HomeMy WebLinkAbout232584 05/13/14 CITY OF CARMEL, INDIANA VENDOR: 368220
ONE CIVIC SQUARE OHIO ASSOC OF EMERGENCY VEHICLECHECK AMOUNT: $......**20.00*
CARMEL, INDIANA 46032 TECHNICIANS CHECK NUMBER: 232584
PO BOX 303 CHECK DATE: 05/13/14
AVON OH 44011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 20.00 ORGANIZATION & MEMBER
O�`0 PSSOCIATION E&16,90 ^vns
Ohio Association of Emergency Vehicle Technicians
O.A.E.V.T.
�_ P.O. Box 303 • Avon, OH 44011
Ry�c`E TECHNIC1Ah5'\�
Mission Statement
To encourage, support, and promote the profession of
emergency vehicle technician in concert with recognized
safety standards, through education and training.
To provide a statewide and national voice
for emergency vehicle technicians.
To insure the public and private sector, as well as the
fire professional, of the best possible means of
protection and equipment, for safety and peace of mind.
Membership Application
Date May 7, 2014
Name Robert VanVoorst
Affiliation City of Carmel Fire Department
Preferred Address 2 Civic Square
City Carmel State Indiana Zip 46032
Work Phone 317-664-0958 cell Home Phone 1317-758-6418
Fax 1317-571-2615 E-Mail lbvanvoorst@carmel.in.gov
Class of Membership Type of (Fleet
m individual -- $10 per year m Fire ❑ Hazmat
❑ department— $35 per year ❑ Police ❑ Corporation
(see reverse side for up to three additional applicants) ❑ EMS
❑ corporate — $250 per year ❑ Other
Make check payable to: O.A.E.V.T. and mail to PO Box 303, Avon, OH 44011.
www.oaevt.org
Name Jason Force
Affiliation City of Carmel Fire Department
Preferred Address 2 Civic Square
City Carmel State Indiana Zip 146032
Work Phone 1317317-690-4283 Home Phone 317-417-0146
Fax 317-571-2615 ,E-Mail ljforce@carmel.in.gov
Name
Affiliation
Preferred Address
City State I Zip
Work Phone Home Phone
Fax E-Mail
Name
Affiliation
Preferred Address
City State T Zip
Wotk Phone Home Phone
Fax E-Mail
MW
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))
$20.00
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
Ohio Assoc. of Emergency Vehicle Technicians
^w� IN SUM OF $
P.O. Box 303
Avon, OH 44011
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-553.00 $20.00 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 exceptMAY 1 2 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund