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Home My WebLink About168149 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 359860 Page 1 of 1 ONE CIVIC SQUARE PELHAM SPECIALITY TRAINING INC g CARMEL, INDIANA 46032 699 E DILLMAN ROAD CHECK AMOUNT: $350.00 BLOOMINGTON IN 47401 CHECK NUMBER: 168149 CHECK DATE: 1/21/2009 DEPARTMENT ACC OUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION 1115 4357004 350.00 EXTERNAL INSTRUCT FEE PELHAM EMERGENCY MEDICAL, TACTICAL WILDERNESS Course Information: Please indicate which course you would like to take and the start date. Books are provided for specific courses which are indicated with an asterisk s Course: Start Date X Recertification X Certification BLS Healthcare Provider Course CPR $25.00 35.00 EMT Courses: First Responder* $250.00 EMT Basic* $675.00 EMT Basic Accelerated* $1,200.00 Paramedic* $4,000.00 Anatomy $500.00 Paramedic Accelerated: You must complete an Application Packet for this course before y ou can re ister. EMS Continuing Education Courses: EMT Basic Refresher ~Param, e' fresher' C 3:50:00- Continuing Education Unit Weekend CEUW $250.00 Practical Exams and Prep Courses: BLS Practical Exam ALS Practical Exam $125.00 National Registry Preparation Course NRPC $300.00 Wilderness Courses: Wilderness First Aid (SOLO)* Wilderness Medical U rade* $375.00 S ecialt Courses: PHTLS (Pre-Hospital Trauma Life Support PALS Pediatric Advanced Life Support) $75.00 $150.00 PEPP BLS (Pediatric Edu. For Prehospital $50.00 $75.00 Professionals PEPP ALS (Pediatric Edu. For Prehospital $75.00 $100.00 Professionals AMLS Advanced Medical Life Support) $75.00 $150.00 ACLS Advanced Cardiac Life Support)* $75.00 $150.00 Subtotals: Course Total Recertification Subtotal+ Certification Subtotal 1 agree to comply with the policies and procedures of Pelham Training. I understand that if I knowingly provide false information, my enrollment may be revoked, and may be cause for dismissal from the program. Signature: Date: Page 2 of 3 Emergency Medical Training- Emergency Medical Education Classes (EMT, Paramedic, Acceler... Page 1 of 7 E LHAA/j RAEI�TING, Tj Never let it besa t f EMS Classes To register for classes, click here to print a registration forr (Requires Adobe Reader. Left Click to open or Right Click and select "Save' EMT Basic Pelham Training Bloomington, IN Course Paramedic First Responder Click Here for Navarre, FL Course calendar Paramedic Refresher Course Name Dates Days Time BLS Refresher PHTLS 2® ®9 AMLS National Registry J Review Cardiac Paramedic Standard Format January 5 Monday, Wednesday 9:00am 5:( Courses August 12 National BLS Refresher January 5 7 Monday Wednesday 9:00am 5:1 Safety Council EMT -B Standard Format January 6 Tuesday, Thursday 5:30pm 9:: April 16 Course Calendar PALS January 8, 9 Thursday, Friday 9:00am 5:( Navarre CLS COURSE CANCELLED January 9 Friday 9:00am 5:( Florida Course Calendar CPR (AHA CPR for Healthcare January 10 Saturday 9:00am 4:( Providers) Directions EMT -B Accelerated January 11 24 Daily 8:00am 8:( Housing Paramedic Accelerated January 12 Monday Friday 8:00am 6:( Get in April 18 Touch Register ACLS January 23 Friday 9:00am 5:( Indiana State EMT -B http:// www.emtinc.net/calendar2009.htm 1/6/2009 Emergency Medical Training- Emergency Medical Education Classes (EMT, Paramedic, Acceler... Page 5 of 7 2:OOPM Friday July 3 CPR (AHA CPR for Healthcare July 25 Saturday 2:00pm Providers) EMT -B Accelerated July 26 Daily 8:00am 8:l August 8 Register for tests early. The Registration Deadline assumes a test date has not yet filled to ci student limit, registration for any exam will be closed prior to the registration deadlirn August National Registry Preparation August 3 7 Monday Friday 9:00am 5:( Course for Paramedics CLS August 7 Friday 9:00am 5:( Indiana State EMT -B August 8 Saturday 7:30am Practical Skills Exam National Registry EMT -P Practical Skills Exam August 15 Saturday 7:30am Registration Deadline is 2:OOPM Friday July 24 Paramedic Refresher mug ust 1.7 =2 Monday Friday 9:00am 5:1 CLS August 28 Friday 9:00am 5:( Register for tests early. The Registration Deadline assumes a test date has not yet filled to ci student limit, registration for any exam will be closed prior to the registration deadlirn September EMT-13 Standard Format September 1 Tuesday, Thursday 5:30pm 9:: December 6 Paramedic Accelerated September 7 Monday Friday 8:00am 6:( December 12 CLS September 11 Friday 9:00am 5:( CPR (AHA CPR for Healthcare September 12 Saturday 9:00am 4:( Providers) EMT -B Accelerated September 13 26 Daily 8:00am 8:( PEPP (Renewal) September 21 Monday 9:00am 5:( http:// www.emtinc.net/calendar2009.htm 1/6/2009 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)) 01/06/09 I I I $350.00 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 VOUCH NO. ;'✓ARRANT NO. ALLOWED 20 Pelham Specialty Training, Inc. IN SUM OF 699 E. Dillman Road Bloomington, IN 47401 $350.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 43- 570.04 $350.00 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 Thursday, January 08, 2009 4. O e Dir Title Cost distribution ledger classification if claim paid motor vehicle highway fund