HomeMy WebLinkAbout251137 11/04/15 •CSA .
CITY OF CARMEL, INDIANA VENDOR: 00351739
® ONE CIVIC SQUARE INTERNATIONAL ASSOC OF FIRE CHIEFCHECK AMOUNT: $....M**234.00*
s. is CARMEL, INDIANA 46032 PO BOX 5007 CHECK NUMBER: 251 137
CL500039 CHECK DATE: 11/04/15
MERRIFIELD VA 22116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 DUES 234.00 ORGANIZATION & MEMBER
Join Date: 12/08/2009 Payment Due:11/30/2015
IAFC ID: 92650 1501
David G.Haboush PAYMENT OPTIONS
Fire Chief CREDIT CARD:
Carmel Fire Dept Login and pay online at www.iafc.org/MemberCenter
2 Civic Sq or call Member Services at(866)385-9110.
Carmel,IN 46032-7543
CHECK:Make checks payable to"IAFC Membership."Include your
Daytime Phone: (317)571-2600 IAFC ID#on the check.Mail with this invoice to:
Alt.Phone: (317)705-1942 IAFC
Email: dhaboush@carmel.in.gov CL500039
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This address is_Home _Dept. P.O.Box 5007
Merrifield,VA 22116-5007
Please cross out and update info as needed.
PO: Fax to 703-273-9363,Attn.Member Services.
_ Or email to membership@iafc.org. _
FREE SECTION OFFER:The Safety,Health&Survival section is offering 1 year of free section membership to ail non section members who
are active IAFC members. To take advantage of this offer,select Safety,Health&Survival section when renewing and at checkout use
coupon code FREESHS. If paying by check,mark the box on the invoice below for the section to be added to your membership.
I
Your current membership package includes:
IAFC Membership Dues(required) $189.00
Great Lakes Division Dues(required) $20.00
Executive Fire Officers $25.00
Total Current Package Cost: US $234.00
92650 Haboush 1501 I
Check off any additional sections you would like to purchase at this time:
❑Company Officers.....................................$25.00 ❑Fire and Life Safety...................................$25.00
❑Emergency Vehicle Management.......$25.00 ❑Industrial Fire and Safety.......................$25.00
C21mergency Medical Services(EMS)...$25.00 C1Safety,Health and Survival....................$25.00
Executive Fire Officers.............................$25.00 CURRENT MEMBER ❑Volunteer&Combination Officers......$25.00
❑Federal and Military Fire Services.......$20.00 Metropolitan Chiefs-Call Member Services for an application.
YES, I would like to donate to the IAFC Foundation's Educational Scholarship Program.
Learn more at www.iafcf.org. ❑ $5, ❑ $10, ❑ $25, ❑Other (all donations are tax deductible)
o e o 0 o e •
VOUCHER NO. WARRANT NO.
ALLOWED 20
IAFC IN SUM OF $
CL500039 ` 0'1
PO Box 5007
Merrifield„ VA 22116-5007
$234.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-553.00 $234.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
2uJ I
materials or services itemized thereon for
which charge is made were ordered and
received except
NOV - 2 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund