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HomeMy WebLinkAbout197669 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 363642 Page 1 of 1 i ONE CIVIC SQUARE I A F F ro CARMEL, INDIANA 46032 AT BEV LEWISILISAAARON CHECK AMOUNT: $2,000.00 1750 NEW YORK NW o CHECK NUMBER: 197669 WASHINGTON DC 20006 CHECK DATE: 512 612 01 1 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 2,000.00 EXTERNAL INSTRUCT FEE "H" v'x. r a r wr% "y .rs �',r s 0 1�'`T� ^a t i ,�p ,tAF Iv11WM(IERS ONLY ra .y�, e�. .d 1' v° S Jt ,f S +sr A S A F ^�4.'" .P S K j e ,•.'a,.`t w _-o- .s'4+ r" h t5 r y ta r it x C✓ ">M"•'�''- d�e'�' 1 z 7 W �y x ^.r I.< "`fix r�fa' r sue:• r a �r� r'`� X ZU.,py .011 R ;Mb'drnond 5ympostu pon t1�e;,OGC[a atlQt al &Health?Hazattls coiitnbuUor;an r i` 3 e ster for th e 2Qtt John F' Hr r�, `kw a' £,.es?' x.. rr .En 26e,.n. i t d 4N,.ofxthe �IreG Serutc irt GOpjunctrOn wjth,th DpmtnlGk:F Retlmond Symposium on the Occupational ,ti';ck:+,?';- '..+s',`Y ,y',a. r9 ,7 ':"ax. t4?te•+'':;''", g»x r"-': ,k,�".',v `.iro"" c +t to lint *F'tr3Zar Of•: h b' Edner f 7 enc, MedlCa� =Se.c.�races'Confer�n p t S the ;^r!'. �Sah�q} Ytl,?a y +%i x ri �,r�'rbM's '4,.a ''s.�', e,. .;xnas ti'"`rc'•m° 7 44 ,F 1�Sarb Tai�.m r(�Gr,�kSL('vtG ,•4E ar 1 �it� 1�1Pf'�eWY()r�l- a i k..`'- `:s.t� 4� G' E gBnCy t s I o Cty,,August 148r201:1 Conference Inane steph! c J C i f b FIREPAG -;bn$r gtstrclrtt jt r f,raz.Fra h're tstrar IAFF ti nalrsi,r he k ar:TrrESrlrt X o Uon,ls: °oRl :to''; ens Y:,� '3 lJ f m y. r Y f t'Y'+;^ t P :G Y t Y c?r�� .a?'h s r., �:.,s a, r�:. ~'r r o-- kzr' s•,. :wbr�sfir r �Scrtn2srlci• egisdrnntycelectin' tlrerFJre° Gro` unrl SrarvJta fl rncdrC7lt,tNOritiSliO ,:,t <r►t f.` -xa•::t br, `fwa w:.tG s1�:.::5.>p x is. ��r.��..";•; rd ,a +t:::':` +':rc;„t S't a F tq trrtettd worksltoj�s onTiPesdti pr'aFbedr:edq de {rlrrr J nri:ivlarcll�rtA tPre riftre,`assr nedrlo adicrJd,the S. iVIEN1BRS Your personal voluntary "6,.n .,}Jr,. ^n. 1: :t d1 �r y d y AS "e 4.; `'.!i' o `.:.7 '�Yis r:r`i'' i6ln f"r, I Frre rrnrvrzlrYrncIre"a LS!fr r• a rr,t F. r .contributEOri {Pe ;check a dr, E. a J -a t ';r?w �3� 3?, ..r v w sk 3 k o �tc CT1Qne OrGteC'OC Credll Gard `of� .Q;IIr mOrE rltrerat€arrcr at vrrrlslartpa Js lnrrrtc tbrrttrlt:wa[f Irecfctedrtrrrrccl UaJ c Jrsr �lrxic 1 usJS..w" b rte a s f t h +n �'ti a .rte,. s r s ;tt 'a a4, ".$..kt''y r •+�e�3 r� a'e rt i4 ,pIYJ l es;` Jn�:ti3e �PA{�i Leadership Trost or Chairman's Council and, ifs,r; pas 1 a...,. ,a?.< .x ,.`+-_t:ei4 15•* +7' •sa. °ne✓tr"A, '4 fr S "S.X•fn x'`°r�?a,., r t G 31Ey reg }Biers !YaU tt10 N r "hr g p. rr fir. s t S ?t °:'r f r SymposlurnlGonferenCe a11e iStfatl6nt 1tl 5ti 5�"t?�"'�E1Qad�t l aw 4, 1 g .•s."'r�';. r w sv GLr.t1C.a "4�ftEi y�`,tr r w l t:'l1'C�':�7T uiads$ttrz lval,'.. p'Qe, i ,.:•w`s,a ..t_ ,w..., ,c .r r,'Sr ,is%. 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L r+ �F. 