HomeMy WebLinkAbout196785 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 363420 Page 1 of 1
ONE CIVIC SQUARE FIRE ENGINEERING
i 0 4 CHECK AMOUNT: $29.00
CARMEL, INDIANA 46032 PO BOX 3498
NORTHBROOK IL 60065 CHECK NUMBER: 196785
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 421977 29.00 SUBSCRIPTIONS
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Account 421977 Expire Date: 062011 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)? 01 Under 2,500 approve purchases for your department?
I Yes (go to questions 2 -6) 02 2,501 10,000 1 Yes
0 No (go to question 7) 03 10,001- 25,000 0 No
07 25,001 50,000
2. Rank or Title: 08 50,001 100,000 7. Other relationship to the fire service:
01 Chief of Department 09 100,001- 500,000 22 Industrial, institutional, military,
02 Staff Chief 10 Over 500,000 airport, high -rise, or other organization
03 Other Officer with special fire prevention or
04 Firefighter 5. Function (check ALL that apply): suppression requirements
05 Training Officer 01 Management 23 Fire Prevention and fire protection
06 Other 02 Training engineering firm, fire consultant,
03 Prevention
3. Volunteer or Paid: 04 Suppression arson investigation organization
Ol ❑Volunteer or insurance company
05 1] Investigation 21 Cl Other government dept or agency
b p g y
0_ ❑Paid
06 Maintenance 24 Fire equipment manufacturer
03 Combination Paid /Volunteer 07 Commun n icatio
08 ❑Public Education 25 ❑Fire equipment distributor
26 School
09 EMS 27 Public Library
10 Hazmat 28 Fire association, fire museum, TV, radio
I I Rescue 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 N0. I ACCT #!TITLE AMOUNT Board Members
1120 I 421977 I 43- 552.00 $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 22 Z 91 i
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))
421977 $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