157054 03/05/2008 c�yM� CITY OF CARMEL, INDIANA VENDOR: 090251 Page 1 of 1
ONE CIVIC SQUARE F D I C
CARMEL, INDIANA 46032 PO BOX 973059 CHECK AMOUNT: $820.00
DALLAS TX 75397 CHECK NUMBER: 151054
CHECK DATE: 315/2008
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1120 4357004 820.00 REGISTARTION FEES
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�p Attendee Name: �_T L
o ll Phone:
I Badge ID:
First Name ff C JJ Last Name Titl
DepartmentlCompany (Maximum 30 Characters)
/_;�d a L100 s Ac c
Address (To mail badge and conference inf rmation)
Address 2 Country
cP RV E_ y6o33
City State Zip
Phone Fax E -mail (Confirmations will be sent via email, if a unique email address is given.)
Rank/Title Do you read Fire Engineering?
(01) Chief of Depart. (07) Firefighter /Paramedic �(01) Yes (02) No
(02) Staff Chief (08) Firefighter /EMT
(03) Other Officer (06) Other If yes, whose copy do you read?
(04) Firefighter (please specify) 'p--ex- (01) 1 subscribe (03) 1 read a co- worker's copy
(05) Training Officer
Job Function (Check all that apply) How many years have you attended FDIC?
(01) Management (08) Public Education I am visiting the FDIC 2008 exhibits
(02) Training (09) EMS
(03) Prevention (10) Haz Mat to obtain information on: (Check all that apply)
-K(04) Suppression (11) Rescue (01) Apparatus (17) Helmets and Accessories
(05) Investigation (13) Wildfire (02) Apparatus Accessories (18) Fans /Generators
(06) Maintenance (12) Other (03) Protective Clothing
(07) Communication (please specify) (04) SCBA and Supplies (19) Ropes, Chains, Safety
�(05) Education /Colleges/ Belts
Purchasing Responsibility Training Services and Accessories
(04) Approve (02) Recommend (06) Tools (20) Personal Safety Devices/
(01) Purchase (03) Specify (07) Communications Accountability Systems
(08) Nozzles, Hoses, Reels (21) Pumps /Gauges
Are you a member of a purchasing committee? (19) Ambulances (22) Environmental Foams/
(1) Yes (0) No (10) Computer Services/ Extinguishing Agents
Software (23) Monitors and Detectors
Type of Department (11) Financial Institutions (24) Sirens, Lights, Alarms
(01) Volunteer C] (04) Devices (04) Industrial (12) Haz Mat (25) Insurance
�d (02) Career (05) Military c] (13) Rescue Tools and
j❑ (03) Combination (06) Other Equipment E] (26) Laboratory Testing/
Product
Career/Vol (please specify) C] (14) EMS Equipment
Supplies Testing Services
Population Served by Department (15) Confined Space 11 (27) N ewwslesle and s and
N
(01) Under 2,500f (04) 25,001- 75,000 (16) Diving and Water Rescue
(02) 2,501- 10,000 (05) 75,001- 150,000
(03) 10,001- 25,000 (06) Over 150,000
www.FDIC.com
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Attendee Name:
I1. s
r Phone:
Badge ID: o.y a a r,
April 7 -12, 2008
Indiana Convention Center and RCA Dome 100 South Capital Avenue, Indianapolis, Indiana
Globe family of Brands
REGISTRATION H.O.T. INFORMATION
Fully complete the registration form. Incomplete registration forms Register early. H.O.T. class sizes are limited.
will be returned for complete information. H.O.T. Evolution participants must register and report to the 500
Placement in Hands -On Training (H.O.T.) classes is not reserved until Ballroom by 6:30 a.m.
registration form is properly completed and payment is received. Full -day Workshops begin promptly at 8 a.m.
Pre registration cut -off is March 31, 2008. Attendees must register 4 -hour Evolutions begin promptly at 8 a.m. and 1 p.m.
on -site after March 31, 2008.
Lunch is provided for all H.O.T. attendees.
Payment for all Early Bird registrants must be received by
February 29, 2008. Registration and payment received after There is no refund for partial -day attendance.
February 29, 2008 is subject to full registration fees.
Evolution Requirements
Each attendee must be individually registered. Single registrations
may not be separated or shared among multiple attendees. Signed liability waivers are required for all Evolutions.
Visit www.fdic.com to print a liability waiver.
If paying with purchase order (PO) PennWell must receive PO before Full turnout gear and /or technical rescue gear is required for
registration can be confirmed. Please note that a credit card must certain Evolutions.
accompany PO to guarantee a reservation. PO must be paid within 45 SCBA will be provided when necessary.
days of the invoice date or the credit card will be charged. If the credit
card is not valid at the time of registration, the reservation is forfeited.
N0 T REGISTRATION STEP BY STEPS
df ➢�s h'ew Ek
,1 SelecttheH OAT Evolutionsb and %or Wo`rkshops:you tl ii e to attend,;
2 Total the�cosuof your chosen�H O T classes and anyy atltlitional conference optionsxat the bottom oftReglstration Page 4 0
www.FDIC.com
Attendee Name: E7, i
Phone:
Badge ID:
HANDS-'ON .TRA,.I,N,IN,G'EVOLUITION1.8t�W.ORKSHOP..REGISTRATION FORM
HANDS O °°p N TRAINING CLASS PRICE$ ch 4' ryH 0 w? Class 'Each 8 hr HSO T- C N4 "�y �6 hr H 0:=T Class a�
_:iE�y_ yy`�. i a4 $9�'r iE��wf�'t"+t;� +�„e� R tiw'2.�i..z�`kTf"LN2��1-
Evolutions $90 $180 $360 WHEN LIVES ARE
Workshops $160 $320 IN THE BALANCE
AND SECONDS COUNT
Monday, April 7, 2008 Tuesday, April 8, 2008
4 -Hour Evolutions 8:00 a.m. —12:00 p.m. 1:00 p.m. 5:00 p.m. 4 -Hour Evolutions 8:00 a.m. 12:00 p.m. 1:00 p.m. 5:00 p.m.
1st2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th
Advanced Extrication Tactics Advanced Extrication Tactics
Engine Company: High-Rise/Standpipe O erations
9 P Y P Q Q Engine Company: High Rise /Standpipe Operations
Engine Company: Hose Loads and Deployments Engine Company: Hose Loads and Deployments
Engine Company: Pump Operator /Alternative Water Supply Engine Company: Pump Operator /Alternative Water Supply
Engine Company: Suppression Operations Fngine Company: Suppression Operations
Flashover Simulator Flashover Simulator
Thermal Imaging for the Fire Service Thermal Imaging for the Fire Service
Q Truck Company: Ground Ladders Truck Company: Ground Ladders
Truck Company: Impact- Resistant Glass, Burglar Bars, and Security Truck Company: Impact- Resistant Glass, Burglar Bars, and Security
Shutters Shutters
Truck Company: Search Procedures Truck Company: Search Procedures
Truck Company: Ventilation Truck Company: Ventilation
8 -Hour Evolutions 8:00 a.m. 5:00 p.m. 8 -Hour Evolutions 8:00 a.m. 5:00 p.m.
1st2nd3rd 4th 5th 1st2nd 3rd 4th 5th
Firefighter Safety and Survival Revisited Firefighter Safety and Survival Revisited
First -Due Engine and Truck Tactics First -Due Engine and Truck Tactics
Heavy Truck Extrication Cl Heavy Truck Extrication
Cl Live Fire Instructor: Getting the Most Out of Fixed Bum Buildings Live Fire Instructor: Getting the Most Out of Fixed Burn Buildings
Modern Vehicles: Techniques and Technology Modern Vehicles: Techniques and Technology
Q Rapid Intervention Team Combat Drills Rapid Intervention Team Combat Drills
Team Search Team Search
Cl Cl Torch Operations for the Fire Service Torch Operations for the Fire Service
Training for Railroad Emergencies Training for Railroad Emergencies
Cl Trench /Excavation Rescue: Advanced Operations Trench /Excavation Rescue: Advanced Operations
Truck Company: Aerial Ladder Operations Q Truck Company: Aerial Ladder Operations
Truck Company: Forcible Entry Trick Company: Forcible Entry
8 -Hour Workshops 8:00 a.m. 5:00 p.m. 8 -Hour Workshops 8:00 a.m. 5:00 p.m.
1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th
Aerial Apparatus Operations Apparatus Purchasing
Fire Dynamics for the Fire Service Chief Officer Development
Fire Officer Development Drill Development
Firefighter and Fire Officer Survival: Why Things Go Right and Why Dying Inside
Things Go Wrong Firefighter and Fire Officer Survival: Why Things Go Right and Why
Firefighting in Multiple Dwellings Things Go Wrong
Fireground Tactics Fireground Academy
Five -Alarm Leadership Fireground Tactics
Health and Safety Officers Academy Managing Major Fires
Managing Multiple -Alarm Fires Managing the Fireground Using Technology
Modern Residential Fire Tactics Modern Residential Fire Tactics
Q Routine Responses? Pride and Ownership: The Love for the Job
Training Programs for Small Departments Strategies and Tactics for Firefighter Survival
Truck Company Operations, With or Without a Truck Ten Keys to Success as a Volunteer Chief Officer
Ups, Downs, and Sideways of Automatic Sprinkler Protection Training Programs that Make a Difference
Monday and Tuesday, April 7 8, 2008
16 -Hour Evolutions 8:00 a.m. 5:00 p.m. 16 -Hour Workshops 8:00 a.m. 5:00 p.m.
1st 2nd 3rd 4th 5th 1st2nd3rd 4th 5th
Conducting NFPA 1403 Compliant Live -Burn Training Fireground Logic: The Rules of Engagement
Fire Investigation High -Rise Operations
Handling Elevator Emergencies ISFSI Instructor Development Clinic
High Angle Rope Rescue in the Urban Environment Ultimate Reading Smoke Workshop
Structural Collapse Rescue
www.FDIC.com
:i
Attendee Name:
1 it
Phone:
Badge ID:
CONFERENCES—: EXHIBITS REGISTRATION O'
Hands -On Training Evolutions Workshops are reserved when payment is received. Class sizes are limited register early! If you are
registering for H.O.T. Evolutions or Workshops, complete the entire form on the opposite page and send with your registration.
Pricing from Registration Page 3 should be added to any additional conference fees and totals at the bottom of this form.
CONFERENCE FEES (Please select only one of the following) PAYMENT
Fully paid Fully paid All reservations must be paid in full prior to conference for
on or before after admittance.
2/29/08 2/29/08
wands -On Training Full Package $435 $540 Enclosed is a check payable to FDIC.
(Enclosed is a signed purchase order with credit card guarantee.
ncludes general sessions, classrooms exhibits. Please include credit card number below.
Allows up to 16 hours of HOT Evolutions and /or Workshops
at additional costs listed on Registration pg 3. Charge my credit card: MasterCard Visa
American Express Discover
Two Day Hands -On Training Only $130 $160* Card number
Includes general sessions and exhibits.
Allows up to 16 hours of HOT Evolutions and /or Workshops Exp. date
at additional costs listed on Registration pg 3.
Name on card
Full Conference $435 $540 Signature
Includes general sessions, classrooms exhibits
Mail or Fax Your Registration
One Day Conference $230 $285 Mail to:
Includes general session, classrooms all three days of exhibits 2008 Fire Department Instructors Conference
Wed., April 9 Thurs., April 10 OR Fri., April 11 c/o FDIC /PennWell Registration
P.O. Box 973059, Dallas, TX 75397 -3059
F to:
Exhibit Package $65 $65 Fa +1- 888 -299 -8057 or +1- 918- 831 -9161
Includes all exhibit days, Thurs. Sat., April 10 12
Questions? Please call:
One Day Exhibits Only $30 $40 +1- 888 -299 -8016 or +1-918-831-9160
Includes exhibits on selected day only.
Thurs., April 10 Fri., April 11 OR Sat., April 12 Cancellation Policy
Cancellations must be received in writing before Februrary 29,
Spouse Exhibits Only $15 $15 2008, in order to receive a refund, minus a $75 administrative
charge. After February 29, 2008, refunds are not available.
Includes all exhibit days, Thurs. Sat., April 10 12 Substitutions may be made at any time by notifying the
registration office in writing.
Name for Spouse Badge:
Fire Engineering Subscription
PRICE DOES NOT INCLUDETHE COST OF t, .a�. �1 Your registration fee includes a 1 -year, $15.00 digital
AYE subscription to Fire Engineering. Check here if you DO NOT
�rY,f�INDIVIDUAL;H OT EVOLUTIONS /WORKSHOPSy k� wish to receive the subscription. Spouse Exhibits Only and
One Day Exhibits Only are not eligible for the subscription.
Conference Fee to O
H.O.T. Class Price Total from Registration Page 3
Total Due: o SOURCE CODE:
www.FDIC.com
Attendee Name:
Phone:
Badge ID:
ATFENDEE INFORMATION(Ente, this information a., you would lige it to appear on your badge)
t l C6 C+ Cr 1
Grn, ir7e Bt
First Name L Name
Title
C v Gc2Yrc
Department/Company (Ma imum 30 Characters)
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19 44 5 1 2 RA tgiri i R�
4q v
Address (To mail badge anti conference information)
Address 2 i
Country
City j State zip
(a '1 1O 0 1 Y C, (`'Is ;S cc 2(6 Ini;I 016&cc
Phone Fax E -mail (Confirmations will be sent via em ai� unique email address is given.)
Rank/Title Do you read Fire Engineering?
(01) Chief of Depart. (07) Firefighter /Par edic (01) Yes (02) No
(02) Staff Chief (08) Firefighter /EM
(03) Other Officer Z.'(06) Other
[3 (04) Firefighter E' If yes, whose copy do you read?
g (please specify) in���
(05) Training Officer (01) I subscribe X(03) 1 read a co- worker's copy
Job Function (Check all that apply) How many years have you attended FDIC? t
(01) Management (08) Public Educat n
C3 (02) Training (09) EMS I am visiting the FDIC 2008 exhibits
(03) Prevention (10) Haz Mat to obtain information on: (Check all that apply)
(04) Suppression (11) Rescue (01) Apparatus (17) Helmets and Accessories
(05) Investigation (13) Wildfire
(3 (06) Maintenance (12) Other (02) Apparatus Accessories p (18) Fans /Generators
(07) Communicatio (please specify) (03) Protective Clothing
(04) SCBA and Supplies (19) Ropes, Chains, Safety
(05) Education /Colleges/ Belts
Purchasing Res OI1Sibillty Training Services and Accessories
(04) Approve (02) Recommen (06) Tools 0 (20) Personal Safety Devices/
(01) Purchase (03) Specify (07) Communications Accountability Systems
(08) Nozzles, Hoses, Reels (21) Pumps /Gauges
Are you a mem er of a purchasing c mittee? (19) Ambulances (22) Environmental Foams/
(1) Yes ,X (0) No (10) Computer Services/ Extinguishing Agents
Software 0 (23) Monitors and Detectors
Type of Departrent (11) Financial Institutions Sirens, Lights, Alarms
(01) Volunteer (04) Industrial (12) Haz Mat Signaling Devices
g (02) Career (05) Military (13) Rescue Tools and (25) Insurance
(03) Combinatio (os) Other Equipment (26) Laboratory Testing/
CareeriVol 1 (please specify) (14) EMS Equipment Product
j Supplies Testing Services
Population Se' ed by Department (15) Confined Space (27) Publications/Trade
(01) Under 2,500 (04) 25,001 -7 00 Diving and Water Rescue Newsletters and
(02) 2,501- 10,000 ID (05) 75,001 -1 ,000
(03) 10,001 -25,' 00 (06) Over 150 00
I www.FDlC.com
Atte Name: S c p r
1 11
Phone:
Badge ID:
i
HANDS- WO RKSHOP R EGISTRATION F
ANU$0 C c7 C x ii UT. Cl chi xhr H;U£Tk ass cli k• c U. Glass k j 4
Evolutions $90 $180 I $360
WHEN LIVES ARE
Workshops $160 I $320 IN THE BALANCE
AND SECONDS COUNT
Monday, April 7, 2008 Tuesday, Ajpril 8, 2008
4 -Hour Evolutions 8:00 a.m. 12:00 p.m. 1:00 p.m. 5:00 p.m. 4 -Hour Evolutions .00 a.m. 12:00 p.m. 1:00 p.m. 5:00 P.M.
1st2nd3rd 4th 5th 1st2nd3rd 4th 5th
Advanced Extrication Tactics 0 dvanced Extrication Tactics
Engine Company: High Rise /Standpipe Operations ngine Company: Nigh Rise /Standpi a Operations
Engine Company: Hose Loads and Deployments ngine Company: Hose Loads and eployments
Engine Company: Pump OperatorlAlternative Water Supply >0 [3 11 ngine Company: Pump Operator /AI ernative Water Supply
13 (j
Engine Company: Suppression Operations gine Company: Suppression Oper tions
Flashover Simulator lashover Simulator
Thermal Imaging for the Fire Service O iermal Imaging for the Fire Service
Truck Company: Ground Ladders uck Company: Ground Ladders
Truck Company: Impact- Resistant Glass, Burglar Bars, and Security O ❑ck Company: Impact- Resistant GI ss, Burglar Bars, and Security
Shutters iutters
Truck Company: Search Procedures Suck Company. Search Procedures
Truck Company: Ventilation O yuck Company: Ventilation
8 -Hour Evolutions 8:00 a.m. 5:00 p.m. 8 -Hour Evolutions 8 a.m. 5:00 p.m.
1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th
Firefighter Safety and Survival Revisited r Safety and Survival Revisi d
First -Due Engine and Truck Tactics �st -Due Engine and Truck Tactics I
Heavy Truck Extrication I avy Truck Extrication
E3 Live Fire Instructor: Getting the Most Out of Fixed Burn Buildings [3 0 i4e Fire Instructor: Getting the Most Out of Fixed Burn Buildings
Modern Vehicles: Techniques and Technology Bern Vehicles: Techniques and Te nology
Rapid Intervention Team Combat Drills pid Intervention Team Combat Drill
Team Search E am Search
Torch Operations for the Fire Service c rch Operations for the Fire Service
Training for Railroad Emergencies Cl r aining for Railroad Emergencies
Trench /Excavation Rescue: Advanced Operations r nch /Excavation Rescue: Advanced Operations
Truck Company: Aerial Ladder Operations O ck Company: Aerial Ladder Operas ons
Truck Company: Forcible Entry 1 ck Company: Forcible Entry
8 -Hour Workshops 8:00 a.m. 5:00 p.m. 8 -Hour Workshops 8 a.m. 5:00 p.m.
1st 2nd 3rd 4th 5th 1st2nd3rd 4th 5th
Aerial Apparatus Operations rat us Purchasing
Fire Dynamics for the Fire Service [3 �ei' Officer Development
Fire Officer Development r I Development
Firefighter and Fire Officer Survival: Why Things Go Right and Why C3 y ng Inside
Things Go Wrong [3 0 [3 0 r fighter and Fire Officer Survival: W� y Things Go Right and Why
Firefighting in Multiple Dwellings 1 1 ngs Go Wrong
Fireground Tactics F r ground Academy
Five -Alarm Leadership F r ?ground Tactics
[3 0 [3 Health and Safety Officers Academy El aging Major Fires
El [I Managing Multiple -Alarm Fires [1 aging the Fireground Using Techn logy
Modern Residential Fire Tactics O N o Jern Residential Fire Tactics
Routine Responses? F ide and Ownership: The Love for the Job
Training Programs for Small Departments E r tegies and Tactics for Firefighter St rvival
0 Truck Company Operations, With or Without a Truck T Keys to Success as a Volunteer Cl ief Officer
Ups, Downs, and Sideways of Automatic Sprinkler Protection Cl O T ning Programs that Make a Differe ce
Monday and Tuesday, April 7 8, 2008
16 -Hour Evolutions 8:00 a.m. 5:00 p.m. 16 -Hour Workshops 8 00 a.m. 5:00 p.m.
1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th
Conducting NFPA 1403- Compliant Live -Burn Training F ground Logic: The Rules of Engageent
Fire Investigation El El E3 -Rise Operations
Handling Elevator Emergencies I I Instructor Development Clinic
High Angle Rope Rescue in the Urban Environment U i ate Reading Smoke Workshop 1
Structural Collapse Rescue
I
www.FDIC.com
i
Attendee Name: t
8 f1
Phone:
g Badge ID:
CONFERENCES EXHIBITS REGISTRATION FORM
I
I
Hands -On Training Evolutions Workshops are reserved when payment is received. Clas (sizes are limited regist r early! If you are
registering for H.O.T. Evolutions or Workshops, complete the entire form on the opposite pge and send with your r glstration.
I
Pricing from Registration Page 3 should be added to any additional conference fees a I totals at the bottom of t is form.
CONFERENCE FEES (Please select only one of the following) PAYMENT
Fully paid Fully paid Ali reservation I ust be paid in full prior to conference for
on or before after admittance.
2/29/08 2/29108
nclosed is check payable to FDIC.
Hands -On Training Full Package $435 $540
nclosed is 31 signed purchase order with credit card guarantee.
Includes general sessions, classrooms exhibits. I I
Allows up to 16 hours of HOT Evolutions and /or Workshops lease incl credit card number below.
at additional costs listed on Registration pg 3. Charge my Tdit card: MasterCard Visa
American Express Discover
X Two Day Hands -On Training Only $130 $160* Card number
Includes general sessions and exhibits.
Allows up to 16 hours of HOT Evolutions and /or Workshops Exp. date
at additional costs listed on Registration pg 3.
Name on card
g
Full Conference $435 $540 Si nature
Includes general sessions, classrooms exhibits
I........ Mail or Fax Yc Jr Registration
One Day Conference $230 $285 Mail to:
Includes g eneral session, classrooms all three days of exhibits 2008 Fire Del Irtment Instructors ConferE nce ❑Wed., April 9 ❑Thurs., April 10 OR ❑Fri., April 11 c/o FDIC /Pen Nell Registration P•O. Box 97311 9, Dallas, TX 75397 -3059
Exhibit Package $65 $65 Fax to:
+1- 888 -299 -8 X 57 or +1-918-831-9161
Includes all exhibit days, Thurs. —Sat., April 10 12
Questions? Ple call:
One Day Exhibits Only $30 $40 +1- 888 -299 -8 6 or +1-918-831-9160
Includes exhibits on selected day only.
Thurs., April 10 c3 p Fri., April 11 OR Sat., April 12 Cancellation P icy
.............P.
Cancellations I st be received in writing before Februrary 29,
Spouse Exhibits Only $15 $15 2008, in order t receive a refund, minus a $75 administrative
charge. After F abruary 29, 2008, refunds a not available.
Includes all exhibit days, Thurs. Sat., April 10 12 Substitutions rr 3 1 y be made at any time by otifying the
registration offii in writing.
Name for Spouse Badge: I I
Fire Engineerir Subscription
r "PRICEtDOES OTkINCLUI) HfE;COST`OF uzar74n Your registrat fee includes a 1 -year, $1 .00 digital
t'- 6 `�s�INDIVIDUALH"�0'TEI/OLUTION WORKSHOPSf��'� S' subscription t4 h Fire Engineering. Check re if you DO NOT
wish to receiv the subscription. Spouse Exhibits Only and
One Day Exh is Only are not eligible for the subscription.
Conference Fee
H.O.T. Class Price Total from Registration Page 3
Total Due$ SOURCE CODE:
Prescribed by Slate 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))
v✓ v,
R
A
Total
1 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
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