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243747 03/31/15 Q CITY OF CARMEL, INDIANA VENDOR: 362437 ONE CIVIC SQUARE JEMS CHECKAMOUNT: S""""44.00' CARMEL, INDIANA 46032 PO Box 3425 CHECK NUMBER: 243747 NORTHBROOK IL 60065-9912 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355200 402281018 44.00 SUBSCRIPTIONS EMS To renew, complete and mail this form to: a 1.PO Box 3425,Northbrook, IL 60065 ,oawuoeDOGMEYMICAllERVICS o 2.Or Online at:https:Hpennwell.sub-forms.com/PNW15 JBrenew RENEWAL NOTICE 3.Or Fax to our secure fax line 847-763-9040 402281018 R01 671 R1 1 JB 120 JUL-15 $44.00 402281018 When you renew,you will continue to receive: *Annual Buyer's Guide *Featured Articles *Clinical Articles on New Treatment Methods EMS DIRECTOR 1087 *EMS In Action . CARMEL FIRE DEPT *Case of the Month 2 CIVIC SQ *Street Science CARMEL IN 46032-7543 �'�II��'III�II'I'��I"II�����'11111.III"I�I'II�IIIII"IIIII�I"I Please return this entire sheet with your payment -Print-and-Digital -- 2check end Invoice 1 Year(12 Issues) LI$44—_U.S. ❑$69-Canada El$79.00-International enclosed payable to JEMS ❑Visa ❑Discover ❑MasterCard ❑Amex Digital Only(Email Address Required) Card# 1 Year(12 Issues) ❑$20-Worldwide Expire Date Signature Phone Email ❑Yes I want to save$10 more. Please charge my credit/debit account card now. Plus I'll receive the automatic renewal features described below. Subscriber's Automatic Renewal Program: You authorize JEMS to charge our credit/debit card at the rice above now and 9 Y P in time to renew your JEMS subscription without interruption, before the start of each new annual term at the low subscriber rate then in effect unless you tell us to stop. You may cancel at any time during your subscription by contacting customer service and receive a full refund on all unsent issues. If your credit card cannot be charged,we will bill you directly instead. Subscriber should advise JEMS magazine of address and email changes to ensure proper delivery of notices. Money Back Guarantee: If you should ever choose to cancel your subscription,you'll recieve a full refund on any unsent issues. —- -Help us-serve-you-better-by-ens-A,•ering-the-questions-belovl:— Which of the following best describes Which of the following best describes your occupation/position? your employer/affiliation? (Please check one only) (Please check one only) 01 ❑ Paramedic(EMT-1,EMT-D) 01 ❑ Hospital 02❑ EMT(Basic,1st Responder) 02 ❑ Private Ambulance 03❑ Nurse/Physician 03 ❑ Fire Dept./Rescue Squad 04❑ Instructor/Coordinator 04 ❑Third Serv./Mun.Agency 05❑ Administrator/Supervisor 05 Indusrtial Commercial 06❑ EMS Chief 06 ❑ Educational Institution 07❑ Fire Chief 98 ❑Other(Specify) 08❑ Other Chief/Other Officer 09❑ Pres,Dir,CEO,VP,Mgr Do you.buy,authorize or recommend products 98❑ Other(Specify) or services to your supervisor or department? Yes❑ No❑ JEMS Magazine,P.O.Box 3425, Northbrook,IL 60065 Secure Fax Number:847-763-9040 Email:jems@hal/data.com VOUCHER NO. WARRANT NO. ALLOWED 20 JEMS IN SUM OF$ PO Box 3425 Northbook, IL 60065 $44.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 402281018 43-552.00 $44.00 I 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 MAR 3 0 2015 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)) 402281018 $44.00 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