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Home My WebLink About165761 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 096000 Page 1 of 1 s1� ONE CIVIC SQUARE FIRE DEPT SAFETY OFFICERS ASSOC SECK AMOUNT: $470.00 CARMEL, INDIANA 46032 PO BOX 149 ASHLAND MA 01721 -0149 CHECK NUMBER: 165761 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120' 4355300 14984 85.00 ORGANIZATION MEMBER 1120 4357004 14984 385.00 EXTERNAL INSTRUCT FEE i I I f i 1 DEPART�j gpFEr FIRE DEPARTMENT SAFETY OFFICERS ASSOCIATION e o HEADQUARTERS: 30 Main Street, Suite 6, P.O. Box 149 o Ashland, MA 01721 -0149 Voice 508.881.3114 Fax 508.881.1128 lr0 CERS AS Web Site www.fdsoa.org o Email fdsoa@fdsoa.org Chairman Sandy Davis Executive Director Mary F. McCormack October 2, 2008 Your membership in the Fire Department Safety Officers Association is due for renewal. This statement serves as your annual renewal notice. To better serve our members, we are asking you to please verify your contact and address information and make any necessary changes on the remittance copy below. Additionally, we would like to ask you to provide us with your email address so that we can send you periodic update and announcements. As always, FDSOA will never sell or share your information with anyone for any reason, PERIOD!!!! Don't forget you must use your membership number and last name to download and print the Newsletter Safety Grain each month from our website www.fdsoa.org. Kindly return the bottom portion of this statement with your payment as soon as possible in order to avoid a lapse in your membership. Please feel free to call with any questions or suggestions regarding the Association. Thank you for your continued support. Membership Services a zVAR jdlF� gAFETy w y EAL� l`�ffICERS ASS�c 2009 Apparatus Specification 'vehicle M aintenance Symposium NOTE: Use one registration form per person. Please return completed form, with payment in U.S. funds, to: FDSOA, P.O. Box 149, Ashland, MA 01721 -0149. Make checks payable to FDSOA. Save time register online at: http: /www.fdsoa.org. NAME: cgc S TITLE: MA fJ7T &uc-c EF AGENCY: CA,01n F-L ADDRESS: G/JlC SUyA� ff CITY: CAl2, 9 STATE: -TG/ ZIP: WORK PHONE: J AI 7 --57/- L bo G FAX: v/7 s'J aC� /S EMAIL: j� (IA, PCAVIYyL Go✓ CELL PHONE: 31 7- Symposium Registration ;Registration includes refreshments lunch) J� FDSOA Members $385.00 Non Member Fee $485.00 FAMA Members $460.00 (If you are a FAMA member but not an FDSOA member) J� FDSOA Membership Dues 85.00 (Join now and take advantage of the member rate) I ISO or HSO Certification Exams: A separate registration application and payment is required for Certification Exams. The application can be down loadedlprinted from the FDSOA web site: www.fdsoa.org V P yment Information (U.S. Funds, drawn on U.S. Bank) Enclosed is a check payable to FDSOA Enclosed is an official Purchase Order Credit Card: (Master Card/Visa Only) Card Number: Signature: Exp. Date Cancellations: Cancellations, must be made in writing and sent to FDSOA, P.O. Box 149, Ashland, MA 01721 -0149. If received 30 days prior, 75% of Conference Registration only will be refunded; 7 -29 days prior, 50% of Conference Registration only will be refunded. Less than 7 days, no refund is possible. Save time! Register on line at www.fdsoa.org VOUCHER NO. WAR NO. ALLOWED 20 FDSOA IN SUM OF$ P.O. Box 149 Ashland, MA 01721 $470.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 43 570.04 $385.00 1 hereby certify that the attached invoice(s), or 1120 14984 43- 553.00 $85.00 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 NOV 10 2008 d r Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1 995) ACCOUNTS PAYABLE VOUCHER r 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)) Register Conference VanVoorst $385.00 14984 Dues VanVoorst $85.00 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