180134 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00351400 Page 1 of 1
Q� ONE CIVIC SQUARE INDIANA FIRE CHIEFS ASSN. CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 P O BOX 364
ZIONSVILLE IN 46077 CHECK NUMBER: 180134
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1120 4355300 1001 -499 75.00 ORGANIZATION MEMBER
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Indiana Fire Chiefs Association Invoi
P.O. Box 364
Zionsville, IN 46077 Phone Date Invoice
1- 877 733 -1850 11/30/2009 1001 -499
Bill To
Carmel Fire Dept
2 Civic Square
Carmel, IN 46032
P.O. No.
Item Description Amount
Public Safety Educators Public Safety Educators Section Membership: Keith Freer 25.00
EMS Section EMS Section Membership Mark Hulett 25.00
Public Safety Educators Public Safety Educators Section Membership Bruce Knott 25.00
Please note we received your check 179255 for $425. We apologize if the
membership prcing was not clear.
Only the first two chiefs of any rank are at $75. Your calculation showed three at
$75, resulting in $25 overpaid.
However, you indicated four members also sought Section Memberships which are
$25 each but were not
included in the total paid. We applied the extra $25 to enroll Matt Hoffman in the
Technical Rescue Section.
The amounts above are to enroll the remaining three members in Sections as
requested.
Please call us however at 317- 733 -1850 if you have questions or would like to
change your enrollments.
Many thanks.
d�
Total $75.00
Prescribed by State Board of Accounts City Form No. 201 (Re's"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))
1001 -499 $75.00
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
or
VOUCHER NO. WARRANT NO.
ALLOWED 20
I FCA
Indiana Fire Chiefs Association IN SUM OF
P.O. Box 364
Zionsville, IN 46077
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1001 -499 43- 553.00 $75.00 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
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Fire C hief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund