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Home My WebLink About198574 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 00351400 Page 1 of 1 ONE CIVIC SQUARE INDIANA FIRE CHIEFS ASSN. CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 P 0 BOX 364 ZIONSVILLE IN 46077 CHECK NUMBER: 198574 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 150.00 EXTERNAL INSTRUCT FEE 2011 Indiana Emergency Response Conference RegOnline Page l of 3 u A:EStr wigfi11a[7c IAirii.rarsit;F lJlelh FIRE *EMS LAW ENFORCEMENT HAZMAT SPEC /AL OPS LEPC 2011 Indiana Emergency Response Conference Wednesday, August 17, 2 1 Saturday, August 2,911-2.01 1 Indiana Convention Center 100 South Capitol Ave Indianapolis, IN 46225 United States 317- 262 -3400 Event Details Phone: 317 -733 -1 850 Email: rake(a7indianaerc.com Personal Information Agenda Hotel Information Individual Event Tickets Checkout Confirmation Thank you for registering for the 2011 Indiana Emergency Response Conference, a partner with Indiana University Health. Please print out your schedule (click "Printable Schedule" in the right -hand column of this page) and bring it to the conference. Your schedule will not be available at the conference registration desk. Workshop Certification PLEASE NOTE: Participants who need to track course attendance for certifications WILL be able to obtain a printout online after the conference. A link to a website will be provided that allows attendees to access their certificates online using their email address for verification. The site stays up for a minimum of six months. https: /www.regonline.com/ register /confirmation. aspx ?EventId= 959306 &Attendeeld= wsb0XIyI f... 6/16/2011 2011 Indiana Emergency Response Conference RegOnline Page 2 of 3 Once in the site, they are able to view their sessions and credits and then can choose to print out the certificate then or they can come back and print at any time. Attendee will not be required to get signatures from speakers as proof of course attendance and certificates will not be printed to show course participation. The conference name badge will allow staff to scan the attendance in each classroom. A bar code generated summary will be turned into the State by the IERC staff as proof of attendance if audited. Attendee will need to keep his /her own record of course attendance and then turn in those hours to the State during the recertification cycle. Do not send in the course attendance prior to recertification as there could be a possibility of information getting lost. Personal Information IIII III llll I Ihlllllll flll Registration ID: 34114411 III [l Ill I Registrant: Mr. Bruce Knott Prevention Chief Carmel Fire 2 Civic Square Carmel, IN 46032 United States Registration Date: 6/16/2011 11:34 AM Registration Type: Full Conference no Golf Status: Confirmed Work Phone: 317 -571 -2600 Cell Phone: 317 -571 -2600 Email: bknott @carmel.in.gov Name as it would appear on the badge: Bruce Knott Emergency Contact Name: Janet Knott Emergency Contact Phone: 317 508 -4769 First Responder Category: Fire /EMS Fee Summary Fee Quantity Unit Price Amount Full Conference no Golf Fee 1 $150.00 $150.00 Subtotal: $150.00 Total: $150.00 Transaction Summary Transaction Type Date Amount Balance [Transaction Amount 6/16/2011 $150.00 $15 0.00 Current Balance. $150.00 https: /www.regonline.com/ register /confirmation.aspx ?EventLd= 959306 &Attendeeld =wsbOX 1 y 1 f... 6/16/2011 2011 Indiana Emergency Response Conference RegOnline Page 3 of 3 Payment Information Payment Method: Invoice Payment Payment can be made via credit card, check or invoice. For check or invoice, print a Instructions: copy of your invoice and mail it with your payment to the address below. Please write your Registration ID Number (located on your confirmation) on the check for faster processing. Please note: payment must be received prior to the conference or at registration for admittance. Remit Payment To: IFCA Address: PO Box 364, Zionsville, IN 46077 Telephone: 1- 877 -733 -1850 Fax: (317) 733 -4212 E -Mail: rake(a)indianaerc.com If at any time you would like to return to a previous page during the registration process, please right -click and choose "Back You will also have any opportunity to review and /or change your information as well as add additional attendees at the end of the registration process. If you have any questions or concerns during or about the online registration process, please contact Melody Sorg via email at msorg @indianaerc.com or via phone at 317- 409 -0204. For more information, please visit our conference web site at www.indianaERC.com https: /www,regonline.com/ register /confirmation.aspx ?EventId= 959306 &Attendeeld= wsbOXlyl f... 6/16/2011 VOUCHER NO. WARRANT NO. ALLOWED 20 1 FCA Indiana Fire Chiefs Association IN SUM OF P.O. Box 364 Zionsville, IN 46077 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 I 43- 570.04 $150.00 1 hereby certify that the attached invoice(s), or 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 d Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Knott $150.00 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 Clerk- Treasurer