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207045 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00351734 Page 1 of 1 ONE CIVIC SQUARE FIREHOUSE MAGAZINE CHECK AMOUNT: $119.80 CARMEL, INDIANA 46032 PO Box 3255 NORTHBROOK IL 60065 CHECK NUMBER: 207045 r CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355200 968824 29.95 SUBSCRIPTIONS 1120 4355200 968826 29.95 SUBSCRIPTIONS 1120 4355200 968827 29.95 SUBSCRIPTIONS 1120 4355200 968829 29.95 SUBSCRIPTIONS PO BOX 3258, NORTHBROOK IL 60065 -3258 Department Address Home Address (Please check one) Please make any name, title or address changes as necessary. DENISE SNYDER Y CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 46032 t 9e�8824- k J'lJN 2012 Ship to: 968824 RNLPD3 CARMEL FIRE DEPT STA 41 r 1`. 2 CIVIC SQUARE CARMEL, IN 46032 29.95 �I wtslt40 support Nerolsm Pragram TTTTOTAL SUBSCRIPTIONS As Payment Opt order k k k• k k information •k belo (Payment must be made in US Dollars and drawn an a US Bank. Canada orders please add GST taxj Subscriber Ti&46nk (chick one Type:of Department (clidek ne only)i M 01M El Pay Enclosed 01. Fire Chief L 01 Volunteer /Paid -on -Call Charge fo: Bill Me 02. Asst: or Deputy Fire Chief 02 Paid 03. Battl. /Div./Distr. Chief 01 Combination PaidNolunteer E:ipgabon�Date [D 04. Commissioner El 07, Other Fire Department 05. Presldent/OwnefNP 04. IndustriaVlnstitutional Signature (Required): Date: 06. Secretary/Treasurer 05. Military/Federal Name (P,lease pant) 17 07. Other Fire 01, dais, Federai State­ 98."Ouier Title I Rank: and Local incl. City Mgrs. 08. Fire Marshal Dept I Agency ti L El 09. Training OfficerAnstructor Population Served by Department; Address: 10. Captain/Gommander/LE 01. Under 2,500 11. EMS Director /Coordinator 02. 2,501 10,000 G,1y: State IPravince 12. Firefighter 03. 10 25,000 Zip 1 Postal Code: Country: 13. Paramedic/EMT 04. 25,001 75,000 14. Engineer 05. 75,001 150,000 Phone r 98 Other (specify): L) 06. Over 150;000 E -mail (Required): Function: Would you like to receive Product antl Se41ct I formation from our industry Partners vca a mail.• El 01. Management 05. investigation 09. EMS 02. Training 06. Maintenance 10. Hazmat f f [103. Prevention [107. Communication 11. Rescue 04. Suppression 08: Public Education 012.Other: 1 activate your 1 t r 1 1 www.firehouse be/mem berzone act i vat i o n -Visit us at: www.fireh Priority God 9:;STDAN L PO BOX 3258, NORTHBROOK, IL 60065 -3258 U Department Address Home Address (Please Check one) Please make any name, title or address changes as necessary. DENISE SNYDER CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 46032 g I 96 1 29 s r JUL 2012 Ship to: g 1 02-13-`20,12 968829 RNLPD2 CARMEL FIRE DEPT f 1 STATION 42 3610 W 106TH ST s CARMEL, IN 46032 f $;29 95 x YY II WiSh to sU P 0 if the Her,ots tl r ram TOTAL�SUBSCRIPTION�� Heroism Payment Options- In order to serve you better inthe future, please complete the information listed below. (Payment must be made in US Dollars and drawn on US Bank. Canada orders pleaSeadd GST It..) Subscriber Title /Rank (check o' 'dnlyj: Type of Department (check'one only) C7 Payment Enclosed 01. Rte Chief 01 Volunteer /Paid -on -Call c6arga to; f7 Qt.. ❑Bill Me 02. Asst. or Deputy Fire Chief 02 Paid n 03. Battl. /Div. /Distr. Chief O 01 Combination PaidNolunteer 04. Commissioner 07. Other Department Credit Cardid Fxplratlon Date p 05. President/OwnerNP 04. IndustrialAnstitutional Signature (Required): Date: 06. Secretary/Treasurer 05. Military/Federal Name (Please prllrt) 4. [1 07. ovate 38-0 (spev Gther i i.e O��l�iats; Pede of Tide I Rank: and Local incl. City Mgrs. 08. Are Marshal Dept I Agency 09. Training Off icer/lnstructor Population Served 6y. nepartment Address: [I 10. Captain/Commander/Lt. O 01. Under 2,500 11. EMS Director /Coordinator 02. 2,50 10,000 ��Gty State I Province: 12. Firefighter 03. 10,001 25,000 Zip l Postal Code: Country: 13. Paramedic/EMT 04: 25,001', 75 Rhone 14. Engineer 05. 75,001 150,000 98. Other (specify): 06. Over 150;000 E-mail (Required): Functionk Would you like to receive Product and Service Informatlomfrom our industry Parlrie s via a mall- 01. Management 05. Investigation 09. EMS 02. Training 06. Maintenance 10. Hazmat f f 03. Prevention 07; Communication 11. Rescue 04. Suppression 08: Public Education 12. Other: T o activate your online account go a www.firehouse Visit us at: Priority: Code::.STDRNL PO BOX 3258, NORTHBROOK, IL 60065 -3258 Department Address Home Address (Please check one) Please make -any name, title or address changes as necessary., r n DENISE SNYDER CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 46032 r r JUL 2012 Ship to: 9 t 02 968827 RNLPD2 CARMEL FIRE DEPT 1 ,k STATION 44 5032 E MAIN ST CARMEL, IN 46032 95 vu sh to suppol,gne Heroism ograRl #TOTAL%SIIB Heroism Payment Opti better in the fultuire p (Payment must be made in Bank. Canad orde sulrstiri6er TitlelAank (check�one only): Type of Department eheck one only): L Payment Enclosed 01. Fire Chief 01. Votunteer /Paid -on -Call Charge to; l ❑Bi11 Me 02. Asst: or Deputy Fire Chief 02. Paid ED 03. Batti. /Div. /Diste Chief 01 Combination PaidNolunteer Credit Card EXpiration D' 04 Commissioner C1 07. Other Fire Department 05. President/OwnerNP 04. industrial/Institutional Signature (Required): Date: 06. Secretary/Treasurer 05. Military/Federal _.r1 -,07.- Other- Fre:Offi6iais,.Eerteral.5tate 14_9F1 .Other:(soec ty)w Title I Rank: and Local incl. City Mgrs. 08. Fire Marshal Dept I Agency El 0 Captain Commanders or Pe u a io ni by 2 500 epartmenE Address: 11. EMS Director /Coordinator 02. 2,501 10,000 Gty State I Province: 12. Firefighter 03. 10,001 25,000 Zip I Postal Code: Country. 13: Paramedic/EMT 04. 25,001 75,000 [j 14. Engineer L1 05. 75,001 150,000 Phone 98, Other (specify): 06. Over 150,000 E -mail (Required►: Function: 01:01. Management 05. Investigation 09. EMS p Would you I ke to receive Prod sernce lnformauoa from our industry Partners via a mar,! ©02. Training 06. Maintenance 10. Hazmat t t 1 01 Prevention 07. Communication 11. Rescue 04. Suppression 08: Public Education 12. Other: T o activate your online account go r www Visit us at: www.fireh Priority :Code:: STDRNL PO BOX 3258, NORTHBROOK, IL 60065 -3258 i- Department Address Home Address (Please check one) Please make any name, title or address changes as necessary. a a 9 DENISE SNYDER` CARMEL FIRE DEPT 1 2 CIVIC SQUARE R IF CARMEL, IN 46032 o 568826 tit JlN 20127 4` Ship to: f r 02 13 20 12 968826 RNLPD3� s CARMEL FIRE DEPT STA 45 t 10701 N COLLEGE AVE INDIANAPOLIS, IN 46280 r 1 4'J wish to supp t #fte Heroism Program 70TAL SUBSGRtPTION Vii Heroism a Payment Options.- In order to serve you better. in the future, please complete the information listed below. Subscriber Title /Rank (check one onlyj: Type of Department (check one only); ❑Payment Enclosed 01. Fire Chief 01. Volunteer /Paid -on -Call Ctiarge,to; Bill Me 02. Asst. or Deputy Fire Chief C 02. Paid 03. Batd.lDiv. /Distr. Chief 01 Combination Paid/Volunteer 04. Commissioner C 07. Other Fire Department Credit Card Expiration Date 65. President/OwnerNP CI 04. Industrial/Institutional Signature (Required): Date: 0 06. Secretary/Treasurer 05. Military/Federal 'Name tPlt ase pant) r T O 07. Otiler Fire Officials, Federai SWIG C &3: =ar (specify): Tile PRank: and Local Ind. City Mgrs. 09. Fire Marshal T "K ©ept I Agency 'f` El 09. Training OfficerfInstructor Population Served y Department: Address: 10. Captain/Commander/Li. C 01. Under 2,500 11. EMS Director /Coordinator 02. 2,501 10,000 City State I Province El 12. Firefighter El 03. 10,001 25,000 Zip 1 Postal Code: Country: G 13. Paramedic/EMT 04: 25,001 75,000 14: Engineer [1 05. 75,001 150,060 p0one El El 98: Oilier (specify): a O6: Over 150,000 E -mail (Required): Function: 01. Management 05. Investigation 09. EMS Would you like to receive Productand Se'rvp'e� farmahon ffom our industry Warmers vin o mail. 02, Training 06. Maintenance 10. Hazmat 03. Prevention 07. Communication 11. Rescue 04. Suppression [10& Public Education O 12. Other To activate y out online accoun 1 www.firehouse Visit us at: www.fireh Priority Code:_STQFINL VOUCHER NO. WARRANT NO, ALLOWED 20 Firehouse Magazine IN SUM OF P.O. Box 3258 Northbrook, IL 60065 $119.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 968824 43- 552.00 $29.95 1 hereby certify that the attached invoice(s), or 1120 968826 43- 552.00 $2995 bill(s) is (are) true and correct and that the 1120 I 968829 43- 552.00 I $29.95 materials or services itemized thereon for 1120 I 968827 I 43 552.00 I $29.95 which charge is made were ordered and received excl 1�� ID 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)) 968824 $29.95 968826 $29.95 968829 I $29.95 968827 I $29.95 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