311921 05/30/2017 CITY OF CARMEL, INDIANA VENDOR: 371665
ONE CIVIC SQUARE VOLUNTEER FIREMAN INSURANCE SEROIWK AMOUNT: $*****1,396.00*
f? ,+ CARMEL, INDIANA 46032 Po Box 2726 CHECK NUMBER: 311921
YORK PA 17405 CHECK DATE: 05/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 100418 55283 1,396.00 REGISTRATION FEE
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fjW104 VFISO Invoice
Invoice No.: 55283
Insurance•Education and Training•Rlsk Control•consulting Date: 05/05/17
P.O. Box 272E
183 Leader Heights Road Employer ID#23-1732969
York, PA, 1740E Customer No.:CARMEL FD
(800)233-1957 Fax(717)747-7028 www.vfis.com
Bill To: Carmel Fire Department Ship To: Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
EDUCATION& P.O.NUMBER SHIPPING DATE SHIPPED VIA CUSTOMER CONTACT TERMS
TRAINING REP.
Diane Gentzler 100418 05/05/17 Net 30
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Required Shipped B.O.
1 1 ETS Seminars &Workshops 499.00 499.00
EVDT-I, Indianapolis, IN
Mav 23&24 2017
3 3 ETS Seminars&Workshops 299.00 897.00
Additional Attendees
Mark Cromlich
Marc Deitsch
Kevin Stindle
Jason Wendzel
SUBTOTAL 1396.00
SALES TAX 0.00
SHIPPING & HANDLING 0.00
PAYMENT RECEIVED: Credit Card 0.00
Cash/Check 0.00
TOTAL DUE 1396.00
If paying by check, please make it payable to: VFIS. Please reference 45-700 on all checks.
If you have any questions concerning this invoice, please call: Diane Gentzler @(800)233-1957-ext. 7951.
Please include the"COPY" invoice page with your payment.
THANK YOU FOR YOUR BUSINESS!