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215889 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: L2344 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA FIREFIGHTERS ASSOCIATION CHECK AMOUNT: $1,500.00 o CARMEL, INDIANA 46032 1745 E 47TH STREET ANDERSON IN 46013 CHECK NUMBER: 215889 CHECK DATE: 12/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 121012 1, 500 . 00 ORGANIZATION & MEMBER Indiana Firefighters Association Invoice 1745 East 47th Anderson, In 46013 December 10, 2012 Phone 765-393-2142 Fax 765-393-2332 To: Carmel Fire Department C/O Jeff Steele ' 15og Norriston Drive Indianapolis, In 46280 DESCRIPTION AMOUNT Membership Dues for 150 Carmel Firefighters for 2013 1,500.00 Thank You For Your Continued Support TOTAL 1,500.00 b .7;. .i VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Firefighters Association IN SUM OF $ 1745 East 47th Street Anderson, IN 46013 $1,500.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 1120 I I 43-553.00 I $1,500.00 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 L 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 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Nhom, 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)) $1,500.00 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