HomeMy WebLinkAbout217749 02/26/2013 *F CITY OF CARMEL, INDIANA VENDOR: 216300 Page 1 of 1
0 ONE CIVIC SQUARE NATIONAL ASSOC OF EMER MEDICAL
CARMEL, INDIANA 46032 TECHNICIANS CHECK AMOUNT: $40.00
PO BOX 1400
CHECK NUMBER: 217749
CLINTON MS 39056-1400
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 02-20-2013 40 . 00 ORGANIZATION & MEMBER
NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS
N1 E M T PO Box 1400 - Clinton, MS 39056-1400
Phone: 601-924-7744 - Fax: 601-924-7325 - 800#: 800-34-NAEMT
Mark A. Hulett
City Of Carmel Fire Dept
2 Civic Square
Carmel, IN 46032
RENEWAL NOTICE 02-20-2013
Description Member Type: Individual
Member ID# 117507
Expires: 03-31-2013
Annual Membership Dues for 1 Year(s)
Individual Membership $40.00
Total Due: $40.00
Please make checks payable to NAEMT and include your membership#on your check.
Please return the coupon below with your payment. All payments must be made in U.S. dollars.
Send to: NAEMT - PO Box 8539 - Columbus, MS 39705
Military Discount available for E-5 or below-$25 with proof of military status.
Affiliate Discount available for members of associations affiliated with NAEMT-$30 with proof of membership.
Note: Dues may be deductible for Federal Income Tax purposes as ordinary and necessary business expenses.
Dues are not deductible as charitable contributions.
1. Is the address below correct? YES NO 2. Phone number
3. Training level 4.Email Address
[ ] Check [ ]Visa [ ] Mastercard [ ]American Express
Card No: Exp. Date /
Signature
Mark A. Hulett Member ID# 117507
City of Carmel Fire Dept TOTAL DUE: $40.00
2 Civic Square
Carmel, IN 46032
513011750710000
VOUCHER NO. WARRANT NO.
ALLOWED 20
NAEMT C-
IN SUM OF $
P.O. Box 1400
Clinton, MS 39056-1400
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#fTITLE AMOUNT Board Members
1120 I I 43-553.00 I $40.00 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
FEB 2 5 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed 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
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))
Dues $40.00
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
120
Clerk-Treasurer