HomeMy WebLinkAbout199000 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 096000 Page 1 of 1
0 ONE CIVIC SQUARE FIRE DEPT SAFETY OFFICERS ASSOCI CHECK AMOUNT: $605.00
CARMEL, INDIANA 46032 PO BOX 149
ASHLAND MA 01721 -0149 CHECK NUMBER: 199000
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 24236 2193 605.00 REGISTRATION
FDSOA
30 Main Street Suite 6 DATE INVOICE
P. 0. Box 149
Ashland, MA 01721 -0149 6/17/2011 2193
BILL TO SHIP TO
City of Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O. NO, TERMS SHIP DATE SHIP VIA
24236 Due on receipt 6/17/2011 US Mail
DESCRIPTION QUANTITY PRICE AMOUNT
Annual Conference Registration: Jeff Fuchs: 2011 1 425.00 425.00
Annual Safety Forum and ISO Academy
Certification Exam Registration: ISO Certification 1 95.00 95.00
Exam
1 Year Individual Membership Dues 1 85.00 85.00
Total $605.00
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))
2193 Fuchs $605.00
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
VOUCHER NO. WARRANT N
ALLOWED 20
FDSOA
IN SUM OF
P.O. Box 149
Ashland, MA 01721 01 4q
$605.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
24236 I 2193 I 43- 570.04 I $605.00 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
v Vd'w c-
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund