HomeMy WebLinkAbout216695 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 366917 Page 1 of 1
ONE CIVIC SQUARE FIRE SMOKE COALITION INC
CARMEL, INDIANA 46032 120 E MARKET ST,SUITE 1201 CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46204 CHECK NUMBER: 216695
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 2013 . 99 100 . 00 ORGANIZATION & MEMBER
Fire Smoke Coalition, Inc. ITE
120 East Market Street, Suite 1201
Indianapolis, IN 46204 INVOICE #2013.99
DATE: JANUARY 18, 2013
TO: FOR:
Carmel Fire Department Lifetime Membership
Attention: Dave Synder
2 Civic Square
Carmel, IN 46032
DESCRIPTION AMOUNT
(One) 1—Lifetime Membership $100.00
Please submit payment to:
Fire Smoke Coalition, Inc.
120 East Market Street, #1201
Indianapolis, IN 46204
TOTAL $100.00
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))
2013.99 Safety Office Dues $100.00
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
Fire Smoke Coalition, Inc.
IN SUM OF $
120 E. Market Street, Suite 1201
Indianapolis, IN 46204
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 2013.99 I 43-553.00 I $100.00 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
9 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund