244703 4 /29/2015 ,�or..W_gtif
�( CITY OF CARMEL, INDIANA VENDOR: 00351734
\I
ONE CIVIC SQUARE FIREHOUSE MAGAZINE CHECK AMOUNT: $*******1 19.80*
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CARMEL, INDIANA 46032 PO BOX 3258 CHECK NUMBER: 244703
9�'iibii.i�` NORTHBROOK IL 60065 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 968824 29.95 SUBSCRIPTIONS
1120 4355200 968826 29.95 SUBSCRIPTIONS
1120 4355200 968827 29.95 SUBSCRIPTIONS
1120 4355200 968829 29.95 SUBSCRIPTIONS
PO 00X 3258,NORTHBROOK,IL 60065-3258
❑Department Address 0 Home Address(Please check one)
Please make any name,title or address changes as necessary.-
®T�r
DENISE SNYDER `: #
CARMEL FIRE DEPT ` '
2 CIVIC SQUARE •{ L
CARMEL, IN 46032
Ship to:
SUBSC ' •
-- 968826
• . • JUN 2015,,:
04-08-20:15
968826 RNLPD4
CARMEL FIRE DEPT STA 45 • • 1
I=vuish to support the,Heroism Program $
TOTAL,SI�`BCR'IPTIO,.N;plus He
Payment Options:
(Payment must be made in US Dollars and drawn on a US Ban.k.Canada order I s please add GST tax.) Subscriber Title%Rank:(check one'nnly):; Type.of Department(check one only):
F1 Payment Enclosed ❑ 01. Fire Chief l] 01.Volunteer/Paid-on-Call
Chbroetd.-1 ❑ISI ❑ ❑ ❑Bill Me ❑ 02.Asst,or Deputy Fire Chief ❑ 02. Paid
❑ 03. Battl./Div/Distr.Chief ❑ 03.Combination Paid/Volunteer
Credit Card#: Expiration Date. ❑ 04. Commissioner El O7.Other Fire Department
_ ❑ 05. President/Owner/VP ❑ 04. Industrial/Institutional
Signature(Re wired; Date: ______EI_O6.-Secreta
ry,CTreasu[er _ _❑_05-Military/.Federal._. _
Name(Please print) ❑ 07. Other Fire Officials,Federal State ❑
98.Other(specify):
.
and Local incl.City Mgrs.
Title Rank: ❑ 08. Fire Marshal
Dept I'Agency: ❑ 09.Training Officer/Instructor Population Served by Department::
Address
El 10. Captain/Commander/Lt. El 01. Under 2,500
❑ 11. EMS Director/Coordinator ❑ 02. 2,501-10,000.
Gty:, State I Province 12. Firefighter ❑ 03. 10,001-.25,000
Zip I Postal Code: Country: ❑ 13. Paramedic/EMT E304. 25,001-75,000
❑ 14. Engineer ❑ 05: 75,001-150,000
Phone: ` ❑ 98. Other(specify): ❑ 06. Over 150,000
E-mail(Required): Function:
❑01. Management ❑05.Investigation ❑09.EMS
❑ Would you like to receive Product and Service'information from our industry Partners viae mail.. ❑02. Training -106.Maintenance ❑10.Hazmat
❑03. Prevention ❑07.Communication ❑11.Rescue
'❑04. Suppression ❑08.Public Education ❑12.Other:
Visit us at: www.firehouse.com • : 11 :4 564-9453
Priority Codec STDRNL
PO BOX 3258,NORTHBROOK,IL 60065-3258
Q Department Address El Home Address(Please check one) i
Please make any name,title or address changes as necessary.
x ,I
DENISE SNYDER 1 i I
CARMEL FIRE DEPT f 'j
2 CIVIC SQUARE L " �
CARMEL, IN 46032
Ship to:
• 968829
• " JUL 2015
03 10.201:5
968829 RNLPD3
CARMEL FIRE DEPT
STATION 42 • ' 1
, C\
CARMEL, IN 46032 29.95
[;wish to support the Heroism`Program $ '
TOTAL SUBSCRIPTlO4N,plusHerolsmi
Payment Options:
(Payment must be made in US Dollars and drawn on a US Bank.Canada orders please add GST tax.)
Subscriber TitId/Rank.(check one'only): Type.ofDepartment(check'one'only):.
=T=
El Payment Enclosed ❑ OS. Fire Chief El 01.Volunteer/Paid-on-Call
chorg"eYq; ❑I VIS4 E] ❑ ❑Bill Me ❑ 02.Asst.or Deputy Fire Chief ❑ 02. Paid
❑ 03. Battl./Div./Distr.Chief ❑ 03. Combination Paid/Volunteer
Credit Card#: Expiration bate ❑ 04. Commissioner El07. Other Fire Department
❑ OS. President/Owner/VP ❑ 04. Industrial/Institutional
Signature(Required): Date: ❑ 06.Secretary/Treasurer ❑ 05. Military/Federal
❑ 07 ❑ 8
Name(Pleas`e'print) _ Other(specify):
Other Fire Officials,Federal State 9
--- - Title I-Rank: - _�__�_ ___- _. and incl City Mgrs:
M
El 08. Fire vtarsarshaf
Dept I Agency:' El09.Training Officer/Instructor Population Served by Department:
Address:
El 10. Captain/Commander/Lt. El 01. Under 2,500
❑ 11. EMS Director/Coordinator ❑ 02. 2,501-10,000.
city. '•. State[,Province ❑ 12. Firefighter ❑ 03. 10,001-'25,000
zip I Postal Code: Country: ❑ 13. Paramedic/EMT ❑ 04. 25,001-75,000
❑ 14. Engineer ❑ 05: 75,001-150,0100
Phone: EJ98. Other(specify): ❑ 06. Over 150,000
E-mail(Required): Function:
,. ,; El 01. Management ❑05.Investigation El 09.EMS
[I,Would you like to receive Pioduct and Service information from our indusfry Partners viae mad =� ❑02. Training ❑06.Maintenance ❑10.Hazmat
LiLj
❑03: Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education ❑12.Other:
Visit us at: www.firehouse.com • : 11 :4 564-9453
Priority Code:STDRNL
■ SM BSCJMMON RENEWALi/NVOoO OCC
PO BOX 3258,NORTHBROOK,IL 60065-3258
t:
❑Department Address ❑Home Address(Please check one)
Please make any name,title or address changes as necessary.
qv' � a� �� •, i
DENISE SNYDER
CARMEL FIRE DEPT
2 CIVIC SQUARE �' �� 62-
CARMEL,
-CARMEL, IN 46032
Ship to:
•
• � 968824
• JUN 2015 .
•
04-082015'
968824 RNLPD4
CARMEL FIRE DEPT STA 41
2 CIVIC SQUARE •
CARMEL, IN 46032
• - $ 29,9,5 .
I wish'to support the.Heroism Program $
TOTAL S.U.BS.CRIPTION plus Heroism` $ ``
Payment Options:
(Paymen I t must be made in US Dollars and drawn on a US I Bank.Canada orders please add GST ta x.) Subscriber Title/Rank(check one only): Type of Department(check one only):
❑Payment Enclosed El01. Fire Chief O 01.Volunteer/Paid-on-Call
Charde,to: ❑1 ❑ U ❑ ® Y ❑Bill Me El02. Asst.or Deputy Fire Chief El 02. Paid
❑ 03. Battl./Div./Distr.Chief ❑ 03. Combination Paid/Volunteer
Credit Card q: Expiration bate-- ❑ 04. Commissioner ❑ 07. Other Fire Department
❑ 05. President/Owner/VP ❑ 04. Industrial/Institutional
-- Sianature�Re wired: _ Date:__ _ _- ❑_06._Secretary/Treasurer -_❑.O5,-Milita_ry/Federal�___
Name(Please print): ❑ 07. Other Fire Officials,Federal State ❑ 98.Other(specify):
Title I Rank: and Local incl.City Mgrs.
❑ 08. Fire Marshal
Dept I Agency: ❑ 09.Training Officer/instructor Population Served by Department:.
Address: ❑ 10. Captain/Commander/Lt. El 01. Under 2,500
❑ 11. EMS Director/Coordinator ❑ 02. 2,501-10,000
City: State),Province: ❑ 12. Firefighter ❑ 03. 10,001-25,000
Zip I Postal Code: Country: ❑ 13. Paramedic/EMT El 04. 25,001-75,000
❑ 14. Engineer ❑ 05. 75,001-150,000
Phone: ❑ 98. Other(specify): ❑ 06. Over 150,000
E-mail(Required): Function:
❑01. Management ❑05.Investigation ❑09.EMS
❑ would you,like to receive Product and Service information from our industry Partners viae-mail. [102. Training ❑06.Maintenance ❑10.Hazmat
❑03. Prevention [107.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education ❑12.Other:
Visit us at: www.firehouse.com • : 11 :4 564-9453
Priority Code:STDRNL
■
PO BOX 3258,NORTHBROOK,IL 60065-3258
0 Department Address 0 Home Address(Please check one)
Please make any name,title or address changes as necessary. ;
k., - L�>fi`. 'ss-+.:.'�^.--•x•+.�G�.±t+..n,•srrt.'.r`+^-aU+e xaJa ;...
DENISE SNYDER
CARMEL FIRE DEPT I
2 CIVIC SQUARE
CARMEL, IN 46032 -
`" tr
a:
Ship to:
• � 968827
. JUL 2015
. •
03'-1,0-201'5.
968827 RNLPD3
CARMEL FIRE DEPT
STATION 44 •
CARMEL, IN 46032 • $ 29.95
kwish to support the Heroisrn`Program $
T6TAL SI�'BSCR°IPTIO"N"'plus Heroism $` '
Payment Options:
(Payment must be made in US Dollars and drawn on a US Bank.Canada orders please add GST tax.) Subscriber-Title/Rank:(check oni oniy)c:; Type of,Department(check'one only):;
r ❑Payment Enclosed ❑ 01. Fire Chief El 01. Volunteer/Paid-on-Call'
Charge to ❑I VIM I ❑ " ❑ ❑Bill Me El02.Asst.or Deputy Fire Chief El02. Paid
❑ 03. Battl./Div./Distr.Chief ❑ 03. Combination Paid/Voluriteer
Credit Card#: ' Expiration Date. El04. Commissioner ❑ 07. Other Fire Department
❑ 05. President/Owner/VP ❑ 04. Industrial/Institutional
I Signature(Required) Date ❑ 06. Secretary/Treasurer ❑ 05. ry Milita /Federal
Name:(Please print) ❑ 07 OOtherFire Officials,Federal State EJ98 Other(Specify):
`_ and Local incl.Ci Mrs:_
Title I Rank: ❑ 08. Fire Marshal
Dept I-Ag ency:. „ Training Pop❑ula d by0 Department.
❑ 09 Traition Serve
Address: ❑ S0. Captain/Commander/Lt. 01. Under 2,5 0
❑ 11. EMS Director/Coordinator ❑ 02. 2,501-10,000,
"City:, State I Province ❑ 12. Firefighter ❑ 03. iopi 25,000
Zip I Postal Code: Country: ❑ 13. Paramedic/EMT ❑ 04. 25,001-75,000
❑ 14. Engineer ❑ 05..75,001-150;000
Phone:_r ❑ 98. Other(specify): ❑ 06. Over 150,000
E-mail(Required): Function:
❑01. Management ❑05.Investigation ❑09.EMS
EL Would, 'youli a to receive Product and Service informauon from'our Industry farmers viae mail ❑02. Training ❑06.Maintenance ❑10.Hazmat
❑03. Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education 0.12:Other:
Visit us at: www.firehouse.com • 11564-9453
Prioritytode:STDRNL
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firehouse Magazine
IN SUM OF$
P.O. Box 3258
Northbrook, IL 60065
$119.80
ON ACCOUNT OF APPROPRIATION FOR
I
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 968826 43-552.00 $29.95 1 hereby certify that the attached invoice(s), or
1120 968829 43-552.00 $29.95 bill(s) is(are)true and correct and that the
1120 968824 43-552.00 $29.95 materials or services itemized thereon for
1120 968827 43-552.00 $29.95 which charge is made were ordered and
received except
APR 2 7 2015
7.
A
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
hom, 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))
968826 Sta.45 $29.95
968829 Sta.42 $29.95
968824 Sta.41 $29.95
968827 Sta.44 $29.95
I
I
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
120
Clerk-Treasurer