HomeMy WebLinkAbout179255 11/11/2009 a CITY OF CARMEL, INDIANA VENDOR: 00351400 Page 1 of 1
ONE CIVIC SQUARE INDIANA FIRE CHIEFS ASSN.
i. CARMEL, INDIANA 46032 P 0 BOX 364 CHECK AMOUNT: $425.00
ZIONSVILLE IN 46077
CHECK NUMBER: 179255
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 425.00 ORGANIZATION MEMBER
2010 IFCA Membership Invoice Summary p E CNiEFe
INDIA CHIEFS A SSOC IAT ION
To: Carmel Fire Department U SEPT�M�Q
2 Civic Square
Carmel, IN 46032
Phone: 317 -571 -2622 Fax: 317 -571 -2615 Mimi I N MR o
Population Served: Dept. Type and Size (Career /Vol /Combin) Member Type Dues
State Senate District: US Congress District: Department Budget: Departmental (<30 in Dept, pay once) $100
State Rep District: IDHS District: 5 Active >30 in Dept /Chief- Assist -Dep) $75
Active >30 in Dept/ Other Chief) $50
In 2009, the individuals listed below with your department were members of the Indiana Fire Chiefs Association, Associate(> in Non Chief or Other) $50
We certainly hope those of you who were 2009 members will renew and encourage others in your department to Section Dues $25
join as well in 2010. Please see cover letter /application for complete 2010 membership type descriptions.
Note: We request that you review and correct this summary (especially blanks above).
Please fax, email or mail to Terry Rake, Executive Director IFCA.
i
1. Public Education Dire Keith Freer kfreer @carmel.in.gov Associate Public Safety Education Section as
2. Assistant Fire Chief David Haboush dhaboush @carmel.in.gov Active
3. Training Chief Matt Hoffman mhoffman @carmel.in.gov Active
Technical Rescue Section `J Q
To Add A New Member: To Remove A Member: To Change Data:
Please complete the new membership form included with Please note on the summary which member will not be Please change or add information to
this summary and adjust the amount due by referring to the renewing and adjust the amount due by referring to the the data fields on this form. Attach
membership dues structure, membership dues structure. sheet if several changes
IFCA Membership Application I P.O. Box 364 1 Zionsville, IN 46077 1 rake @indfirechiefs.org
TEL: 1-(877) 733 -1850 1 FAX: (3 1 7) 733-4212 1 www.indfirechiefs.org
2 01 IFCA Membership Invoice Summary
IND IANA FIRE CHIEFS ASSOCIATION -p
To: Carmel Fire Department
BEPTfN
2 Civic Square
Carmel, IN 46032
4. EMS Chief Mark Hulett mhulett @carmel.in.gov Active p
EMS Section
5. Fire Marshal Bruce Knott bknott @carmel.in.gov Active Public Safety Education Section
5 Q
6. Fire Chief Keith Smith ksmith @carmel.in.gov Active S
7. Assistant Fire Chief Jeff Steele jsteele @carmel.in.gov Active
Please Send Receipt: Check(payable to IFCA) Renewal Total: �S
Section Dues:
Visa Mastercard Card Number:
New Members:
Name on Card:
Total Due:
Signature:
To Add A New Member: To Remove A Member: To Change Data:
Please complete the new membership form included with Please note on the summary which member will not be Please change or add information to
this summary and adjust the amount due by referring to the renewing and adjust the amount due by referring to the the data fields on this form. Attach
membership dues structure. membership dues structure. sheet if several changes
IFCA Membership Application I P.O. Box 364 1 Zionsville, IN 46077 1 rake @indfirechiefs.org
TEL: 1-(877) 733 1850 1 FAX: (3 1 7) 733-4212 1 www.indfirechiefs.org
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))
$425.00
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. WARRA NO.
ALLOWED 20
I FC_A
Indiana Fire Chiefs Association
IN SUM OF
P.O. Box 364
Zionsville, IN 46077
$425.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 553.00 $425.00 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
NOV m 9 2009
d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund