HomeMy WebLinkAbout231923 04/23/14 CITY OF CARMEL, INDIANA VENDOR: 00350735
ONE CIVIC SQUARE BOB VANVOORST CHECK AMOUNT: $********32.00*
CARMEL, INDIANA 46032 23402 MULE BARN ROAD CHECK NUMBER: 231923
(9,
SHERIDAN IN 46069 CHECK DATE: 04/23/14
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1120 4343003 32.00 TRAVEL & LODGING
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Purchase 14/04/12 09:16:11
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N4 355229
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FDIC
fI . 14
EVENT Attendee Name:
Phone:
REGISTRATION
Badge ID:
REGISTRATION 1 ' 1
April 7-12, 2014
Indiana Convention Center & Lucas Oil Stadium
- Indianapolis; Indiana
Registration Sponsor:
• = ATHLETIC GEAR FOR FIREFIGHTERS"
REGISTRATION HANDS-ON TRAINING INFORMATION
■ Fully complete the registration form.Incomplete registration forms ■ Register early.Hands-On training class sizes are limited.
will be returned for complete information. ■ Hands-On training participants must register and report to Staging
■ Placement in Hands-On Training(H.O.T.)classes is not reserved by 6:30 a.m.
until registration form is fully completed and payment is received. ■ Signed liability waivers are required for all Hands-On training.
■ Payment for all Early Bird registrants must be received by February Visit www.fdic.com to print a liability waiver.
27,2014.Registration and payment received after February 27, ■ Full turnout gear and/or technical rescue gear is required for
2014 is subject to full registration fees. certain Hands-On training.(See"Important Notes for H.O.T.
■ Each attendee must be individually registered.Single registrations Attendees"at www.fdic.com.)
may not be separated or shared among multiple attendees. ■ Lunch is provided for all Hands-On training attendees
■ There is no refund for partial-day attendance. ■ SCBA will be provided when necessary_
■ If selecting 4 hour Hands-On training in the morning,you can only
IF PAYING WH PURCHASE ORDER(PO)-Purchase order must have select a Hands-On training for the afternoon.You cannot combine a
a credit card guarantee or the registration will be forfeited.Payment Hands-On training and a Pre-Conference workshop on the same day.
must be received by February 27,2014 in order to receive the Early ■ H.O.T.Class Pricing:4-hour are$150 each and 8-hour are$250
Bird rate.A PO is not considered a payment.Payments must be each in addition to the registration fee.
received prior to the event or upon arrival to receive your badge.
PRE-CONFERENCE WORKSHOPS INFORMATION
s Morning Pre-Conference workshops begin promptly at 8:00 a.m.
■ Afternoon Pre-Conference workshops begin promptly at 1:30 p.m.
e •• e ■ Lunch is NOT provided for Pre-Conference workshop attendees.
e ■ If selecting a 4 hour Pre-Conference workshop in the morning,
e e a you can only select a Pre-Conference workshop for the afternoon.
You cannot combine a Hands-On training and a Pre-Conference
workshop on the same day.
e e o e •e.•• ■ Pre-Conference workshops are$125 each in addition to the
o ® registration fee.
www.fdic.com
Attendee Name:
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� 1 � ' � � r r r r r r .rr-. r r r.r•-
First Name Last Name Title
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&Accessories ❑(15)Insurance/Financial
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❑(i)Yes (0)No Systems/SCBA&Supplies El(16)Miscellaneous/Other
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❑(05)Communications/Radios/ ❑(17)Monitors&Detectors
Type of Department Dispatch Equipment ❑(18)Nozzles,Hoses,Reels
❑(06)Computer Services/Software &Couplings
❑(01)Volunteer ❑(04)Industrial ❑(07)Water,Diving&Ice Rescue ❑(19)Protective Clothing(PPE)/
❑(02)Career ❑(05)Military Equip.&Accessories Apparel
❑(03)Combination ❑(06)Other ❑(08)Educational Materials/ ❑(20)Pumps/Gauges
Career/Vol (please specify) Colleges/Training Services ❑(21)Rescue Tools&Equipment
&Equipment ❑(22)Ropes,Chains,Safety Belts
Population Served by Department ❑(09)EMS Equipment&Supplies &Accessories
❑(01)Under 2,500 ❑(05)50,001-100,000 ❑(10)FOAM,Environmental ❑ (23)Sirens,Alarms&
❑(02)2,501-10,000 ❑(06)100,001-500,000 Products,CAF Units Signaling Devices
❑(03)10,001-25,000 ❑(07)Over 500,000 ❑(11)Fans/Portable Generators ❑ (24)Thermal Imaging Cameras
❑(04)25,001-50,000 &Accessories ❑ (25)Wildfire Rescue Equip.&Access.
