206368 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 219001 Page 1 of 1
ONE CIVIC SQUARE NATIONAL FIRE PROTECTION ASSOC
CARMEL, INDIANA 46032 PO BOX 9689 CHECK AMOUNT: $165.00
MANCHESTER NH 03108 -9689
CHECK NUMBER: 206368
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 5359565X 165.00 ORGANIZATION MEMBER
DETACH HERE AND RETURN
NOTICE IN THE
ENVELOPE PROVIDED.
NFPA
MEMO
FROM: Daniel Whiting, Marketing Manager /Membership
TO: Bruce Knott
RE: ID# 2611101
A renewal notice regarding your NFPA membership was sent several months ago. And our records show we
haven't yet received your dues.
Please return payment with the attached notice as soon as possible. Otherwise, your NFPA membership ends
on 01/31/12.
Please act today So you will continue to receive your NFPA benefits, including your subscription to NFPA
Journal®, members -only discounts on seminars and publications and timely information on code changes.
But more importantly, you must renew now to keep your NFPA voting rights. If dues are not paid by the date
shown above, you will be subject to a 180 -day waiting period to vote on important NFPA codes.
Thank you for your quick response. If you have already sent payment, your records will be updated accordingly.
P.S. Please verify and update membership information on Records show this is your NFPA shipping
your notice. Then return it with your NFPA address: (Make necessary changes on back of form.)
dues immediately. Thank you. ID# 2611101
BRUCE KNOTT
CARMEL FIRE DEPT
2 CIVIC SO
CARMEL
IN 46032
MEMRENFRM 5/10 NFPA 2004 Fed ID 041- 653 -090 1- 800 344 -3555
Billing Center, EO. Box 9689, Manchester NH 03108 -9689
01/04/12 1 year $165 Notice: 5359565X #3
n�6) DATE: AM OUNT DUE: RENEWAL THRU Q1/31713 r check one: 2 years $300 o I.D. NUMBER: 2611101 1 3 years $430 $rELOEC4 ®9M�.
NFPA Check enclosed payable to NFPA (US funds from US Bank)
REMIT RENEWAL DUES WITH NOTICE Char to m MasterCard® VISA®
AS SOON AS POSSIBLE..' El American Express® ❑Discover®
BILL TO: Card No.
Expire Date_
BRUCE KNOTT pMPORT ANT!
CARMEL FIRE DEPT e -mail:
2 CIVIC SQ bknott@carmel.in.gov
CARMEL, IN 46032 -7543
I have updated my information on the back of this notice.
Thank you for your loyalty to NFPA. Please update your
records and return this notice with your dues.
Membership includes a $45.00 NFPA Journal® subscription.
31 0002611101 535956524 7 00000016500
This NFPA membership Change my BILLING Information:
belongs to the individual
named on the invoice. Name
ID Number
To change the name on the Organization
membership, please provide
the new information at right. Address
City State ZIP
The original membership Phone E -mail Address
will be cancelled and the
pro -rated amount will be Change my SHIPPING Information:
applied to a new membership. Name
The join date will be updated, ID Number
a new I.D. number issued and Organization
a new 180 -day waiting period Address
for voting will apply. City State ZIP
Phone E -mail
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))
2611101 $165.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
NFPA
National Fire Protection Association
IN SUM OF
P.O. Box 9689
Manchester, NH 03108 -9689
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 2611101 I 43- 553.00 I $165.00 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
13 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund