HomeMy WebLinkAbout202611 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 163900 Page 1 of 1
Q� ONE CIVIC SQUARE INTNL ASSOC OF FIRE CHIEFS MEMBE aECK AMOUNT: $204.00
CARMEL, INDIANA 46032 PO BOX 75649
BALTIMORE MD 21275 -5649 CHECK NUMBER: 202611
CHECK DATE: 1011112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 92650 204.00 ORGANIZATION MEMBER
F
I
Paid Thru 1 1/30/2011
0 Yes I want to add a section or section(s): (see listing below)
92650 1 101 Section name: Cost:
David Haboush
Assistant Chief
Carmel Fire Department
2 Civic Sq
Carmel, IN 46032 -7543 Total Amount Paid
Phone: (31.7) 571 -2600 PAYMENT METHOD 71 Check 0 P.O.
Fax: (317) 571 -2615 77 American Express 0 MasterCard 0 Visa
E -Mail: dhaboush @carmel.in.gov
Card number
Expiration date
—Is [7 Home -0 Department Is above information accurate? I Yes Cl No Name on card
If not, elease cross out and correct. Sig nature
a&0 BIWA
"It's an honor having you as a member of the IAFC. Membership is an investment in your future, your career, and your community.
As a fire and emergency response leader, you play an important role on the [AFC's winning team. Together we will reach new heights!"
Chief Al H. Gillespie, IAFC President and Chairman of the Board
IAFC Membership Dues (required) 5184.00
Great Lakes Division Dues (required) $20.00
Total Due: US 5204.00
Federal I Military Employees To opt out of your division, contact Member Services prior to renewing.
Please return invoice with payment. Make checks payable to: IAFC Membership
Mail payment to: IAFC, PO Box 75649, Baltimore, MD 21275 -5649
92650 Haboush 110I
IAFC Membership is paid by: Myself Department Other
Donate to the IAFC Foundation's Educational Scholarship Program and help fellow first responders advance their
fire service education. Learn more at www.iafcf.org
O $5 $10 $25 Other (All donations to the IAFC Foundation are tax deductible).
Check to add a section and add amount to your dues above
Emergency Vehicle Management .........................$25.00 Industrial Fire and Safety .........................$25.00
Emergency Medical Services (EMS) ........................$25.00 J Safety, Health and Survival .......$25.00
Federal and Military Fire Service .........................$20.00 J Volunteer Combination Officers $25.00
Fire and Life Safety .........................$25.00 *Metropolitan Chiefs Call Member Services for an application
With the exception of Life subscribers and Affiliate members, $1 of your annual membership dues will be allocated toward a one year subscription to FireRescue Magazine,
which is non deductible from your dues. 0 2010 International Association of Fire Chiefs
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►AFC
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VOUCHER NO. WARRANT NO.
IAFC ALLOWED 20
G IN SUM OF
P.O. Box 75649
Baltimore, MD 21275
$204.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 92650 I 43- 553.00 I $204.00 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
flCT102n19
7
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))
92650 $204.00
1 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