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