160407 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00351400 Page 1 of 1
ONE CIVIC SQUARE INDIANA FIRE CHIEFS ASSN.
is 0 3; CHECK AMOUNT: $185.00
CARMEL, INDIANA 46032 P 0 BOX 364
ZIONSVILLE IN 46077 CHECK NUMBER: 160407
CHECK DATE: 6/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 185.00 ORGANIZATION MEMBER
Name: David Haboush Title: Assistant Chief
Department: Carmel Fire Department County: Hamilton
Department Address: 2 Civic Square
City: Carmel State: IN ZIP Code: 46032
Phone: 317- 571 -2600 E -Mail: dhaboush @carmel.in.gov Fax: 317 -571 -2615
State Rep State Senate US Congressional IN Homeland Security
District: District: District: District:
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MEMBERSHIP CATEGORIES (C HECKAPPROPRIATELIN E)
Active Memberships shallfbe,comprised of the'Chief, of Department and any: Chief ffice
Or, Rank of a regularly organized
Fire Department and the State'Fire larshal's Office: Active members shall be entitled to vote on allYmatters requiring a vote
unless otherwise prohibited'bythe Constitution and .By- Laws�and, shall entitled to hold elective 81ffi'e6 A Fire Department may
authorize and pay for,.the� continual membersp bf its•c
Associate Membershii shall !ncIW'eN1ndividuals interested in the protection -of life and property from' fi�e's Associate
members shall bee ntitled to participate fully'in the affairs of the.Association, with the exception of holding,elective office and
r
voting.
Life Membership is available�46 Active'members who have retired fromithe Firie after 10 consecutive,, as
members of IFCA. Life members are entitled to participate fully in the affairs of the Association, with the exceptiop 4ftlding
elective office. Membership.based an Board approvak: ,Life members are exempt from all payment
MEMBER SECTIONS (CHECK APPROPRIATE LINE) }g
EMS y Public Safety Educator
i
F 1 Technical itescuee r
PAYMENT METHODS DUES TOTAL DUES:
First Member ond Membe�$ 75__�- 'I Third`Member from the same departments 65
f Se fr f rom the same department 65 x+ ,1 1 Each addit!onal member�,from- the {same, depament 55
Cheek (payable to IFCA) Visa MasterCard
Ca rd 'N umber: x {i J �,�Expiration Date i t
1
1
Name 'On }Card l Signature ti
TO HELP'USSERVEYOUBETTER,PLEASE ANSWERTHEFFOLLOWING `QUESTIONS�'r r'
Population Served b FD y (number in ci 1
Type of Organization r
_Career'Firel epartr e&7- Fire Departm ent _k Volunteer Fire Department
Equip. Main�ufacturer: Distributer Federal /State /Local Government Industrial FrelBrig de MunicipalrAgency
Rescue Squad Tra(ie 6r Professional Org. Educational•Institution /Library Oth er Ay
Job Function IR *A "iii i 7
_Assistant/Deputy Chief F f' Chief`Officer .Company Officer EMT /Paramed FEre Chef Fire Commissioner
Firefighter _'?First Responder/ Inspector `4 .Instru 4tor raining Officer `Mil t* 1 State/,Local Fire Marshall
Student _Supervisor Other 1.
am interested in the following committ ees
Communication Confi= Constitution/By—Laws .Education. EMS Inspectors
_Legislation Membership Memorial Team Public'Education Tech,Rescu6
Please check al! topics of interest
Apparatus Maintenance Budget Managementrt Career /Volunteers /:Combination Issues
Community Relations/ Marketing Conflict Management';;'"_'- Disaster'Management Diversity /Recruitment
EMS Firefighter Safety Fire Prevention Fitness/Wellness Govt. Relations Grants /Fundraising
Hazmat Human resources Industrial Fire and Safety Labor /Management Relations Military
Officer Development Risk Management _Technology _Terrorism /Homeland Security Training/Education
Wifdland Fire Other
Easy Ways To Join. Return application and payment to Terry Rake, IFCA Executive Director.
By Mail: IFCA Membership Application, P.O. Box 364, Zionsville, IN 46077
By Fax: 317 -733 -4212 Toll Free: 1- 877 -733 -1850 or 317 733 -1850
Online: www.indfirechiefs.org E -Mail: rake @indfirechiefs.org
Sponsorship Opportunities Available 'Contact our'office or website.'
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Name: Mark Hulett Title: EMS Director
Department: Carmel Fire Department County: Hamilton
Department Address: 2 Civic Square
City: Carmel State: IN ZIP Code: 46032
Phone: 317 -571 -2600 E -Mail: mhulett@carmel.in.gov Fax: 317 -571 -2615
State Rep State Senate FUSCongressional IN Homeland Security
District: District: t;, District:
MEMBERSHIP CATEGORIES (CHECK APPROPRIATE LINE)
Active Memberships shall,be,comprlsed of the'Chief of Department and any Chief Offic_er,Rank of a regularly organized
Fire Department and the State Fire Marshal's Office. Active members shall be entitled.to vote on al matters requiring a vote
unless otherwise prohibited "by'`the Constitution and By- Lawsia d V6 entitled to hold elective o_ Nice A Fire Department may
authorize and pay for, >the,c`ontinual membership'of itstchief officers y%,
i sue.,
Associate Membership' include' interested in the protection -of life and property from fire
p's Associate
members shall ,be entitled to par�ticlpate fully in the affairs of the Association, with the exceptlon holding elective office and
voting. r r �r `t y F J c�.. "I";
't i x r •x i, tit.
Life Membershiia is avallablelo Active members who have retired fromjthe Fire•-Service'after 10 corisecutive as
members of IFCA.- Life members are entitled to participate fully in the affairs.bf the Association, with�the exception of holding
elective offce..Membership.based on Board approval Life mi m ersare exempt from ail payment
MEMBER SECTIONS (CHECKAPPROPRIA TE LINE)
ki
EMS `'Public Safety Educator k
j
Flrea i c` Technical Rescuer
PAYMENT METHODS DUES TOTAL DUES:
_First Member 75 'I, Third Member from the same department) 65
f I a
Member from the same department 65 tEach additional member�from- thesame department 55 j
Check (payable to IFCA) Visa MasterCard 4, a' ;f._ i If
Card `Number: y ,r' i �`�jxpiration Da
141. I "L ..lr
Name lOnCard v, 't t Si nature:
Po ulatic Served b FD WER THEYOLLOWINGOUESTIONS k
TO HELP YS SERVE YOU�BETTER, PLEASE ANS ;71
P Y t w (number in ciiyj
Type of Or'gariizat"on
Career'Firet,Department u ��'Combination Fire Department Volunteer Fire Department r k t"
I Equip. Manufacturer, Distributer' Federal /State /Local Government Industrial Fire(Brrgade MuniclpalAgency
Rescue Squad y Trade or Professional Org. Educational- Institution /Library Other
Job Function i 1
Asststant/Deputy Chief Chief'Officer „-Company Officer EMT /,Paramedic Fire Cfilefi FI're Commissioner
Firefighter First Responder Inspector Instructor/Trammg Officer' Military State %L Fire Marshall
Student Supervisor -'Other f
am interested in the following committees
Communication _Conference Constitution /By Laws Education EMS�..Inspectors
_Legislation _Membership M 'Public•Education, _Tech,Rescu6”'
Please check all topics of interest
_Apparatus Maintenance Budget Manage a `t Career/VOlunteers/ Combi a Is sues
Community Relations/ Marketing Conflict Management:_.i r- r"aDisasterManagement Diversity /Recruitment
EMS Firefighter Safety Fire Prevention Fitness /Wellness Govt. Relations Grants /Fundraising
Hazrnat Human resources Industrial Fire and Safety Labor /Management Relations Military
Officer Development Risk Management _Technology _Terrorism/ Homeland Security Training/Education
Wiidland Fire Other
Easy Ways To Join. Return application and payment to Terry Rake, IFCA Executive Director.
