HomeMy WebLinkAbout259537 06/14/16 y p,_CggM
�/ �'• CITY OF CARMEL, INDIANA VENDOR: 00351734
j; ONE CIVIC SQUARE FIREHOUSE MAGAZINE CHECK AMOUNT: $********29.95*
?�: CARMEL, INDIANA 46032 PO BOX 3258 CHECK NUMBER: 259537
gy,�oN NORTHBROOK IL 60065 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 1104064766 29.95 SUBSCRIPTIONS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201 (Rev.1995)
FIREHOUSE MAGAZINE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 3258 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NORTH BROOK, IL 60065 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$29.95 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1104064766 43-552.00 $29.95 1 hereby certify that the attached invoice(s),or 6/7/16 1104064766 $29.95
1120 101 1120 101
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
Tuesday,June 07,2016
David Haboush
Fire Chief
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
■ ■ ■ Renewal Discount Form
■ 1 ■ If payment has been sent, please disregard this notice.
PO BOX 3258,NORTHBROOK,IL 60065-3258
Return Today and Save $10 OFF Your Renewal*
184
***************ORIGIN MIXED ADC 400 1.00 1104064766
CARMEL FIRE DEPT 2
STATION 44 •
2 CIVIC SQ
CARMEL IN 46032-7543 EXPIRE DATE JUL-16
)Illllll�llii��i)(I)111111(II)1�))(I((1((I(��1�11)�III�(I)(1(IIIDATE
4/12/2016
❑Department Address ❑Home Address(Please check one) SUBSCRIPTION • Outside
Please make any name,title or address changes as necessary.
-URGE-NT REN-E-WALINSTRUCTI®NSI
--I�II�lsl�lllltil■® I One Year - $29.95 $34.95 _$49.95
You must act today! Just complete and mail this renewal form PRINT MAGAZINE +❑Two Year $49.95 $54.95 $89.95
and payment and we'll process your order immediately so you can
continue to receive the valuable information that Firehouse®offers. I'll�l:l�lllltil.® ❑One Year $19.95 $19.95 $19.95
DIGITAL MAGAZINE ❑Two Year $35.95 $35.95 $35.95
Selected- tion Price: $
r l ❑1 wish to support the Heroism Program $
Pre-Paid Subscription Discount (*Payment must Accompany Renewal)
• 1 11 • 1 111 • $
Payment Options;
- 1.
lip
to serve vou better in the future.olease comolete the information listed below. Charge to: ❑ V El ❑ "® ElPayment Enclosed
NMEW 0 - ❑Bill Me
Subscriber Title/Rank(check one only): Type of Department(check one only): Credit Card#: Expiration Date:
❑ 01. Fire Chief ❑ 01. Volunteer/Paid-on-Call
❑ 02. Asst.or Deputy Fire Chief ❑ 02. Paid
_❑_03_Battl./Div./DistLChief_,,-_-_❑ Signature(Required): Date:03-Combination Paid/Volunteer-
El 04. Commissioner ❑ 07. Other Fire Department
El 05. President/Owner/VP Name(Please print):
❑ 04. Industrial/Institutional
❑ 06. Secretary/Treasurer ❑ 05. Military/Federal Title I Rank:
❑ 07. Other Fire Officials,Federal State ❑ 98. Other(specify):
and Local incl.City Mgrs.
❑ 08. Fire 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:
❑ 12. Firefighter El 03. 10,001-25,000
El 13. Paramedic/EMT
❑ 14. Engineer ❑ 04. 25,001-75,000 Zip I Postal Code: Country:
❑ 98. Other(specify): ❑ 05. 75,001-150,000
❑ 06. Over 150,000 Phone:
Function: E-mail(Required):
❑01. Management ❑05.Investigation ❑09.EMS
El 02. Training ❑06.Maintenance ❑10.Hazmat0 Checkhereifyou do notwishto receive Product and Service informationfrom our industry Partners via e-mail.
E103. Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education ❑12.Other:
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Phone :11 847-564-9458 9 Visit us at: www.fireh• •