HomeMy WebLinkAbout193177 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 219001 Page 1 of 1
ONE CIVIC SQUARE NATIONAL FIRE PROTECTION ASSOC
INDIANA 46032 PO Box 9689
CHECK AMOUNT: $150.00
CARMEL
1= MANCHESTER NH 03108 -9689
CHECK NUMBER: 193177
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 150.00 ORGANIZATION MEMBER
National Fire Protection Association Record ID#
Membership Department
11 Tracy Drive Priority Code 8Z- 493 -1 H
NFPA Avon, MA 02322
Membership Acceptance Form
Iilld11I11II111 till 11 till 1111I1I111111111111111 till 111111till
KEITH SMITH
CHIEF
CARMEL FIRE STATION
2 CIVIC SQ
CARMEL, IN 46032 -7543
A REVIEW OF OUR RECORDS INDICATES THAT YOU ARE NOT CURRENTLY A MEMBER OF NFPA.
TO ACTIVATE THIS MEMBERSHIP, PLEASE FILL OUT-THE AREAS BELOW AND RETURN IN THE
ENVELOPE PROVIDED KEEP THE YELLOW COPY FOR YOUR RECORDS. YOU MUST RESPOND BY
JANUARY 5, 2011 IN ORDER TO ACTIVATE MEMBERSHIP AT THIS PRICE.
JOB TITLE: (CHECK ONE)
ARCHITECT, ENGINEER, CONSULTANT, INSPECTQR,'BUILDING OFFICIAL.
CONTRACTOR (C17) FIRE MARSHAL (FO3)
OWNER, PRESIDENT, MANAGER, ADMINISTRATOR (C10) LOSS CONTROL, RISK MANAGER, (L11)
FIRE CHIEF, OTHER FIRE SERVICE (All) OTHER (Gll)
FACILITIES SAFETY OFFICER (F14)
ORGANIZATION TYPE: (CHECK ONE)
ARCHITECTURE, ENGINEERING, CONTRACTING (A14) INSTITUTIONAL (HEALTH CARE,
INDUSTRIAL FIRM (FACTORY, WAREHOUSE) (Cll) EDUCATION, DETENTION, MUSEUM)
ELECTRICAL SERVICES.• INSTALLATION (Jll) (B11)
FIRE SERVICE, PUBLIC AND PRIVATE (AA1) COMMERCIAL FIRM (OFFICE, RETAIL,
GOVERNMENT (C12) LODGING, RESTAURANT) (G13)
INSURANCE, RISK MANAGEMENT (B12) OTHER (G11)
UTILITIES (912)
MEMBERSHIP TERMS: SAVE MORE BY CHOOSING MULTIYEAR RATES'.
I -YEAR $150 2 -YEARS $270 3 -YEARS $390
REGULAR NFPA MEMBERSHIP IS INDIVIDUAL AND NON- TRANSFERABLE. VOTING RIGHTS BEGIN
AFTER 180 DAYS OF INDIVIDUAL MEMBERSHIP. ANNUAL DUES INCLUDE A $45.00
SUBSCRIPTION TO NFPA JOURNAL.
PAY ENT TYPE:
PAYMENT ENCLOSED (MAKE CHECK PAYABLE TO NFPA)
BILL ME LATER
PURCHASE ORDER (PLEASE ATTACH THIS FORM TO YOUR PO)
VISA CARD EXP DATE
MASTERCARD CARD EXP DATE
AMEX CARD EXP
DISCOVER CARD EXP DATE
SIGNATURE_
E -MAIL ADDRESS �►������j_� �o
DAYTIME PHONE �����e o.Q
VOUCHER NO. WARRANT NO.
ALLOWED 20
NFPA
National Fire Protection Association IN SUM OF
P.O. Box 9689
Manchester, NH 03108
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT# /TITLE AMOUNT Board Members
1120 43- 553.00 $150.00 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 2 a 2010
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))
$150.00
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