218450 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00351734 Page 1 of 1
i 0 ONE CIVIC SQUARE FIREHOUSE MAGAZINE CHECK AMOUNT: $119.80
CARMEL, INDIANA 46032 PO BOX 3258
NORTHBROOK IL 60065 CHECK NUMBER: 218450
CHECK DATE: 3/25/2013
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
4' t
L_)Department Address U Home Address(Please check one)
Please make any name,title or address changes as necessary. „_ {
' a/4 i -4a•' - 4
DENISE SNYDER r �.
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
968824
JUN 2013''-
Ship to: NMI � .
i 01.117201;3
968824 RNLPD2 � �4
CARMEL FIRE DEPT STA 41 t • 1
2 CIVIC SQUARE
CARMEL, IN 46032
i $ 29.95
I'wish to support the Heroism Program °
L,80. co 0-16N,plus Heroism " $'
Payment Opinformation
(Payment must be made in US Dollars and drawn Bank. orders please add GST tax.) Subscriber Title%Rank(check one only): Type of Deodriment(check one only):
�-�I
E]Payment Enclosed
❑ 01. Fire Chief El 01. Volunteer/Paid-on-Call
Charge to.. F] (� E] ❑ ®
El Bill Me ❑ 02. Asst:or Deputy Fire Chief El 02. Paid
❑ 03. Batd./Div./Distr.Chief ❑ 03. Combination PaidNolunteer
Credit Cartl k Expiration_Date
❑ 04. Commissioner ❑ 07. Other Fire Department
01 05. President/OwnerNP ❑ 04. Industrial/Institutional
Signature(Required): Date: ❑ 06. Secretary/Treasurer ❑ 05. Military/Federal
.Nam`e(Please print): ?" [1 07. Other Fire Officials,Federal State El 98. Other(specify)`
�, .., ,,
and Local Incl.City Mgrs.
Title I Rank: Ci 08. Fire Marshal
Dept I Agency r, ❑ 09. Training Officer/Instructor Population Served by Department:_
Address: Li 01 Captain/Commander/Lt. ❑ 01. Under 2,500
❑ 11. EMS Director/Coordinator ❑ 02. 2,501 -10,000
City. State I Province:. ?' ❑ 12. Firefighter ❑ 03. 10,001 -25,000
Zip I Postal Code: Country: E! 13. Paramedic/EMT C1 04. 25,001 -75,000
❑ 14. Engineer ❑ 05. 75,001 -156,000
Phone a; ❑ 98. Other(specify): ❑ 06. Over 150,000
E-mail(Required) Function:
❑:.would you like to receive Product and seivmce mforriiation from ou'r industry Partners via a=mail =" ❑01. Management ❑05.Investigation ❑09.EMS
❑02. Training ❑06.Maintenance ❑10.Hazmat
❑03. Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08:Public Education ❑12.Other:
To activate your online account,go to: r
Visit us at: www.firehouse.com
Priority Code:STDRNL
■® SM o cCMMON RENEWQL/WMC
■
PO BOX 3258,NORTHBROOK,IL 60065-3258
❑Department Address ❑Home Address(Please check one) _� $
Please make any name,title or address changes as necessary.
�6 e' a .. ,..-.:� ;,. •
e.r6 r i y
f
5'
DENISE SNYDER � -
CARMEL FIRE DEPTt `
2 CIVIC SQUARE `
CARMEL, IN 46032 • _
k
t 968829
i JUL 2013
Ship to: � •
i 01 11-2013
968829 RNLPD1
CARMEL FIRE DEPT
STATION 42
3610 W 106TH ST �`
CARMEL, IN 46032 $ 29.95
Wish t0 support,the-He Program.$
ten•
TOTAL SUBSCRIPTION;pius.Heroism
In order to serve Payment Options: i i below.
