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Home My WebLink About225944 11/05/2013 ,� \f CITY OF CARMEL, INDIANA VENDOR: 367724 Page 1 of 1 ONE CIVIC SQUARE PROFESSIONAL CONVENTIONS AND CHECK AMOUNT: $897.00 a CARMEL, INDIANA 46032 MEETINGS PO BOX 34611 CHECK NUMBER: 225944 INDIANAPOLIS IN 46234 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 897 . 00 EXTERNAL INSTRUCT FEE A I' ALLIANCE BILL TO: VENDOR: Carmel Fire Dept Professional Conventions and Meetings, Inc. Attn: Denise Schneider PO Box 34611 Indianapolis, IN 46234 317-571-2600 (317)695-6384 Date PO# I Invoice# Terms 110/30/20131 1 544 1 Upon Receipt DESCRIPTION AMOUNT * 2013 Emergency Management Alliance of Indiana Annual Conference Attendee Conference Registrations Cromlich 299.00 Harrington 299.00 Hoffman 299.00 Thank you for your business. ProCaM Federal Tax Identification#35-2101021 TOTAL $ 897.00 Snyder, Denise W From: Harrington, Adam C Sent: Tuesday, October 29, 2013 1:36 PM To: Snyder, Denise W Subject: FW: 2013 EMAI Conference Registration Confirmation Attachments: EMAI-agendaPUBLISH_090313.pdf; ProCaM-W9_2013.pdf Adam Harrington Planning Section Chief Carmel Fire Department 2 Civic Square,Carmel IN 46032 317-571-2662 Office 317-571-2674 Fax 317-442-3166 Mobile aharrington @carmel.in.sov _ I ? Commission Fire Accreditation ion IntL'rtlattO2lj r+ recipients and may contain ' tended r the named co This e-mail and any attachments are from a sender at the Carmel Fire Department in Carmel, Indiana. They are rn fo p y information that is confidential or privileged under Indiana and Federal Lair. Any error in addressing or sending this e-mail is not a waiver of confidentiality and does not consent to copying or distribution of this e-mail or attachments. if you receive this e-mail in error,please note the sender of the error by return e-mail and delete this e-mail and its attachments. From: EMAI Conference Manager (procam.tammy(&vahoo.com) [ma i Ito:Reg istration0)signup4.net] Sent: Tuesday, October 29, 2013 1:02 PM To: Harrington, Adam C Subject: 2013 EMAI Conference Registration Confirmation 2013 EMAI Conference Registration Confirmation CONFIRMATION#(required if you wish to make changes to your registration): 20133124E259 Adam Harrington Planning Section Chief Carmel Fire Department 2 Civic Square Carmel IN 46032 Dear Adam: Thank you for registering to attend the 2013 Emergency Management Alliance of Indiana Conference to be held October 30- November 1,2013 at the Indianapolis Marriott East Hotel, 7202 E. 21st St., Indianapolis, IN 46219. If you have questions related to conference content,please contact: Duane Davis (812)528-2168 ema@iacksoncounty.in.gov 1 If you have questions related to conference registration, please contact: Tammy Wiley (317)695-6384 procam.tammy a yahoo.com See attached for a conference agenda(subject to change) CONFERENCE PAYMENT Payment Information Payment Number: 1 Purchase Order Fees $299.00 Collected : $0.00 PO Number# Adam Harrington 2 Civic Square Carmel IN,46032 Balance: S 299.00 Conference managed by Professional Conventions and Meetings, Inc. (ProCaM). If payment is by credit card, Professional Conventions and Meetings, Inc. will appear on your credit card statement. Federal Tax Identification#35-2101021. CHECK PAYMENT: Please make checks payable to Professional Conventions and Meetings, Inc. (W9 attached)and reference your confirmation#on the memo line. Checks should be mailed to: PO Box 34611 Indianapolis, IN 46234 CREDIT CARD PAYMENT: If you wish to make a credit card payment,please call Tammy Wiley at(317)695-6384. CANCELLATION POLICY: Cancellations postmarked or e-mailed up to and including Friday,October 4,2013 are subject to a$45 processing fee. No refunds will be given after Friday, October 4,2013. This applies to conference registrations that are paid in full or have a balance due. HOTEL ACCOMMODATIONS: Click Here to make your hotel reservation. Or, you may contact the Indianapolis Marriott East directly if you wish to make a hotel reservation. You should reference the Emergency Management Alliance of Indiana(or EMAI)when you call in order to secure the special negotiated group rate of$95 night(new state per diem effective October 1,2013). The hotel phone number is: 1-800-228- 9290 or locally 317-352-1231. 2 Snyder, Denise W From: Cromlich, Mark Sent: Monday, October 28, 2013 9:51 AM To: Snyder, Denise W Subject: Fwd: 2013 EMAI Conference Registration Confirmation Attachments: EMAI-agendaPUBLISH_090313.pdf; ATT00001.htm; ProCaM-W9_2013.pdf; ATT00002.htm FYI Sent from my iPhone Begin forwarded message: From: 'EMAI Conference Manager (procam.tammygyahoo.com)" <Registrationg signup4.net> To: "Cromlich, Mark" <MCromlich2carmel.in.gov> Subject: 2013 EMAI Conference Registration Confirmation 2013 EMAI Conference Registration Confirmation CONFIRMATION# (required if you wish to make changes to your registration): 20133124E251 Mark Cromlich Safety Chief Carmel Fire Department 2 Civic Square Carmel IN 46032 Dear Mark: Thank you for registering to attend the 201') Emergency Management Alliance of Indiana Conference to be held October 30-November 1, 2013 at the Indianapolis Marriott East Hotel, 7202 E. 21 st St., Indianapolis, IN 46219. If you have questions related to conference content, please contact: Duane Davis (812) 528-2168 <mailto:ddavisna jacksoncounty.in.gov>ema(a iacksoncounty.in.gov<mailto:emagj acksoncounty .in. ov><mailto:ddavi ski acksoncounty in.gov> If you have questions related to conference registration, please contact: Tammy Wiley (317) 695-6384 procam.tammy(,yahoo.com<mai Ito:Rrocam.tammygyahoo.com> See attached for a conference agenda (subject to change) 1 CONFERENCE PAYMENT Payment Information Payment Number: 1 Purchase Order Fees : $ 299.00 Collected : $ 0.00 PO Number# Mark Cromlich 2 Civic Square Carmel IN, 460')2 Balance: $ 299.00 Conference managed by Professional Conventions and Meetings, Inc. (ProCaM). If payment is by credit card, Professional Conventions and Meetings, Inc. will appear on your credit card statement. Federal Tax Identification # 35-2101021. CHECK PAYMENT: Please make checks payable to Professional Conventions and Meetings, Inc. (W9 attached) and reference your confirmation# on the memo line. Checks should be mailed to: PO Box 34611 Indianapolis, IN 46234 CREDIT CARD PAYMENT: If you wish to make a credit card payment,please call Tammy Wiley at (317) 695-6384. CANCELLATION POLICY: Cancellations postmarked or e-mailed up to and including Friday, October 4, 2013 are subject to a $45 processing fee. No refunds will be given after Friday, October 4, 2013. This applies to conference registrations that are paid in full or have a balance due. HOTEL ACCOMMODATIONS: Click Here<http://www.marriott.com/hotels/travel/inddt-indianapolis-marriott- east/?toDate=11/1/13&aroupCode=emaemaa&stop mobi=yes&fromDate=10/29/13&app=resvli nk>to make your hotel reservation. Or, you may contact the Indianapolis Marriott East directly if you wish to make a hotel reservation. You should reference the Emergency Management Alliance of Indiana(or EMAI) when you call in order to secure the special negotiated group rate of$95 night(new state per diem effective October 1, 2013). The hotel phone number is: 1-800- 228-9290 or locally 317-352-1231. 2 2013 EMAI Conference Page 1 of 2 Confirmation #: 20133124E250 Status: Payment Due Registered Date: 10/28/2013 9:41:55 AM ET Attendee Type: No Audience Selected 2013 EMAI Conference Name First Name Matthew Last Name* Hoffman Email Address's mhoffman @carmel.in.gov Business Address Title/Position Fire Chief Company/Organization Carmel Fire Department Mailing Address* 2 Civic Square City* Carmel State's Indiana Zip* 46032 Phone Daytime Phone (use format: 123-555-6789)'x' 317-571-2600 Registration Early Bird Registration =$249(After October 4 Registration = $299) Please choose your conference participation below: # General Conference Attendee ($299) Meal Restrictions https://www.signup4.net/public/ap.aspx?EID=20133124E&AttendeeID=250&Success=true&OI... 10/28/2013 2013 EMAI Conference Page 2 of 2 No meal restrictions EMAI Membership" No to Membership at this time CANCELLATION POLICY: Cancellations postmarked or e-mailed up to and including Friday, October 4, 2013 are subject to a $45 processing fee. No refunds will be given after Friday, October 4, 2013. This applies to conference registrations that are paid in full or have a balance due. By clicking "Submit', you agree to the cancellation policy. DON'T FORGET HOTEL ACCOMMODATIONS: Please contact the Indianapolis Marriott East if you wish to make a hotel reservation. You should reference the Emergency Management Alliance of Indiana (or EMAI)when you call in order to secure the special negotiated group rate of$95/night(new state per diem effective October 1, 2013). The hotel phone number is: 1-800-228-9290 or locally 317-352-1231. If you wish to make your reservation online, a click-thru link is provided in your confirmation (you will receive your confirmation by email once you submit your registration). REGISTRATION PAYMENT BY CHECK: Please mail check to PO Box 34611, Indianapolis, IN 46234. Payment Information Payment Number: 1 Purchase Order Fees : $ 299.00 Collected : $ 0.00 PO Number# Matthew Hoffman 2 Civic Square Carmel IN, 46032 Balance: $ 299.00 https://www.signup4.net/public/ap.aspx?EID=20133124E&AttendeelD=250&Success=true&OI... 10/28/2013 Form ®9 Request for Taxpayer Give form to the (Rev.January 2003) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. internal Revenue Service N Name CD a) Professlonal Conventlons and Meetings, Inc, CO Q Business name,if different from above C aka ProCaM,Inc Tp Individual/ — Exempt From backup `5 Check appropriate box: ❑ Sole proprietor © Corporation ❑ Partnership L1 Other 10 ___ withholding 02 N Address(number,street,and apt.or suite no.) Requester's name and address(optional) ` PO Box 34611 City,state,and ZIP code Q Indianapolis,IN 46234 { � List account number(s)here(optional) U In Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. For individuals, this is your social security number(SSN). Social security number However,for a resident alien, sole proprietor,or disregarded entity,see the Part I instructions on I I I + I I I page 3. For other entities, it is your employer identification number(EIN). If you do not have a number, see How to get a TIN on page 3. or Note: If the account is in more than one name, see the than on page-4 for guidelines on whose number . Employer identification number to enter. 1315 2111101111012 I 1 FUTM Certification Udder penalties of perjury, I certify that. 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. person(including a U.S. resident alien). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA), and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on pag '4J Sign Signature of Here U.S.person ® ""'• V r w Date Purpose of Form Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the A person who is required to file an information return with terms of a tax treaty to reduce or eliminate U.S. tax on the IRS, must obtain your correct taxpayer identification certain types of income. However, most tax treaties contain a number(TIN)to report, for example, income paid to you, real provision known as a "saving clause." Exceptions specified estate transactions, mortgage interest you paid, acquisition in the saving clause may permit an exemption from tax to or abandonment of secured property, cancellation of debt, or continue for certain types of income even after.the recipient contributions you made to an IRA. has otherwise become a U.S. resident alien for tax purposes. U.S. person, Use Form W-9 only if you are a U.S. person If you are a U.S. resident alien who is relying on an (including-a-resident alien), to provide your correct TIN to the exception contained in the saving clause of a tax treaty to person requesting it(the requester) and, when applicable, to: claim an exemption from U.S. tax on certain types of income, 1. Certify that the TIN you are giving is correct(or you are you must attach a statement that specifies the following five waiting for a number to be issued), items: 2. Certify that you are not subject to backup withholding, 1.The treaty country. Generally, this must be the same. or treaty under which you claimed exemption from tax as a 3. Claim exemption from backup withholding if you are a nonresident alien. U.S. exempt payee. 2. The treaty article addressing the income. Note: If a requester gives you a form other than Form W-9 3. The article number(or location) in the tax treaty that to request your TIN,you must use the requester's form if it is contains the saving clause and its exceptions. substantially similar to this Form W-9. 4. The type and amount of income that qualifies for the Foreign person. If you are a.foreign person, use the exemption from tax. appropriate Form W-8 (see Pub. 515, Withholding of Tax on 5. Sufficient facts to justify the exemption from tax under Nonresident Aliens and Foreign Entities). the terms of the treaty article. Cat.No.10231X Form W-9 (Rev. 1-2003) VOUCHER NO. WARRANT NO. ALLOWED 20 Professional Conventions and Meetings, Inc. IN SUM OF $ P.O. Box 34611 Indianapolis, IN 46234 $897.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 43-570.04 j $299.00 1 hereby certify that the attached invoice(s), or 1120 43-570.04 $299.00 bill(s) is (are) true and correct and that the 1120 I I 43-570.04 I $299.00 materials or services itemized thereon for which charge is made were ordered and received except NOW u 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)) Harrington $299.00 Cromlich $299.00 Hoffman I $299.00 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 5-11-10-1.6 120 Clerk-Treasurer