www.fdic.com
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DIC 014 Attendee Name:
3
REGISTRATION
I I Phone:EVENT
Badge ID:
OEM
Ey
1, Ian
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_ 1
TRAINING AND PRE-CONFERENCEWORKSHOPS
f
onday,April 7, 2®14 ® day, �r�� , , � .
Hands-Oa Training r� � pl ce or ® � _
1 11 � e 1 1 0- - .• o Im 1 1 1
h.
4-Hour Hands-On Training 4 Hour Pre Conference Workshops
Monday,April 7,8:00 a.m.-12:00 p.m.. . . . . . . . . . . . . . . ($150) Monday,Apnl l 8 00 a:m 12:00.,p m (S125)
1st 2nd 3rd 4th 5th 1st 2nd"3rd 4th5th
❑ ❑ El El01MA Aerial and Tower Operations ❑CJ❑❑1120MA Building the Foundation of a WinningTeam
❑❑❑ El El 02MA Conventional Forcible Entry ❑p;❑❑❑,21MA"Coaching&Mentoring:The Forgottenm
Eleents of Leadership
❑El [1 El03MA Engine Company Essentials:Getting Water on the Fire! ❑❑El El❑.22MA Command andControl-We Neetl to Do It Better and Safer
❑ ❑❑ ❑ ❑ 04MA Flashover ❑p p ❑❑:23MA Company,Officer Development Lead from the Poght Seat
El El [I [I [I05MA Heavy Vehicle Extrication ❑El El ❑❑ 24MA Designing a Safe and Effective Emergency Response Plan
El El [I El ❑ 06MA Keeping Yourself Alive ❑❑`❑ ❑�'25MA Developing Preplansand SimulationTraining-UsingYour•Plans,_.
SOLD OUT 07MA Man vs.Machinery ❑❑: ❑❑";26MAEztricaUonZone Hybrid%New Vehicle Technology
❑❑ ❑ ❑❑ 08MA Rescue and Squad Company Operations on the Fireground ;' ❑El".El ❑❑ 27MA-Flreg'round Scenario Workshop
❑ ❑ ❑ ❑ ❑ 09MA School Bus Extrication and Rescue ❑❑❑ ❑❑.'28WHigt-Rise Operations.Strate&c 1bcbcal an0 Task Level.
SOLD OUT 10MAVehicle Extrication ❑11 ❑ ❑❑.=29MA Improving'Behaworal Health"througfi Betterinterpersonal•
El El ❑ ❑ 11MAVent-Enter-Search CommiinicaUons
❑❑:❑❑❑30MA Iristrutt6r aird Training Officer Bootnnip
4-Hour Hands-On Training: El 11 11 p'.31MA Intelligent Fire Operations.66A4 But Smart
Monday,April 7,1:00 p.m.-5:00 p.m. . . . . . . . . . . . . . . . ($150) ❑El,El❑❑,32MA Know Your Smoke The Comprehensive Danger§
1st 2nd 3rd 4th 5th
'; ❑❑'.❑❑❑ 33MA Leadership Development;Leatlershp Excellence
❑❑❑ ❑ ❑ 01MP Aerial and Tower Operations ❑:❑`p❑❑,34MA Modem:TrainingTechniques for:actical Success
❑ ❑❑ ❑ ❑ 02MP Conventional Forcible Entry ❑❑.❑ ❑
❑ 35MA,Must'Have Policies forrEvery Fire Department
El❑ [1 [1❑ 03MP Engine Company Essentials: GettingWater on the Fire! ❑O❑❑❑;.36MASurVivingthe
Firegrourid.
❑ ❑❑ ❑ ❑ 04MP Flashover ❑O❑❑:❑';37MA Surviving Utility Emergencies and Fires
❑ [1 [1 [1 [1 05MP HeavyVehicle Edrication ❑❑ ❑ ❑'❑-38MATruckCompanyAtoZ_'.
❑❑ ❑ ❑❑ 06MP Keeping Yourself Alive ❑'❑.❑ p❑39MA Wood Frame&°:Ord inary.Constructon Principles and Hazards-__
❑❑❑ ❑ ❑ 07MP Man vs.Machinery 4 Hour Pre Conference-Work h
❑❑❑ ❑ ❑ 08MP Rescue and Squad Company Operations on the Fireground Monday,April"7;130 p.m Oxf;
30 p
❑❑❑ [1 El09MP School Bus Extrication and Rescue
SOLD OUT 10MPVehicle Extrication Sst2nd3N4th5th
❑ El❑ El❑ 11MP Vent-Enter-Search ❑❑-❑❑111"40MP 25-to Survive":Reducing Residential Injunes and LODDs _
El❑ p❑p"41AP Be a Leader,.'NotJust 6'Position
8-Hour Hands-On Training: ❑E 11 ❑p'42MP Big Box Store'Frefi6bng,Strategies and Tactics
Monday,April 7,8:00 a.m.-5:00 p.m. . . . . . . . . . . . . . . . ($250) ❑11❑❑❑ 43MP Blink Ma6gCnUcal_Fiieground Decisions-
1st 2nd 3rd 4th 5th ❑❑0❑❑•..44MP Chief Problem Solver, '
❑ El El 1112M Collapse and Void Search Rescue ❑❑ t] ❑EL 45MP.Company Officer Development Red Flags ori-the F0109 d
El [10 ❑ ❑13M Conducting NFPA 1403 Live Burn Training ❑ ❑-❑❑46MP DriII Development The Next Level
❑ ❑ ❑ ❑ El 14M Grain Bin Rescue and Engulfment Operations ❑❑ ❑ ❑❑,47MP Extrication'Zone Principles of Extrication
SOLD OUT 15M Live Fire:First Due Tactics [I El El El❑:48MP Firefighting Career orVolunteer The
Ultimate
SOLD OUT 16M Nozzle Forward ❑❑O ❑❑.83MP F!rst Due Tactics Take Home Package -
❑ ❑ ❑ ❑ 0 17 RIT Combat Drills ❑:❑ f7 ❑❑ 49M. Leadership bevelopment Fve-Alarm Leadership
❑ ❑ ❑ ❑ ❑18M Truck Company:Essentials ❑ ❑❑❑ 50MP Leading in ChangmgTrries Three W ndows forSuccessful
❑ ❑ ❑ ❑ 11 19M Urban Essentials Growth
❑.❑ ❑ ❑
.❑ ,51MP Lessons.Lea med from:the SC Fatal Sofa Store.Flre
❑El-❑❑❑ 52MP Modern Buildings Recipe for Firefighter Deaths and Injuries;_
p Tliree Day Workshop: Aprih7,8 a ms-5'p.m:;"Tuesday;April 8,S a.m:5 ❑❑ CI"❑11 53MP NIMS and ICS:'Strategies'andTzzctics for Large Scaie Incidents .
p.m.;Wednesday,Apd19,,10:30 aim.-5 p-.m - El p ❑
p ❑ ';5,4MPTeachingAdults:Evidence-Based'Best Practices
FDIC Blue Card Simulation Lab and Conference p ❑ ❑❑❑55MPITi k Like an Incident Commander;
SOLD OUT Three Day Evolution:.Sunday,Apri16,8 a.m 5 p m:; ❑ ❑❑❑[1,5610P This House'Roeksr The Place Everyone Wants to Work
Monday,April 7,'S a.m:5 p.m:;Tuesday,April 8,8 a:m:-5 P.M. ❑❑`❑ ❑❑'57MP Understanding,,Surviving,and Mastering the Modern -
FDTN Engine Company,Ope'rations I&FDTN Truck Company Operations I Residehaal Firefight .
❑❑ ❑ ❑❑ 58MP'Ventilation"Flow,Paths&Fire Growth:A Review of Recent LODDs
www.fdic.com
FDIC
. . Attendee Name:
EVENT REGISTRATION
Phone:
Badge ID:
CONFERENCES : EXHIBITS REGISTRATION1 '
REGISTRATION FEES (Please select only one of the following) GROUP PLANS
Fully paid Fully paid ❑ Group Plan 10(up to 10 members/employees) $4,950
on or before after (10%off the price of 10 individual full conference attendees)
2/27/14 2/27/14
El Hands On Training Premium Package $550* $700*
[I Group Plan 20(11 to 20 members/employees) $9,350
(15%off the price of 20 individual full conference attendees)
Includes all general sessions,classrooms&exhibits.
May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Larger Group Plans are Available(Contact Registration for Details)
Additional per class costs listed on Registration pp 3&4.
PRICE......................................................................................
DOES NOT1 1 OF INDIVIDUALHANDS-ON
❑ Two-Day Hands-On Training& $200* $250*
*TRAINING PRE-CON1• 1
Pre-Conference Workshops Only
Includes all general sessions.(DOES NOT INCLUDE CLASSROOMS OR EXHIBITS.)
May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Registration Fee$
Additional per class costs listed on Registration pp 3&4.
Hands-On Training Class Price from Registration Pages 3&4$
......................................................................................
❑ FDIC Blue Card Simulation Lab and Conference $1,000 $1,000 Total Due$
Includes 3-day workshop,Monday-Wednesday,All general sessions,classrooms,& •••••••••••••••••••••••••••••.•.••••••••.
exhibits.Limited space available. PAYMENT
. ......................................................................................
❑ FDTN Engine Company Operations I $1,200 All Registration Fees must be paid in full prior to event for admittance.
Includes 3-day Hands-On Training,Sunday-Tuesday,all general sessions,classrooms, ❑ Check payable to PennWell/FDIC14.
&exhibits.Limited space available. ❑ Signed purchase order with credit card guarantee.
......................................................................................
Please include credit card details below.
❑ FDTN Truck Company Operations 1 $1,200 ❑ Charge my credit card: E] MasterCard E] Visa
Includes 3-day Hands-On Training,Sunday-Tuesday,all general sessions,classrooms,
&exhibits.Limited space available. ❑ American Express [3 Discover
...................................................................................... Card number
❑ Individual Full Conference $550 $700 Exp.date
Includes all general sessions,classrooms&exhibits
...................................................................................... Name on card
❑ One-Day Conference $325 $375 Signature
Includes general session and classrooms on selected day only&all three days of exhibits
................................................................................
❑Wed.,. .Apri1. ...
10 ❑.. . . .... ....
Thurs.,April 11 OR ❑Fri.,Ap.ril.12. ..................... 4 Ways to Register
.... .... .. . ...... .... .. .. ....... ... .
❑ Exhibit Package $75 $75 1. Online:wwwfdic.com 4. Mail to:
Includes exhibition iihijTall exhibit days,Thurs.-Sat,April 10-12 2. Fax to:+1-888-299-8057 PennWell
Registrationon De 4
Department
...................................................................................... or+1-918-831-9161 P.O.Box 973059,
❑ One-Day Exhibits Only $40 $50 3. Email:registration@pennwell.com Dallas,TX 75397-3059
Includes exhibits on selected day only.
El Thurs.,April 10 ❑Fri.,April 11 OR ❑Sat.,Apri112 Questions?Please call:+1-888-299-8016 or+1-918-831-9160
......................................................................................
................................................................................
ElSpouse Exhibits Only $20 $25
Cancellation Policy
Includes exhibition only all exhibit days,Thurs.-Sat.,April 10-12 Cancellations must be received in writing before February 27,2014,in order
to receive a refund,minus a$115 administrative charge. After February 27,
Name for Badge: 2014,refunds are not available. Substitutions may be made at any time by
ffi notifying the registration office in writing.
i I I I
r m • a • Fire Engineering Subscription
Your registration fee includes a 1-year print subscription to Fire Engineering
magazine.Check here if you DO NOT wish to receive the subscription.You will
, • r r � � 1 0 •.•• g Y P
•• e - • ®, ; not be refunded the$25.00 print subscription rate.❑
�A
PROMOTIONAL CODE:
www.fdic.com
Attendee Name:
FDIC •
Phone:
REGISTRATION
ri I
Badge ID: EVENT
jkj IF
TuesdaYy,April 9 2 YUes A ��i �y ��.
ands- TrainingP�� ��r� er��c sh0s
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4-Hour Hands-On Training: 4-Hour Pre-Conference Workshops
Tuesday,April 8,8:00 a.m.-12:00 p.m. . . . . . . . .($150) Tuesday,Apn18,8:00 a m.=1'2 OO p m: ($125)
1st 2nd 3rd 4th 5thlst 2nd 3rd 4tfi'5th
❑ ❑❑ ❑❑ 01TA Aerial and Tower Operations ❑.❑ ❑OI❑ 59TA Building the Ladder...Officer Deye!opment Programs
❑ ❑ ❑ ❑ ❑ 02TA Conventional Forcible Entry ❑ ❑ [1':0_0 60TH Company Officer Deyelopmenti Developing&Inspiring Exceptional Fire
❑ ❑ ❑ ❑ ❑ 03TA Engine Company Essentials: Getting Water on Officers -
the Fire! ❑-❑ ❑0 0 61TA DC Fire LeaderShip;and Accountability
❑ ❑ ❑ ❑ 11 04TA Flashover ;O ❑ ❑01
1j62TA Decision`Makmg atCommercial Bwlding Fires
❑ ❑ ❑ ❑ ❑ 05TA Heavy Vehicle Extrication ❑<❑ ❑Y❑.❑ 63TA Dnll Ground InstructorAcatlemy
❑ ❑ ❑ ❑ ❑ 06TA Keeping Yourself Alive Elp E3 ❑ b❑ 64TA Engine Company Operations:Why We Fail and How We Succeed
❑ ❑ ❑ ❑ 07TA Man vs.Machinery ❑ ❑10❑ 65'TA:Essentials of Fde investigatioq;'
11 [1 El El08TA Rescue and Squad Company Operations on p-❑❑p 0 66TA:ExtncationZone Large TrucksyTrailers/Bu'ses
the Fireground ❑,❑ ❑❑E67TA Fireground InciderifiAction Plan Development and Deployment
❑ ❑ ❑ ❑ ❑ 09TA School Bus Extrication and Rescue ❑ ❑ ❑p.❑'68TA.Fireground Strategies Command Control;and Accountability
SOLD OUT IOTA Vehicle Extrication ❑ ❑ ❑%❑'❑ 69TA implementinga Successful Training Program
El ❑ El ❑❑ 11TA Vent-Enter-Search p`❑ ❑`❑,❑ 70TA Leadership Development Leadership intJie Rea!World .
0 ❑O 0 ❑ 71TA Leadership So Everyone GoesMome
❑❑b-❑ 72TA ManagingRescue and Disaster Operations
4-Hour Hands On Training: ❑❑�'❑ 73TA Modem Fire Dynamics from Concepts to.Realtty
Tuesday,April 8,1:00 p.m.-5:00 p.m. . . . . . . . . .($150) 74TA Pnde and Ownership:The Love for the Joli
1st 2nd 3rd 4th 5th D ❑ ❑0 0 75TA Reading Buildings:The Rapid Street Approach
❑ ❑ ❑ ❑❑ 01TP Aerial and Tower Operations ❑, ❑0 0.D'76TATactical&Strategic Perspectives of Residential Fires:Command&F!re Attack
[1 ❑ ❑ ❑ ❑ 02TP Conventional Forcible Entry -0 [I ❑0❑ 77TAThe Role_of the EMS`Provider,!h e In
the Latge-Scalcidents
[I El ❑ El El 03TP Engine Company Essentials: Getting Water on ❑ ❑ ❑t-❑ 78TA.Volunteer&Combination Fire;Repartment ManagetSAGad emy
the Fire! 4-Hour Pre-Conference Workshops:
❑ ❑❑ ❑ ❑ 04TP Flashover
❑ El❑ ❑❑ 05TP Heavy Vehicle Extrication Tuesday,Apn18,1:30 p m 5:30 p M. ($125)
EJ ❑❑ ❑❑ 66TP Keeping Yourself Alive -ist2nd3N4th,5th
❑ ❑ ❑ ❑El 07TP Man vs.Machinery El El 0'❑ 79TP Company Officer Development:Firegrpund Decision Making for Suburban
El El El El ll08TP Rescue and Squad Company Operations on Company Officers
the Fireground 0 El 0 ❑ 8OTP Dnll0ou re Not Going to Fmd;in Books
11 El El ❑ ❑ 09TP School Bus Extrication and Rescue 13 ❑ ❑❑>❑ 81 I ..thcation Zone EMS Aspects
SOLD OUT 10TPVehicle Extrication E-❑ 0 E3 1182TP-Fire OfficefSurvival,in Quarters and on.the Scene;`
❑ ❑ ❑ ❑❑ 11TPVehicEnter Search 0 ❑ ❑b;❑84TP.G- ngttie Most from Your lncidentSimulation Software.
❑ ❑ [1,07❑ 85TP Hazmat�lnitial'Approach:and Actions.
p ❑ 0 O'�.86TP_High Tech`Highways:.`Responding to`Hybrid and'Ev Incidents
p ❑ ❑[I.0 87TR.How to Nail Your First-Due Strategic Responsibility
8-Hour Hands-On Training: ❑ ❑ ❑❑❑ 88TP KeepingYour Firefighters from Getting Killed
Tuesday,April 8,8:00 a.m.-5:00 p.m. . . . . . . . .($250) p.❑❑p'p 89TP'Leadership Development Inspi_nng Leadership forToday's Fire Service
1st 2nd 3rd 4th 5th El:_❑❑.❑°❑ 901P Modem Fire Attack Principles:.Strategic.&Tactical Perspectives:
❑ ❑ ❑ ❑❑ 12T Collapse and Void Search Rescue p ❑ ❑,O ❑ 91TP Next Generation Tactics and;Command:
❑ ❑ ❑ ❑❑ 13T Conducting NFPA 1403 Live Burn Training p'-❑❑p:p.92TP No Braine'r Management
❑ ❑ ❑ ❑ ❑ 14T Grain Bin Rescue and Engulfment Operations ❑.t❑,❑`❑ 93TP Speafyfng'Fire Apparatus:Back to Basics
SOLD OUT 15T Live Fire:First Due Tactics ❑ ❑ ❑❑i❑ 94TPTactical'and Strategic Perspeciives of Residential."Fres:Search and.Ventilapon `
SOLD OUT 16T Nozzle Forward ❑.❑ ❑p:❑ 951PTechn ques and Strategies for Mamtaming Mental/Psychological Prepare-dness -
❑ ❑ ❑ ❑ ❑ 17T RIT Combat Drills ❑ ❑.❑❑:❑'96TPThe,Artof�Reading Smoke 2014 '
SOLD OUT 18TTruck Company:Essentials 11 ❑ ❑0' ❑ 97TP What Do You See/Hear?What does It Mean?
❑ ❑ ❑ ❑ ❑ 19T Urban Essentials
i
www.fdic.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob VanVoorst
IN SUM OF$
$32.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 43-430.03 $32.00 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 APR 2 1 2016
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
j
i
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))
$32.00
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