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HomeMy WebLinkAbout233734 06/18/14 CITY OF CARMEL, INDIANA VENDOR: 00351734 ONE CIVIC SQUARE FIREHOUSE MAGAZINE CHECK AMOUNT: $**......59.90* CARMEL, INDIANA 46032 PO Box 3258 CHECK NUMBER: 233734 "+iiTON NORTHBROOK IL 60065 CHECK DATE: 06/18/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355200 968827 29.95 SUBSCRIPTIONS 1120 4355200 968829 29.95 SUBSCRIPTIONS WME ...: ..... . ... .... .. . PO BOX 3258,NORTHBROOK,IL 60065-3258 . . . . . . . . . . . ❑Department Address ❑Home Address(Please check one) Please make any name,title or address changes as necessary. f � DENISE SNYDER CARMEL FIRE DEPT s t I 2 CIVIC SQUARE - -- CARMEL, IN 46032 ---- -- - 0 968829 JUL2014 Ship to: i '05 09-2014 968829 RNLPD4 CARMEL FIRE DEPT t 1 STATION 42 ,. 3610 W 106TH ST 29.95 CARMEL, IN 46032 wish to support the Heroisrn,Program $ TOTAL SUBSCRIPTION plus Heroism",,'. q` Payment Options: i In order to serve you better in the future,please complete the information listed below. (Payment must be made in US Dollars US lease add GST Subscriber Title/Ranfc(check one"only): Type.of Department(cfieck one only)= o ❑Payment Enclosed ElOt. Fre Chief. � 01 aiunteer/Paid on Call Charge fo: Elv/s� O ❑ ❑Bill Me ❑ 02.Asst F'1or Depuiy Fire Chief 02 Paid: ❑ 03. Battl./Dhc/Distf.Chief ❑ 03. Combination PaidNolunteer Credit Card# Expiration Date` +, El04. Commissioner ❑ 07. Other Fre Oe artment P ❑ 05. President/OwnerNP ❑ 04. Industria/Institutional_. Signature(Required): Date: ❑ 06. Secretary/rreasurer ❑ 05. Military/Federal Name(Please pont): ❑ 07.-OthenFire Officials;Fede�afState- - ❑-98. Other(specify): Title l Rank: and Local incl.City Mgrs. arshal Dept I Agency: El 9. Trainre ing OfficerAnstructor Popglation_Served by.Department. Address: El 10. Captain/Commander/Lt. ❑ 01. Under 2,500. ❑ 11. EMS Director/Coordinator ❑ 02. 2,501-10,000 City Statel.Province: El 12. Firefighter ❑ 03. 10,001-25,000 Zip I Postal Code: Country: ❑ 13. Paramedic/EMT El 04:25,001.-15,000 ❑ 14. Engineer ❑ 05: 75,001-150;000 Phone ',;' , , El 98; Other(specify): O6: Over 150,000' E-mail(Required); Function: vi -m I . . ❑01. Management ❑05.Investigation ❑09.EMS W u1d o`like' r e=ve od' and'Servi Information from'our Ind Paitners a e a. ❑. , o y u to ec Pr uct ce , , . �Y, .. ❑02. Training ❑06.Maintenance ❑10.HBzmat Customer Service: i t l [--103. Prevention ❑07.Communication ❑11.Rescue ❑04. Suppression ❑08.Public Education ❑12.Other: To activate your online account, go to: www.firehouse.com/subscribe/memberzone-activ Visit us at: wvvw.firehouse.com Priority,dode:dDRNL IN ■ SUBSCRIMON RENEWQL/WooC'C PO BOX 3258,NORTHBROOK;IL 60065-3258 ❑Department Address ❑Home Addresi(Please check one) Please make any name,title or address changes as necessary. DENISE SNYDER CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 46032 ' i 968827 ~ JUL 2Q14 Ship to: t 03-1 T=2014 968827 RNLPD3 CARMEL FIRE DEPT t• 1 STATION 44 5032 E MAIN ST CARMEL, IN 46032 ' $ 29;9& Wish to support the"Heroism Program $ " TOTAL SUBSCRIPTION;phis Heroism Payment Opinformation drawn(Payment must be made in US Dollars and orders Subscnber Title/Rank(check one only):_ 'Type of Department(check orie only): i - ❑Payment Enclosed ❑ 01. Fre Chief b 01 Volunteer/Paid-on-Call Charge to ❑ N/Sr Q o O El Bill Me ❑ 02. Asst or Deputy Fire Chief ❑ 02: Paid ❑ 03. BatdJDiv./Distr.Chief O 03: Combination PaidNolunteer Credit Card#: Expiration Date:' ❑ 04. Commissioner ❑ 07. Other Fre Department ❑ 05. President/OwnerNP ❑ 04. Industrial/Institutional Signature(Required): Date: ❑ 06.Secretaryfrreasurer ❑ 05. Military/Federal Name(Please print)i ❑ 07. Other Fire Officials,Federal State ❑ 98. Other specify):. 'We I Rank: _ _ and'Local Incl.City Mgrs. ❑ 08. Flre Marshal Dept I Agency:, ❑ 09. Training Officer/Instructor Population Served by Department: Address: ❑ 10. Captain/Commander/Lt ❑ 01. Under 2,500: ❑ 11. EMS Director/Coordinator ❑ 02. 2,501-10,000 City: State,I Province: [112. Firefighter ❑ 03. 10,001 25,000 7p I Postal Code: Country: ❑ 13. Paramedic/EMT ❑ 04.25,001-75,000 ❑ 14. Engineer ❑ 05.75,001-156,000 Phone: - ❑ 98: Other(specify): ❑ 06. Over 150,000 E-mail(Required): Function: ❑ "Would you like to receive Product and Service Info miation from our Industry Partgers via e-mail.: ❑01. Management ❑05.Investigation ❑09.EMS ❑02. Training ❑06.Maintenance ❑10.Hazmat t I I 825-8577 i ❑03. Prevention El 07:Communication ❑11.Rescue Customer 1104. Suppression ❑08:Public Education ❑12.Other, To activate your gr to: www.firehouSe.com/subscribe/memberzone-activ Visit us at: r Priority Oode:.STDFINL VOUCHER NO. WARRANT NO. ALLOWED 20 Firehouse Magazine IN SUM OF$ I P.O. Box 3258 Northbrook, IL 60065 $59.90 i ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 968829 43-552.00 $29.95 1 hereby certify that the attached invoice(s), or 1120 968827 43-552.00 $29.95 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 JUN 16 2014 e 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)) 968829 42 $29.95 968827 44 $29.95 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