'Ksi e'r'' t tx. x r. i.0 f P' ii. 1 ',r un ,va1 r form ,indmdual. F er F€ teGulullrleSurtnal {Pratt7ca111rorJ.stia Ftrc �,rounct S t n c �al llrorl shnp a p 4 0 IS t ,,F Z t 4 S +f Nb Llrllt$Ct,•'StBtes federal election Iraw prohibits C1 lic l dr ➢7t7a1 i irc;rasta7c ,eid Exiscnments C] O'666J�iIi, t l� t'rs F a w the solicitation of non-IAFF merhbgrs. U, S. f1 urict3c nallt=tncs '2 T�a�t`Srrtes Yt r�s Tuniico7`=ai i ttn4ss 2 °Flit Serest y iAi=F .members ,selecting ..the FIREPAC 3l" j- ❑3 Illl diC1Q �.tJf{tw5 u �x5. .i„.$ a r- s s tt al3u €)Jli ln� UCIP.S Y :.s a 1 �fi...a.,xx OPt=On' must SU btTlit their oWn personal r dj r i t�f st 3 r i s Cll8Gk5 or use their OWn- 'persi)nal.credit ❑fCEEE➢cla,,ct roadway 5 fot,lhc r list t a inft ctlotrt 11=sc,aae and may not seek reimbursement f ©r their r �2esaartier w, rr ,13ehavtor+]t�elin� Tw9ental,l,pect, of� cot~tribtitlon Fedetai. election law.peohlbtts t ��rliet,gltter FI nt➢r ©nme perfOrI1111lit s,s ;FiEPAC:frbm accepting union or`corporate K 0 1 monBy. Ono 'persoricannotwnte �..r z. apt wu�' r ?'<I '#,',1 U a aa�, s.;^ 'r�i Jr .ria' ,y'YS; A ti e,.w t. a 4 t 4 M 4X fi, Econrtmtcs afi trz F,t ],rer��rellness� ,r i l4'crrkul .wa n t >.•s= t rheck or:us6 a cFedit card tover 'l�7ot5 •a �1 «,G, a multiple registt'ants:contributing to FIREPAC.. E7>etltcal +t la,ectrat i verse 3 I'ut Ser�➢esr Nt �st,erau,agSafei} Frotccr=veClottim� and p please'note that. contributions >:to fIREPAG CI`FM'S imcnts 1 tr l 1,,`,Irt y` are not tax deduct'iblB: Previous FIRPAC° €.td;:: r E Fire Based FMS Case Scetlar,os, Y DiStavcn� Cnmp etlt7ve,,,a Arnbtala xte Te;tr �f nitr ;Y! ccritributions 66d-- monthly deductio=is:canntat tl3 s ar r y r rt Y' a', ssS m" ;r.- ;+r�t'n t z,' i a r'rF r s, 'l� t =ie :tt7d to +Garaatla r r .13B app •toNJr�(d (eoiStE'atlOn One ucia•�',�s S as, ,a t== a,md 4 •.i t sfe .reglstratlOn per indiVidUr'S.I. QE7Nl&U1 a l'IrC�I�clSC1- 5VitC117 ba k e i ...7.;. �'t 4 :.Nrk Fyfr: aa;na:i s wt.., 'x s a? s' i rY a^ k'Z'ta_. sr, c x C ANADIAN MEMBERS Your contribution bt.. z `9 :>•4 rzz t,3i of it IvLlOF"P� r oz, *'t tir �EtttEP LCl7otrinansSCitii= ictlt €neniters,utilirecer�e,alf't 'Ind t0';FIREPAC "C t7add iz� ':9°�,...t?a, `;:'SV a t ay a �fi'r C,iz'. ft '4 �iC.t.tt i >t7a 3 u Il a rend p0slt,umfConference atldx y Cl7 urnrans Cocu nti pi,7 a spce =illy dts,te,tetl tvirtcl a a provrdes you membership in thB'FIREPAG 7r rJty€n tl,e,�IRGP IC Ixade,sh =F Tr st tih,rr M t rcCo ➢e➢ Jn =r the'Ittteri,ai>on ltl irK ighrex :fib Le3de Ship,TrustD[;;Chairman s Cound and f A t +a Y IIi? s,A +r cE;"pf e> P 1',,'� s y 4 ,'.$g *''t Mt` r t iilJtO( 7ldtlCally t ;..�rL't�IStG'r5. fQr 11E '`;.t4' ;x' 'f �i'$rif7.� 1 wt,uliltltl.r til„ tht PIRPI'AC 'I�eat�ershl J �Y .S m 051tJfrll Dilf2ienCE. 'Q'18 re IStration. t ®57517 1 wt,4ila mke Tel in eheFllt Phi Ctr,tnnu�vs t �Itiiat tinit+tgi�ster'ffor th byru� ua,ntail j "form`per• individual. 9 Grtunel and regtsle, for'rhe Svnirrus,uta,/ s, r a7 s r c h,.,. a"x a rov C,7nfCYtn Cr .11 Thc': iu to r k e r r x J. .r P C Httfcet,ce arrthr,ti,rrfic l3tt,c r M 15 x r There are two., options for iitakirlg R CF LCh va6te,t=st S?Drrllatt tr joltn F 1 +PRSC) NAT CHFC h1,ti1C} .F1 (7ftLtht2' 8 t e FIRE PAC 6orit' ibutions: (r KkC7 �n5 u�1 SST R 4817 „u(co,nFitte' 4r+d'➢r;' CI PCRSc I��t fSr�iMrtSTFRt. �klj' 1 FIRE PAC, .Chairman s"Counci1, IAFF carcin =nitrrinanpn be lul, M a E x r 4 r s k` (ao tlttetc reclil d tnf7tnlaunnpelntvl rrenlberS_'makinq a personal,, voluntary f: s t s .4s COnti46U� ➢Dn: of VtO or ,mofe;t0 FIREPAC Will 4 ti Ct7a ,mans atlnat member a US rn==nbeTS =only i lit�t'aC c+n aull accep➢ j�ersr,nal be, enrolled''in the FIREPAC Chairman:'s 1 Plc7se;�elcct ilia ssae oftl7e t,nrtd shtrtytnl urciuld ltl c ._5 n °,rx �.'3 F;� cl Llct 'i „oney�.UCd t, Sir =71t �zed 'CounC=laridregistered fOr`ttleConfBreflce: M l7 S _i c 7 L U,XL II C tC1 3XL �14XL eltchnn t[a roh=bn FIK C&(6t a ce'pt,n z btt$tric�s Regtstran s`using'tfis FfREF?4G option:vrill i AI a *fit ,nr Un€gil d ;rrS titelgury) aecounl Cheek, Gyntrit7ttfitxns rece! a a.Ghairman's Council',pin, a,speCially r t3S TSC,nIt g PT F Cc n nlyarte}�tprrson7l f�a 11REFAC d€� nil➢ gaal=Ijt2a chantle cunte,Unitpne, _;desl ned,wind reicti rii6 in the chettta n7nncy nrdrrs�ar ertinnat,cr titi clrcly :Feci'ertl :a ft= fc itn etaz ui cse a tt ll7fO"zi real FIrS,FI hfeT g r x 3sa P r y ele tton lavv, prolitb,r F lItEP C tram ucrept,ny 7z S 'A a* ,.e, .a„�. 5,+ a roN sn+i r.�^- a.�Y<l .,^xSre �`'y a _t :3.�,,.Ksj •`�S <ta x' s, ids a�B,va 4r trnstr3 sluts to ur ac ottntch els C ©ncctliutluns iTiF�TPACitettdrrkhi rTntKt mrml,r }es +tit rcte,�,i a 4 2. FIREPAC Leadership_ Tid'k;, JAF.F ➢o F11tEPA darior qln, €y'as'c€tar,tal7le conlrbuhuns e z ,.a 1 s t F r s.➢- r. .x.�. x5 r „w s� ,r,Leadeslult Irus rtnn and reminttu7n;tn tl,e t a members'making' °voluntary ntn tnt federal ncuore (r� ixtrp aea r Y u }r {i e' ur=nf Ftrr'! oghrcr 7 x is 1 Cobuti6 of ..$506 to FIREPAC' will 'be;. a v fi fr 3rY s ao r °erii`o11ed ir7 the FIREPAC Learfershlp'Trust t and gi restered fo( 16e' Conferences' NAR9E ,n f ;1, Reglstrants',us1hg ,the FIREPAC option wtl1: _F, reeeiVe a Leadership Trust pin and an a iAFF Lc,cal /Cvm Name. t R� 1 W1 eL fZ C JE PT 7 `i�) t recognitionpin the ^it,tetnafrotra! Fria Figdater p` If<you ,wlsi toy =register for;�the•.sympostuml. 1 Address L t t C�t Conference.. and.join the Leadership,Trust ar ys Cl airman's Council pee check lhe° i FIRE PAC =:box =,.on the attac registration. City �14 U” 5ta.tc /l'rrtvit,ic i form Thls FIREPAC opt➢or7 is'only ova ➢able to. 31 S 1 7 IAFF members. Feder `election Wk prohibits Zip Code �7 Z Phonic l the solicitation �of rlog IAFF.rnembees. Email address Please'comnlete this registration form and =nail or tax to: VISAfht,1ST1 f2CARp John P Redmond Foundatfon Credit Card \rumbtr DominlcK F..: rbera.Canfe nc r rifernationa i ➢o i Associan of Fire Fighters AUn Beverly w €slLisa n Le Aarcj N ule as,t appe ens onkthe cardF t 1750 New ,York Avenue NNI. r Wash pC 20006 Sauna ure hxn date (2 2) 824:1584/t577`. (202} 737 8378'Fax