By Mail: IFCA Membership Application, P.O. Box 364, Zionsville, IN 46077
By Fax: 317 733 -4212 Toll Free: 1- 877 733 -1850 or 317 733 -1850
Online: www.indfirechiefs.o E -Ma il: rake @indfirechiefs.org
Sponsorship Opportunities Available Contact our,, office' or website
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Name: Jeff Steele Title: Assistant Chief
Department: Carmel Fire Department County: Hamilton
Department Address: 2 Civic Square
City: Carmel State: IN ZIP Code: 46032
Phone: 317 571 -2600 E -Mail: jsteele @carmel.in.gov Fax: 317- 571 -2615
State Rep State Senate US Congressional IN Homeland Security
District: District: �_J -District_,. District:
MEMBERSHIP CATEGORIES fC HECKAPPROPRIATELIN E)
Active Memberships shall be,comprised of the Chief of. Department and any _Chief flcer,,Rank of a regularly organized
Fire Department and the State'Fire Marshal's Of ice Active members shall be entitled to vote on,all- matters requiring a vote
unless otherwise prohib ted "by'the.Constitution a By- Laws,and shall b a ntltled to hold elective 6666 Fire Department may
authorize and pay for the continual membership of i6chief officers.
Associate Membership shall mcluddlIndivid'uals interested in the protection -o>f arid M property from fren� Associate
members shall�be entitled to participate fully "in'the affairs of the Association, with the exception of holtling elective office and
voting. t' r rr.� f~ �l, 1` '�4
F 'i 4, 1, 5.
Life Membership is avellablelfo Active members who hate retired fromithe Fii &Service'after 10 as
members af Life members' are entitled to participate fully in the affairs of the Assoeiatiori withrIt e exception `of holding
d 1 Y 4 I a a h L
elective office.• Membership.based on Board approval Life members are exempt from a/1 payment r"dues.
MEMBER SECTIONS (CHECKAPPROPRIATELIN£)
i r
EMSr� r Public Safety Educator
FireiInspector 1 `Y Technical Rescue,'"
d 1 a..-+
PAYMENT METHODS DUES TOTAL DUES:
ry a
_First Member r S i `i Third `Member ,from the same departments i 5 j
'Second Member =from the same de p ael 65 7 Each atlditlonaI member from- the�same- department 5 1
I1 t f
Chea p to r IFG4)� Visa
r. f l J
Card Number: x s' 'i, f i„ ti� q` Expiration Date I j
Name On' ;Card J Signatur
TO HELP` SERVE YOU BETTER, PLEASE ANSWER THErPOLLOWING'QUESTIONS w-
Population Served by FD f (numbr in.city)
Type of Organization j
Career 'FiresDepartmen Fire Department Volunteer Fire Department.
Equip. Manufacturer Distributer Federal /State /Local Government Industrial Fire= Brigade -Municipak ency
Rescue Squad 4 Trade or Professional Org. Educational.lnstitution /Library Other
Job Function
Assistant/Deputy Chief Chief Officer 't Company Officer EMT /Para dic Fire Chief x Fire Commissioner
Firefighter First Responder _`Inspector 4 Instructor /Training Officerr Military State /,Local Fire Marshall
_Student _Supervisor -Other �i It
am interested in the following committees
Communication _Conference.. _Co stitution /By -La
nws ,Education.' I EMS j _lnspe ors
_Legislation Membership�,_`'+,Memorial Team _;Public Education _Techr
Please check all topics of interest et Mana es g
Apparatus Maintenance Bud ment Career /Volunteers /Combination Issues
Budget
Community Relations/ Marketing Conflict Manag me ent erL�_- ,Disa`ster`Management Divers ity /Recruitment
EMS Firefighter Safety Fire Prevention Fitness /Wellness Govt. Relations Grants /Fundraising
Hazmat Human resources Industrial Fire and Safety Labor /Management Relations Military
Officer Development Risk Management _Technology Terrorism /Homeland Security —Training/Education
Wildland Fire Other
Easy Ways To Join. Return application and payment to Terry Rake, IFCA Executive Director.
By Mail: IFCA Membership Application, P.O. Box 364, Zionsville, IN 46077
By Fax: 317 -733 -4212 Toll Free: 1- 877 733 -1850 or 317 733 -1850
Online: www.indfirechiefs.org E -Mail: rake @indfirechiefs.org
Sponsorship Opportunities Available Contact our office or webslte •ii
111607khw
VOUCHER NO, WARRAN NO.
IFCA ALLOWED 20
Indiana Fire Chiefs Association IN SUM OF
P.O. Box 364
Zionsville, IN 46077
$185.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43- 553.00 $185.00 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
`Nl
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))
Dues $185.00
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