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192845 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: L2344 Page 1 of 1 ONE CIVIC SQUARE INDIANA FIREFIGHTERS ASSOC CHECK AMOUNT: $1,510.00 CARMEL, INDIANA 46032 3619 SLOAN AVE ANDERSON IN 46013 CHECK NUMBER: 192845 CHECK DATE: 12/15/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 1,510.00 ORGANIZATION MEMBER Ralph Luke IFA Secretary /Treasurer 3619 Sloan Ave Anderson, IN 46013 Phone (765) 643 -4378 www.indfa.com DECEMBER 6, 2010 City of Carmel Fire Department 2Carmel Civic Square Carmel IN 46032 Quantity Description of Items Cost per Item I.F.A. 2011 Membership Dues $10.00 for each Firefighter For 151 Carmel Firefighters Total: $1,510.00 Tax ID number 23- 7034098 Please make check or money order payable to IFA Send to attention of Ralph Luke at address above Thank you for supporting the Indiana Firefighters Association, Inc. and please never forget September 11, 2001 VOUCHER NO. WARRANT NO. FA ALLOWED 20 IN SUM OF 3619 Sloan Ave Anderson, IN 46013 $1,510.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 43- 553.00 $1,510.00 1 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 DEC 13 2010 A Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State 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)) Dues for Dept. $1,510.00 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 ,20 Clerk- Treasurer