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223919 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1 ONE CIVIC SQUARE KEITH FREER .� CARMEL, INDIANA 46032 1413 N FAIRVIEW STREET CHECK AMOUNT: $65.00 ALEXANDRIA IN 46001 CHECK NUMBER: 223919 CHECK DATE: 9110/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 65 . 00 EXTERNAL INSTRUCT FEE Registration Payment-Juvenile Firesetting &Fire Safety Education Conference: Helping... Page 1 of 2 Juvenile Firesetting & Fire,Safety Education Conference: Helping Keep Our Community Safe Fort Wayne, Indiana oowuner Wednesday, September 04, 2013 -Thursday, September 05, DSignMeUp. 2013 .�;r. T Receipt _r„1 cr nfirrnatinn (�� °J Friday,August 30,2013 GMT Keith Freer-Juvenile Firesetting&Fire Safety Education Conference: Confirmation# Subtotal: Helping Keep Our Community Safe details HM2LTY7 $65.00 Total$65.00 Congratulations, Please review the information below and save for your records. Questions?Please view the detailed sections below for contact information. If you used a credit card: Please note that the charge on the credit card statement will appear as 'signmeup.com*'. Please ensure that the person who manages the credit card is provided a copy of this receipt. SignMeUp.com does not issue refunds. Now that you've registered... Tell your Facebook friends! [click here] https://www.sigmneup.com/site/reg/payment.aspx?paymentid=8008148&invoiceid=Z02N... 8/30/2013 Credit Card Account Access: Account Details Page 1 of 1 Transaction Details Account-KEITH T FREER- Current Balance Available Credit $ -- Pending Transactions: $0.00 Next Statement Closing Date: 09/24/2013 Next Payment Due: 09/22/2013 Minimum Payment Due: $ Posted Transactions Date range selected Start Date 06/11/13 End Date 09/09/13 Date Date Transaction Posting Description Credit Charge 08/30/13 09/03/13 LIGNMEUP.COM*CONFERENC 312-994-2432 $65.00 https://www.myaccountaccess.com/onlineCard/transactionDetails.do?phase=printFriendly 9/9/2013 Juvenile Firesetting/Fire Safety Conference � --le Pipee i 1r N Helping to Keep our Community Safe Ln September 4-5, 2013 o =% ' w,' m 8am - 4pm �, =V Northeast Indiana Public Safety Academy Ivy Tech South Campus 7602 Patriot Crossing, Fort Wayne, Indiana 46816 Tow Day Registration: $65 (Online Registrations Only): www.si!znmeup.com/93718 To download the Conference Brochure click here. What to Expect Join us as we explore keeping our communities safe with a variety of presentations led by leading professionals discussing relevant juvenile firesetting and public fire education topics including: • Hey Dawg, Watch This: Risky Behaviors in Social Media; • Safe Schools: Partnerships to Prevent Arson and Prank Fire Incidents; • Fire Prevention Week and Safety Messages Delivery; • Customized Outreach; • Hoarding for the Fire Service; • A Case Study of a Juvenile Firesetter Burn Survivor; • Burns, the Impact on a Burn Survivor's Self-Esteem and Body Image and Ways to Help After the Injury; • Residential Fire Sprinklers Complete session descriptions and presenter bios are available at www.sipnmeup.com/93718 Discounted Conference Rates available at the Fort Wayne Downtown Hilton Book by August 13 by calling 800-445-8667 and mention group code JUV. Or you can book by clicking here at Hilton Hotels. Conference Sponsors: F p '�e gyres �Il Allen County Juvenile �Zr ' e-`��` Firesetters Task Force 1 F A .� `'" �� 0 �rm - x se The Allen County Juvenile Firescttcrs Task . "s.. '' '' �7 Force was formed to identify and help those i y juveniles who have begun to experiment with firesetting and use fire inappropriately. The task force is made up of professionals from a variety of local agencies, such as fire Juvenile Firesetting and departments, probation departments, department of corrections, hospitals, Fire Safety Education schools, mental health facilities, and social service agencies. Conference: 260-427-1483 Helping Keep Our Community Safe Indiana Safety Educators The Indiana Safety Educators organization is a group of like minded professionals with SEPTEMBER 4 -5 , 2013 M innovative ideas in fire prevention and life 8 : O O A M - 4: O O P M safety. Indiana Safety Educators is a division NORTHEAST INDIANA of the Indiana Fire Chiefs Association. Indi- PUBLIC SAFETY ACADEMY / ana Safety Educators is a network of public IVY TECH SOUTH CAMPUS safety personnel facing the same issues, a 0 7602 PATRIOT CROSSING resource center for up to the minute v FORT W A Y N E, IN 4 6 8 1 6 educational information, and a group that stays current on the vital issues facing the d o REGISTRATION : $ 6 5 10 C E U S AVAILABLE Fire and Life Safety educators of our state. o a 3 U REGISTRATION AND www.iscincliana.org �, o o o SPECIFIC DETAILS AT www.indfircchic(s.urg o w v W W W . S I G N M F U P . C O M /9 3 7 1 8 n d J 3 0 QUESTIONS : 260 - 427 - 1483 w Conference Presenters : Who is this training for? Session Descriptions : While open to anyone, this year's combination Meredith Hawes: Meredith serves as the Fire conference may be particularly applicable to: Hey Dawg,Watch This: Risky Behaviors and Life Safety Educator for the Grand Traverse Fire Service Professionals and Educators in Social Media: Learn about the powerful Metro Fire Department and also as the Central influence of social media on today's youth and Region - Education Advisor for the National Teachers, Counselors, School Staff, Nurses the potential impact it has on high risk behavior. Fire Protection Association. She has a B.S. in Social Workers and Mental Health Counselors Safe Schools: Partnerships to Prevent Ar- Child Development from Central Michigan Uni- son and Prank Fire Incidents: This session versit and is currently pursuing a Master's General Schedule Both Days:Y Y P g will discuss strategies to achieve the primary degree in Public Administration through CMU. September 4-5 . 2 0 1 3 goal of prevention of firesetting in the school 8:00am-8:30am Karla S. Klas,BSN,RN,CCRP: Karla man- Registration and Continental environment. ages the University of Michigan Trauma Burn Breakfast Fire Prevention Week and Safety Center's famil -centered prevention programs Messages Delivery: Investigate all that is Y P P gr 8:30am-12:OOpm Sessions available through NFPA for the fire safety cdu- which focus on mitigating high-risk behaviors to g Y reduce the occurrence of burn and trauma inju- 12:00pm-1:00pm Lunch and Networking cater, classroom teachers, kids and families. rics. Karla speaks throughout the nation on 1:00pm-4:00pm Sessions Customized Outreach: Learn how to imple- burn and trauma injuries, safety, youth ment specialized Fire and Life Safety programs firesettin and prevention. Two Day Re tstration: $65 g P �—g in your community by helping raise awareness Registration for this two day juvenile for the disabled. Dr. Kim Miller: Kim is a licensed Psycholo- Firesctting and Fire Safety Education gist in the state of Arkansas. She is Director of Hoarding for the Fire Service: This session gi Conference is available ONLY online, has information on issues to address as a com- -- Psychological Services for Arkansas Counseling with preferred payment by credit card Associates where she manages four outpatient m arils.when you encounter a person who g P or by check. To register go to hoards. mental healthcare clinics. She has been volun- Nv w w.sign m c u p.corn/9 3 7 18 teering with the Hoosier Burn Camp over the JFS/Burn Survivor Case Study: This last five years and is very passionate about the Registration includes rea s a nd presentation will focus on the life of a burn sur- psychological impact on burn survivors. admission, continental breakfast t a vivor. It will cover his life before the burn' the lunch both days, 10 CEU's/ Professional Learning Units d all burn accident, and immediate experiences Leanne Baumeler: Leanne has been involved g n an followed by the impact the burns has on his life with the Deaf community since 1984. She is a conference materials. years after. graduate of Ferris State University with a BSW Special conference rate for hotel Burns,the Impact on a Burn Survivor's 2002. She is a Michigan State Certified accommodations at the Fort Wayne Self-Esteem: This presentation will focus on American Sign Language Interpreter. She is Downtown Hilton. Book by August 13 the negative psychological impact a burn can currently an advisor for students with disabili- at 800-445-8667 and mention group ties coordinating lassroom accommodations for have on a survivor's elf-esteem and body g code JLIV for special rate, image, psychological treatment, and other re- Northwest Michigan College. or book directly at sourced available to these individuals and wv<,w.hiItonhoteIs.coIII families. 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)) $65.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Keith Freer IN SUM OF $ $65.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1120 ( I 43-570.04 I $65.00 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 SED —.9 9013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund