HomeMy WebLinkAbout190812 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 163900 Page 1 of 1
1J ONE CIVIC SQUARE INTNL ASSOC OF FIRE CHIEFS MEMBE SECK AMOUNT: $204.00
CARMEL, INDIANA 46032 PO BOX 75649
;s� BALTIMORE MD 21275 -5649 CHECK NUMBER: 190812
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 204.00 ORGANIZATION MEMBER
Page 3 of 3
.6 Y.. tl W 7P
92650
David Haboush
Assistant Chief
Carmel Fire Department
2 Civic Sq
Carmel, TN 46032 -7543
Phone: (3 17) 571 -2600
Fax: (317) 571 -2615
E -mail: dhaboush @carmel.in.gov
Is this address: Home Department
TOTAL DUE: $204.00
Basic IAFC Dues (required): $184.00
Great ,Lakes Division Dues (required): $20.00
Do you wish to add a section?
Please check the box of the section you would like to add and include the additional dues amount to your total
above.
Emergency Vehicle Management Section $25.00
Emergency Medical Services (EMS) $25.00
Federal and Military Fire Service $20.00
Fire and Life Safety $25.00
Industrial Fire and Safety $25.00
Safety, Health and Survival $25.00
Volunteer Combination Officers $25.00 Total Amount Paid
*To pay with a check, please print this invoice and return it with your payment to:
IAFC Membership, PO Box 75649, Baltimore, MD 21.275 -5649
$1 of your annual membership dues will be allocated toward a one year subscription to RreRescue Magazine, which is
non- deductible from your dues. 2009 International Association of Fire Chiefs
9/20/2010
VOU!;HER NO, WARRANT NO.
ALLOWED 20
IAFC
IN SUM OF
P.O. Box 75649
Baltimore, MD 21275
$204.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 553.00 $204.00 I hereby certify that the attached invoice(s), or
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
nrT 14 -hn +n
f 17
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER.
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Haboush $204.00
1 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
2a
Clerk- Treasurer