212255 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366513 Page 1 of 1
t` ONE CIVIC SQUARE INDIANA EMERGENCY RESPONSE CONGFIECEfiEeefE
CARMEL, INDIANA 46032 PO BOX 364
K AMOUNT: $255.00
ZIONSVILLE IN 46077 CHECK NUMBER: 212255
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 255 . 00 EXTERNAL INSTRUCT FEE
Snyder, Denise W
From: Tierney, Scott A
Sent: Monday, August 20, 2012 3:03 PM
To: Snyder, Denise W
Subject: FW: 2012 IERC Conference Registration Confirmation
From: Indiana Emergency Response Conference [registrations @indianaerc.com]
Sent: Monday, August 20, 2012 1:41 PM
To: Tierney, Scott A
Subject: 2012 IERC Conference Registration Confirmation
Dear Scott Tierney
You are now ready to move on to step 3, choosing your workshops. Please Click HERE.
You have just registered for event Package A: Full Conference with all Meals at Indiana Convention
Center (100 S Capitol Ave., Indianapolis,IN, 46225, United States). The registration detail is as follow :
Conference Registration Type Package A: Full Conference with all Meals
Event date 09-12-2012 12:00 am
Location Indiana Convention Center (100 S Capitol Ave., Indianapolis,IN, 46225,
United States) .
User Id 1000458
First name Scott
Last Name Tierney
Email stierneykcarmel.in.gov
Total amount $315.00
Discount amount $60.00
Grand Total $255.00
I wish to pay via offline payment with Purchase order or mail in a check.
Payment method
u
Transaction ID
P6J26CL0
Attendee
Type of Registration
Carmel Fire Dept.
Organization �
Captain
lob TitlAank 3390-5202
EMSX SW 3178183400
Contact Phone 4
2 Civic Sq uare
Address
�D�
Age 45
Gender Male
Emergency Contact Phone 317 418 2419
Emergency Contact Name Mindy
IDHS District District 05
Disability
Allergies
Casino Night Additional Meal
Casino Night First Guest Name (if
any)
Casino Night Second Guest Name (if
any)
Casino Night Third Guest Name (if
any)
Awards Banquet Additional Meal
Awards Banquet First Guest Name (if
any)
Awards Banquet Second Guest Name
(if any)
Awards Banquet Third Guest Name
(if any)
Vendor Lunch Additional Meal
Vendor Lunch First Guest Name (if
any)
Vendor Lunch Second Guest Name
(if any)
Vendor Lunch Third Guest Name (if
any)
Associations Indiana Firefighters Association
Associations (Other)
Your Departments Firemarshal
Your Departments Firemarshal Phone
Your Public Education Rep
Your Public Education Rep Phone
First Responder Category FIRE
First Responder Category (Other)
Please PRINT THIS REGISTRATION FORM/INVOICE and send the offline payment via US Mail to or
forward this email and call with credit card if this is for a group payment:
Indiana Emergency Response Conference
P. O. Box 364
Zionsville IN 46077
2
Please make checks payable to: Indiana Fire Chiefs Association. If you need a special invoice or have
questions, please email Terry Rake, Conference Coordinator.
If we don't receive your payment before the conference date, we will need a credit card to place on hold until
payment is receved in order for you to attend the conference.
Regards,
IERC events management team
i
f�
Snyder, Denise W
From: Tierney, Scott A
Sent: Monday, August 20, 2012 3:04 PM
To: Snyder, Denise W
Subject: FW: Indiana ERC - Event Registration Confirmation
From: Indiana Emergency Response Conference [registrations @indianaerc.com]
Sent: Monday, August 20, 2012 2:37 PM
To: Tierney, Scott A
Subject: Indiana ERC - Event Registration Confirmation
Dear Scott Tierney
You have just registered for event
1181 - Clark Co. Tornado, Local Government Best Practices [At] Room 138 - Indiana Convention Center
1405 - Computer Aided Managemept for Emergency Operations (CAMEO) [At] Room 142 - Indiana
Convention Center
1174 - General Session: Indiana Response, as a System, To the Clark County Tornado [At] Grand Hall at
Union Station - Crown Plaza
1083 - United States Department of Transportation Title 49 parts 100-185 Hazardous Materials
Regulations (HMR) overview for Hazardous Materials Technicians [At] Room 138 - Indiana Convention
Center
1089 - Response to a Suspected Biothreat Agent and Collection of Environmental Samples [At] Room 138
-Indiana Convention Center
1082 -2012 Department of Transportation: Emergency Response Guidebook update [At] Room 138 -
Indiana Convention Center
1192 - Meth Lab Response: Now What? [At] Room 138 - Indiana Convention Center
1086 - Assessing Hazardous Material Concerns During Actual or Pot ential Incidents at Super Bowl
XLVI [At] Room 138 - Indiana Convention Center
1267 - Lessons learned Magnablend Chemical Plant fire, October 3, 2014 [At] Room 140 - Indiana
Convention Center
The registration detail is as follow
1181 - Clark Co. Tornado, Local Government Best 09-13-2012 0.00 1 0.00
Practices 11:00 am
1405 - Computer AidedManagemept for Emergency 09-13-2012 1:30 0.00 1 0.00
Operations (CAMEO) Pm
1174 - General Session: Indiana Response, as a System, 09-13-20129:30 0.00 1 0.00
To the Clark County Tornado am
1083 United States Department of Transportation 09-14-2012 8:00 0.00 1 0.00
momi
a^z;
i
Title 49 parts 100-185 Hazardous Materials am
Regulations (HMR) overview for Hazardous Materials
Technicians
1089 - Response to a Suspected Biothreat Agent and 09-14-2012 9:15 0.00 1 0.00
Collection of Environmental Samples am
1082 - 2012 Department of Transportation: Emer ency 09-14-2012 2:45 0.00 1 0.00
Response Guidebook update pm
1192 - Meth Lab Response: Now What? 09-14-p0112 4:00 0.00 1 0.00
1086 - Assessing Hazardous Material Concerns During 09-14-2012 5:15 0.00 1 0.00
Actual or Potential Incidents at Super Bowl XLVI pm
1267 - Lessons learned Magnablend Chemical Plant 09-14-2012 0.00 1 0.00
fire, October 3, 2011 10:30 am
User Id 1000458
First name Scott
Last Name Tierney
Email stierney2carmel.in.gov
Organization Carmel Fire Dept.
Job Title/Rank Captain
Contact Phone 317 818 3400
Address 2 Civic Square
Address 2
City Carmel
State IN
EMS/PSID 3390-5202
Zip 46032
First Responder Category FIRE
First Responder Category (Other)
Comment
This serves as your receipt for payment of 0.00
Please save this email, print and bring with you to use as your class schedule. This will not be available to you
at the conference.
Regards,
Indiana Emergency Response Conference Team
2
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))
$255.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Emergency Response Conference
IN SUM OF $
PO Box 364
Zionsville, IN 46077
$255.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-570.04 I $255.00 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
s, v
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund