HomeMy WebLinkAbout196333 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 363420 Page 1 of 1
ONE CIVIC SQUARE FIRE ENGINEERING CHECK AMOUNT: $29.00
CARMEL, INDIANA 46032 PO BOX 3498
NORTHBROOKIL 60065 CHECK NUMBER: 196333
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 124344 29.00 SUBSCRIPTIONS
sm 011 0 a To renew complete and mail this form or
M P" 11 800-582-6949.
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Account 12434 Expire Date 042011 5 reasons to renew your subscription
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Help us serve you better by answering the questions below:
1. Are you a member of a fire department 4. Population Served by Department 6. Do you purchase, recommend, specify or
(municipal, county or state)? Ol Under 2,500 approve purchases for your department?
I 4Yes (go to questions 2 -6) 02 2,501 10,000 1 OYYes
0 No (go to question 7) 03 10,001- 25,000 0 No
07 X5,001- 50,000
2. Rank or Title: 7. Other relationship to the fire service:
01 08 50,001 100,000 fief of Department 09 100,001- 500,000 22 ❑Industrial, institutional, military,
02 L4 Staff Chief 10 Over 500,000 airport, high -rise, or other organization
03 Other Officer
with special fire prevention or
04 Cl Firefighter 5. Funct )n (check ALL that apply):
05 Training Officer 01 GrManagement suppression requirements
23 ❑Fire Prevention and fire protection
06 Other 02 Training
03 revention engineering firm, fire consultant,
3. Volunteer or Paid: 04 Q Suppression 6 Maintenance arson investigation organization
01 r_1 olunteer or insurance company
CV
02 'Faid 0 Inves tigation c e 21 Other government dept or agency
O6
03 ❑Combination Paid/Volunteer 07 C1 24 :1 Fire equipment manufacturer Communication q p
08 Public Education 25 Fire equipment distributor
09 EMS 26 School
27 Public Library
1 I Rescue
I 0 El escue 28 Cl Fire association, fire museum, TV, radio
29 ❑Other
12 Other
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fire Engineering
IN SUM OF
P.O. Box 3498
Northbrook, IL 60065
$29.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 124344 I 43- 552.00 l f $29.00 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
APR I 1 n>>
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))
124344 $29.00
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