212193 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 096000 Page 1 of 1
•• ONE CIVIC SQUARE FIRE DEPT SAFETY OFFICERS ASSOCIAT
CARMEL, INDIANA 46032 Po Box 149
CHECK AMOUNT: $85.00
ASHLAND MA 01721-0149
,aa CHECK NUMBER: 212193
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 18547 85 . 00 ORGANIZATION & MEMBER
DEPART,yFNl �+ �a
gpFETy FIRE DEPARTV� ENT SAFETY OFFICERS ASSOCIATION
..............................................................................................................................................................................
o`a HEADQUARTERS: 30 Main Street, Suite 6, P.O. Box 149 • Ashland, MA 01721-0149
Voice 508.881.3114 • Fax 508.881.1128
OFf/CERS AS Web Site www.fdsoa.org • Email fdsoa@fdsoa.org
Chairman
Michael L. Petroff
Executive Director
Robert L. Finley August 3, 2012
Your membership in the Fire Department Safety Officers Association is due for renewal.
This statement serves as your annual renewal notice.
To better serve our members, we are asking you to please verify your contact and address
information and make any necessary changes on the remittance copy below. Additionally,
we would like to ask you to provide us with your email address so that we can send you
periodic update and announcements. As always, FDSOA will never sell or share your
information with anyone for any reason, PERIOD!!!!
Don't forget you must use your membership number and last name to download and
print the Newsletter& Safety Gram each month from our website www.fdsoa.org.
Kindly return the bottom portion of this statement with your payment as soon as possible
in order to avoid a lapse in your membership.
Please feel free to call with any questions or suggestions regarding the Association.
Thank you for your continued support.
Membership Services
Irescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
18547 $85.00
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
FDSOA
IN SUM OF $
P.O. Box 149
Ashland, MA 01721
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 18547 I 43-553.00 I $85.00 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
AUG 2 7 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund