 'g 6,� d. s `is t' P .(*'�`s1,`A IAFF MEMBERS ONLY: d th -v A• i5� ;,s. b ,�wv 0 �5, ,of ati C' �K, t '4 .r a ws IAFF members can make a FIREPAC s s? �201 John P .Redmond Symposium 4n the QcCUponal�.,Health:Haxards :'i contribution andregister the 2011 John P,.. k af,the Ffre Serglce m' conjunic oni wittl €the Dominick F Bbirbera �w Petlmond'Symposiurn on the Occupational e n ?.F r I E tr zr rs, +f6 re ty a g'a't4f p fie fe''' �r• E alto` H3ZardS�Of ;the;FlPe$f:rviEe/QOlnln r `Emergency Medical Ser a ces Con #erence t F, ;garbera,Emer dent Meidical ;Services Nllton r New �tY4ik NewYor Clt Au ust�14 1�8 d� �'1 g y t d r r nom, -y� ,,gn t .a w e ,,t r R� ,E;x'. Co� f�renc� one FIREPAC Qnf} on: re�urranrfter jormyEach rasutrunr must c/trck Uff rlr�ee for Tuesday unit three Op o s a a lableo ly todAEFmemberS. t. worAshojrs jn Ali d %es ay Regrstrerais'sefecnugihe Frrs G�Tun d'S€ "mr; Pra ttcal Wnrksl oPjv`rl[ nrtcnrl ivtirkshops ore Tuesday or We�nesdq cfe endurg;orr drry.rhi y are assigned to the' MEMBERS Your' personal, vbluntary FIREPAC: FueCrntrerdE$uivlvialPractcal contribution •.(per5'Onal Check, s r r lr,� ,r:F ^s nlondy;6r6er or creddt,'card) of $506 of more ;Attendmrtc at the woh ohvpsis5brmtednntf w +Fie deterntuied an a first-caarr'basts t a t ,provldes'. membership inthe FIREPAC` o i l •n" Ai�'��1 y4i fy�i n t� "fl a a u Leadershi gust or Chairran's Council r �DPIE Rt�UP CD�S�f11 4ACTIGA>Lb1 fs1R SHt a 7E� elfin r p I' ex �o-e ri r.; a E' r l fbmatloally registers you. for the 2' itt S-dBy flrk hopS� iC lei C rhr ej V41ed1'teSdayr lqN icShops I gek xChr tor n per tliv dual rents. One registration ire Gsonnd Surv>tial wVor�kshop ©F re G�ound�5UFVYV racttcalzNrorksEsUP l ,fie �rtiited States fedar2i eieC4on saw prohibits i estden 'ai Ftr%rou 1dTi6 d Fa�enrn`ents D Qccu }�auonalriJtseases r rt t ti the:Sohcltaliorl of nvn -1AFF mer tbe -U.S. rs i C�l FmtctronalFitness 2 Ea tScncs a"t C Fu ctionalrin css r� 2 PartrSerses t t f; )AFF °rtiern6ers'selecting+ the FIREPAC optimn must submit their ,own'-personal i yk� a_:Ur t' r"'�.; y ,r e"�e' 3 t q•. Ira. Checks Or use.thelr own personal credit aX�eludeandRa�d;r Ir k h F Li_feous�Dtase f I t�:' andrnay :notseekreimbursementfartheirr� t Responder hMaralM r i e:cit ness vtentalAslaectsafh� 5 contribution:Federal eiectionaaw rohibifs F re Fighter Envtrbnment E t t x t a a z a p r it l f�� y ���t�� ��s� FIREPACSfrOm urnon or corporate i �sFh}stca3�f}emands ofFtreFt tut �ire,Sernce:Commucuulnons �Vh Th Are ..money.-O :��erson cannot write a• "i w+ t y w r s y e P p ersonal P Fznnomtcs of Ftre Fighter rM1re3lness 1NOt No>[,ttt'{` �s,` a a �jt cEieck or use7a gersonal, cred+t card to cover' 4 e N o N multiple registrants contributingto:FIREPAC. O Vtedtrai Lluector�Course 3 Parma nes >hotectnreGlptiitnb and?t,, r F please. note Ghat; contributions to FIREPAC fl EMS field Lalxriments r s f: t t N Egurpment;,r, If t ti �v k are not "tax °deductible. Previous FIREPAC r b G A j`r, 3� i� r it r` r. *d n f I e. Fire Based EM5 Case Scena%os r` t I F I A "5tayvtg Ccsiripettrvc m Mtlaula�nce T�ansptrt �a d contributions and riionihly deductions eannof, i t r 4 O Fire and FiviS Operavns,tn,C i r Abe; :•applied' toward, registration One a ate O Iwfart ctln atCtrc fiascd 5 4tem� registration form per individual. �9+t1' is r=.3ir a S r§"i A9R it 5 h GANADIAN Your'contribution of t M tiC?t),OF t'Al'PNEhtT jl at 1 �y FIREPAC Chairman s Council membersLwtll receine a F $500 '(usCj or more to, FIREPAC Canada 51 Y k s EI SssE yt ^v' r 4 ra.3 3 P.y. N ferMce and Charnnans Count I pui a. pe�craldy desygued�wmd 1 t provides you membership in the FIflEPAC S00w I villattcnd "thcS}vnfwstum/Can ,1Sty Iotn the f dRC('AG'Lcadcrshtp Trust shFrt ind recogi tlton m the intarn.suon It 11g jcr ri r Leadership Trust Or Chairman's, Council and :d ''N 1 t i ry �1Gf�, j q sl•t j t t Ou ':for for t autdrriattcall registers ...l3e Y 9, y f t- r Cl SSl?0 1 woutd,hke to, €aln ;the CIRLFAC cadershtp t S y mposium /Conference. One registration CI5750k 3;lvuuld i ke "to ti t�i,e FIRFPAG: Cl' afrntafi� ,Trust "nand r gtster t(ori t}ie �Sympastum! r t- form per individual. i Caun.7l�anJ resnsurfar� Sympos,umJ c d 1 (anference�althesameRtne 1 'ri: a Confercn` I a t The re 'are two''ooptions for making, C] CIaEC K (aya ]sari U S Du lava to John P t pFRSOWAL;Cti1_CK1M0NEYjORDER FIRE PAC, contributions ReJmond Coundaa0n) Z yy 1 O ViSA /�tASTFRCAf([7 Y(comrlete creditr€ FE RSOr4AL.IViSA /MAS►'E Cr1RD,' l I 1. FIREPAC ";Chattinan s 'COUnCII IAFF. dt r +i+4n fictpev) Iz k�-h 4 7 a c s rtr 7 a re` �cgmpteretca d�nformat'en rr 4 Con nbut on of75o or moreoo FEREPAC I Chnrrmnti' s Council +mci fibers a4 t r O S vemb s.rinly FiREpnC can oily accept pz sonal �be enrolled' in the FIREPAC ;Ghairman's,. Pleases lectittestu"if th lsh ewinitrtyou «ouldlt7ie' �hccks moncy perch,al r crulit 3 carilc?heJiral l ,Council aniivregistered, far thii Gtinfeience. 0 5 CIM El L ©'L 2XL C3 3L fie elecnori lawsproh+ bltFIREP1Cfroirr tccepringhusmess t. Registrants= using'ihe FIREPAC option will t 't :gat r,tt. c or utiun duu`(irca ury)''aceount checks Cuntrliutloru} k receive a Ghairman'a Counat pin specially U S members only: FIREPAC can only accept pcysonal to FIRFPAt;cdo not quahfyas charitable contritiunons Fi. designed' wind shirt and recognition in'ihe "checks money nrderc,or dlcrsonai credit cards Fedaral 3 fnr ieQeral into ite tax j a t, Q �1 r` IY fr]!BlllatlOrl3! Fire Fightef eleeuon laws ,rohibtrCiRF1;WC from aece tin busrr ess d or union diii (ili, ry') accouni'che'cd.s Con Ihuteoris l r frL i t'" "a u y._ FIREPAC Len ers10, Trust members will receive u 2. _FIREPAC Leadership Trust IAFF to FIREP.IC do not qualify as charitable contr buttons K Lcatersh+p Trust pm and recogmunn in the members `making a personal, -voluntary for fcderat.income tax +purposes t Iru�rnut,onof Frrc Frghrer contr 6ution of $500' to .FIREPAC wifl be a x enrolled in.the'FIREPAC Leadership Trust anti. regtsfeied :for the Conference. NAME a tt V1 �SV, V Registrants using the FIREPAC option will receive a L eadership Trust pm and IAFF Local /Company Name T CO F`� �Q tJ, recognition to the International fire +Fighter. C !s t If you vnsh to register for i Address ��y o�`uo���— ti Gonterence and )otn the Leadership Tru or y j Chairman's. Council, please' the FIREPAC bole ''on 'the attached registration' i t City State /Province ��1 lortn. This FIREPAC opiton'ts only available to 'IAFF members'.' Federal "election taw prohibits j Zip Code Phone f ii. the soltcttaGon'of non -1AFF members. Email address ��ob0� �'he V Please Complete. Fegistration form and meit'br fair to VISA /MAST ERCARD J ohnP Redmond Foundation Credit Card \rurtbcr j �ternationaf Association Con Fighters A n ttri Beved LewislLisa Aaron Name asut appears oti the card r 1750 New York'Avenue, NW L Washington; DC 2l]Op6. Signature rxp d.tte (2Q2).824 -1 594/1571 (202) 737 -8418 Fax