HomeMy WebLinkAbout194235 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 362489 Page 1 of 1
ONE CIVIC SQUARE INDIANA FIRE CHAPLAIN CORPS INC CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 15 E MAIN STREET
NEW PALESTINE IN 46163 CHECK NUMBER: 194235
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 150.00 EXTERNAL INSTRUCT FEE
Schedule of Events for both days
Name iZe 8:OOAM Coffee and pastries
9:00AM Classes begin
Address C� 1 2 r,1 V z�� 12:OOPM Lunch served (free with registration)
city (S e r 1:OOPM Classes resume
4:OOPM Classes dismiss
state Zip `i6 o 3 1 Dress is casual for both days. Refreshments provided at all breaks.
Phone Zt� Life Church is located 2.5 miles west of 1-465 on the westside of Inds
J..0 C
anapolls at 9101 West loth Street.
Contact Tony Portell for housing Information at 317 410 -1010. E
Email
Please enroll me for Conference host
0 Essentials Level 100 Chaplaincy (2 Days) 150.00 Jeannie Swanson -Great Lakes Director FFC
0 Suicide Intervention (2 Days) 150.00 (630) 479 1970
CISM Group Intervention (2 Days) 150.00 jennieswanson @sbcglobal.net
Kenton Lord President
0 1 am NOT a member of the,_,.,_ FFC (Federation of Fire Indiana Fire Chaplains Corps
Chaplains) IFC (Indiana Fire Chaplains) and would (260) 708 -0001
like to join with my registration. kb9jsm @centurylink.ne#
Tuition for 2 Days 150.00
One Year FFC membership 100.00 Tony Porteil Conference Coordinator
One Year IFC membership 10.00 (317) 410 -1010
Essentials Chaplaincy Training Manual 70.00 tony @lifechurchindy.com
r 00
Total Enclosed
Costs includes lunch both days and all handouts. Comee�`_"
dressed casually and arrive at 8AM each day for free coffee�h
and pastries and a chance to connect with other chaplains,
and crisis responders.';
�f 1
Federation of Fire Chaplains
Ed Stauffer, Executive Director
P. 0, Box 437
Meridian, TX 76665.
254 435 -2256 office /fax
www.firechaplains.org
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Fire Chaplain Corps, Inc.
IN SUM OF
9101 West 10th Street
Indianapolis, IN 46234
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1120 I f 43-570,041 $150.00 1 hereby certify that the attached invoice(s), or
II 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
JAN 3 Y 2011
�Li .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))
$150.00
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
Clerk- Treasurer