HomeMy WebLinkAbout334079 01/04/19 J`%�"p''"� CITY OF CARMEL, INDIANA VENDOR: 00351400
ONE CIVIC SQUARE INDIANA FIRE CHIEFS ASSN. CHECK AMOUNT: $*******400.00*
�+ %�; CARMEL, INDIANA 46032 P 0 BOX 305 CHECK NUMBER: 334079
9.y;�roN�` CAMBY IN 46113 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 400.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351400 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INDIANA FIRE CHIEFS ASSN. IN SUM OF$ CITY OF CARMEL
P O BOX 305 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CAM BY, IN 46113
Payee
$400.00
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
0 43-553.00 $400.00 1 hereby certify that the attached invoice(s),or 1/3/19 0 Dues $400.00
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
Thursday, January 3,2019
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
2019 IFCA Membership Invoice Summary
INDIANA FIRE,CHIEFS ASSOCIATION
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To: Carmel Fire Department
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2 Civic Square
Carmel, IN 46032 „
Phone: 317-571-2600 Fax: 317-571-2615
2019 DUES STRUCTURE
Population Served: Dept.Type and Size (Career/Vol/Combin): Member Type. Dues
State Senate District: US Congress District: Department Budget: Active'(1st two Chiefs;any rank) $75 each
State Rep District: IDHS District 5 Active(Addt'I Chiefs,any rank) $50 each
Departmental (<30 in Dept,all ranks) $100.total
In 2018, the individuals listed below with your department were members of the Indiana Fire Chiefs Associate(>30, Non Chief or Other) $50 each
Association. We certainly hope those of you who were 2018 members will renew and encourage others in Section Dues(EMS,Aviation, Public $25 each
your department to join as well in 2019. Please call with any questions concerning membership rates. Safety Educators,,Technical Rescue)
Note: We request that you review and correct this summary(especially blanks above). Mutual Aid Section-no charge
Please change online or fax, email or mail to-Dae Henson, Executive Director IFCA.
SECTIONTITLE NAME EMAIL MEMBERSHIP
1. Fire Chief David Haboush. j, dhaboush@carmel.in.gov Active $0.00 $75.00
Section(s):
2. Assistant Fire Chief
Active $0.00 $75.00
Section(s): L\J
I
To Add A New Member: To Remove A Member: To Change Data:
Please add on this form the new members name, ranklland Please note on the summary which member will not be .,.: Please change or add information to
email address and determine any additional;dues that may be renewing and adjust the amount due by referringto the:: the.
data fields on this form. Attach
owed. membership dues structure. sheet if several changes
IFCA Membership Application �::F.O. Box 305 Camby, IN 46113-0305 I:dhensori@indfirechi6fs.org
TEL 1- 87:7 ) 733 =:1850 � FAX : ( 3 1 7 ) 856-5949 � www.indfirechiefs.org
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2019 WCA Membership Invoice :Summary
INDIANA
.FIRE.CHIEFSASS;OCIATION x
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To: Carmel Fire Department `f��a.q�.,oa�
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2 Civic Square
Carmel, IN 46032
3. Assistant Fire Chief Mark Gugel mgugel@carmel.in.gov Active $0.00 $50.00
Section(s):
4. EMS Chief - ►al#@carmel.in.gov Active. $0.00 $50.00
Section(s):
5 ie -4efPStnTre- .m.gov
Section(s):
6. Safety Chief Mark Cromich mcromlich@carmel.in.gov Active $0.00 $50.00
Section(s):
7, Fire Marshal Bruce Knott bknott@carmel.in.gov Active $0.00 $50.00
Section(s):
To Add A New Member: To Remove A Member: To Change Data:
Please add on this form the new members name, rankiand Please note on the summary which member will not be Please change or add information to
email address and determine any additional;dues that may be renewing and adjust the amount due by referring to the;: the:data fields on this form. Attach
owed. I membership dues structure. -sheetif s everal changes
IFCA Membershi Application 1 P.O. Box 305: Camb IN 46113-0305 dhen.son@indfirechiefs.org
p'p � y, @indfirechiefs.org
TEL 1- (877) 733 =-1850 FAX A'X : ( 3 1 7 ) 856-5949 :� www.indfirechiefs.org
2019 IFCA Membership Invoice Summary
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INDIANA FIRE,CHIEFS ASSOCIATION
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To: Carmel Fire Department
2 Civic Square
Carmel, IN 46032
8. Public Education Keith Freer kfreer@carmel.in.gov Active $0.00 $50.00
Director
Section(s):
Please Send Receipt: ❑ Check(payable to IFCA)#: Renewal Total: --$4158-66- yoo oQ
Section Dues: $0.00
Visa Mastercard Card Number: + New Members:
Name on Card: Exp Date: Total Due:
Signature:
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Online Payment Option -Visit: www.ir,dfirechidfs.org under the membership tab
New Members (write name, rank, email and any section changes below or submit changes online):
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To Add A New Member: i To Remove A Member: To Change Data:
Please add on this form the new members name, rank and Please note on the summary which member will not be Please change or add information to
email address and determine any additional dues that may be renewing and,adjust the amount due by referring to the the data fields on this form. Attach
owed. 1 membership dues structure. sheet if several changes
1 I
IFCA Membership Ap,lication P.O. Box 305 1 Camby, IN 46113-0305 dhenson'@indfirechiefs-org .
TEL 1- (877 ) 733 1850 FAX : ( 3 1 7 ) 856-5949 www.indfir�echiefs:.org
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