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312400 06/13/17 y us CSA*F >� CITY OF CARMEL, INDIANA VENDOR: 367495 N N N N N N N ONE CIVIC SQUARE GREAT LAKES FIRE ACCREDITATION MCgECK AMOUNT: $ 100.00' r° CARMEL, INDIANA 46032 C/O NAPERVILLE FIRE DEPT CHECK NUMBER: 312400 1380 AURORA AVENUE CHECK DATE: 06/13/17 NAPERVILLE IL 60540 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 100.00 ORGANIZATION & MEMBER 02 - n O < « k ) 0 9 \ k ƒ / c \ © ° X / > ® 0 k 0 M > m ± q m g 2 A % m _ w 2 K K k e \ / -n -6, O % 0 9 w o < m 3 a § U k # k 2 ƒ f / } O / 0 k q f S2 / . 0 ® 2 / 4 k E 0 ® m 3 ° * © / ¥ 2 2 \ z R 2 0 0 CD0 3 C § § | 7 0 ¥ . � . J i 3 - 2 / k } \ / / \ 0 CA k ` w CD / o � G -n o § ; m # R - = E k 2 \ f k \ • \ CL C- (D . § / / � % \ i@ E o k k O g y ƒ = e i 2 i ƒ i 5 E ® ; Err % [ « E ƒ- k ƒ § � « f § � ; 7 ± 7 ® CL » \ /\j k @0. CY E (D > ) � & CD § k _ C0 � � O 2 82 22 « g ° 2 q ƒ kCD = C a ) f ^ $ CL 0 Z 9 @ 3 § C) Err CL § k � \ | 0� � T e� / {ƒ CD \ o > a) 90 \ � / \ f - 3 o a G c \ \ O E # ) % CD C \ [ / 7 ' ) / - © o \ ] \ E CD G \ \ \ \ z CD fl) CL _ D e D ° o r' ,?+ t s n n a M w 0 0 `~YM ,ion Y+ 2017 Dues Notice GREAT LAKES FIRE ACCREDITATION MANAGERS c/o Naperville Fire Department 1380 Aurora Ave. Naperville, IL 60540 630-420-6140 Annual dues for membership in GUAM Cost: $100 Please complete this membership registration form regardless of new or existing membership. Additional department affiliated members may be listed on the same form. Department or Organization: Carmel Fire Department Address: 2 Civic Square City/State: Carmel, IN Zip Code: 46032 Phone Number: (317) 571-2600 E-mail address of all department personnel to be listed: dhaboush(a,carmel.in.eov dsnyder(u carmel.in.eov gdufek(a,carmel.in.P_ov Enclose check payable to: GLFAM Mail to: GREAT LAKES FIRE ACCREDITATION MANAGERS c/o Naperville FD 1380 Aurora Ave. Naperville, IL 60540