(Payment must be made in us nollars and drawn Bank. orders " Subscriber Title/Rank(check one only): Type of Department(check one only):
❑Payment Enclosed El 01. Fire Chief ❑ 01. Volunteer/Paid-on-Call'
olunteer/Paid on Call
Charge to: ❑ I y ❑ ❑ �� ❑ 02. Asst.or Deputy Fire Chief ❑ 02. Paid
❑Bill Me
❑ 03. Battl./Div./Distr.Chief ❑ 03. Combination PaidNolunteer
Credd Card f2 Expirattfdr,Date ❑ 04. Commissioner ❑ 07. Other Fire Department
❑ 05. President/OwnerNP ❑ 04. Industrial/Institutional
Signature(Required): Date: ❑ 06. Secretaryfrreasurer ❑ 05. Military/Federal
Name(Please punt) + '
El 07. Other Fire Officials,Federal State ❑ 98. Other(specify):
'` and Local incl.City Mgrs.
Title I Rank: ❑ 08. Fire Marshal
Dept I Agency , ,,, ❑ 09. Training Officer/Instructor Population Served_by Department:.
Address: ❑ 10. Captain/Commander/Lt. ❑ 01. Under 2,500
❑ 11. EMS Director/Coordinator ❑ 02. 2,501 10,000
City „'. Statei.Provmce..: ❑ 12. Firefighter ❑ 03. 10,001 25,000
;;_:
Zip I Postal Code: Country: ❑ 13. Paramedic/EMT El 04. 25,001-75,000
Country:. ❑ 14. Engineer ❑ 05. 75,001 -150,000
Phone
El
Other(specify): ❑
06. Over 150,000
E-mail(Required) Function:
L1 01. Management El 05.Investigation El 09.EMS
❑ Would you like to receive Product and Se ice information from our industry Partners via a=mail El 02. Training E)06.Maintenance El 10.Hazmat
1 I i ❑03. Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education ❑12.Other:
1 ac
tivate your online account,go 1 www.firehouse.com/subscribe/memberzone-activation
Visit us at: www.firehouse.com
Priority Code:STDFINL
■ SM o C��30P i�flOo�I �3CIfQL�/��1V0UCL
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
CARMEL FIRE DEPT x I
2 CIVIC SQUARE
- - ;
CARMEL, IN 46032 a• :.F `
' 968827
JUL 2013
Ship to:
r 01'--11 2013 .
968827 RNLPD1
CARMEL FIRE DEPT r• 1
STATION 44
5032 E MAIN ST
CARMEL, IN 46032 $ 29.95
i wish-to support.the Heroism Program,;,, $
a
TOTAL SUBSCRIPTION, s,Heroism
�4�- piu $ ..
.,
Payment Opinformation
(Payment must be made in US Dollars 'drawn Bank. orders " Subscriber Title7Rank(check one only): Type of Department(Check one only):
❑Payment Enclosed [1 01. Fire Chief El 01. Volunteer/Paid-on-Call
Charge to: ❑ y��}l ❑ o ❑ '' p Bill Me ❑ 02. Asst.or Deputy Fire Chief ❑ 02. Paid
❑ 03. Battl./Div./Distr.Chief ❑ 03. Combination PaidNolunteer
Credit Card# ;, ExplrationDate
❑ 04. Commissioner ❑ 07. Other Fire Department
05. PreSident/OwnerNP ❑ 04. Industrial/Institutional
Signature(Required): Date: ❑ 06. Secretary/treasurer ❑ 05. Military/Federaf
Name(Please pant)';:' ❑ 07. Other Fire Officials,Federal State ❑ 98. Other(specify)`.
and Local Incl.City Mgrs.
Title I Rank: ❑ 08. Fire Mars al
r ❑ 09. Training Officer/Instructor Population Served.by Department:
Dept I Agency. r 9
Address: El 10. Captain/Commander/Lt. C3 01. Under 2,500
❑ 11. EMS Director/Coordinator U 02. 2,501 -10,000
;Gty Slate,IProvince:. ❑ 12. Firefighter ❑ 03. 10,001 25.000
Zip I Postal Code: Country: ❑ 13. Paramedic/EMT ❑ 04. 25,001 -75,000
Country:. ❑ 14. Engineer ❑ 05. 75,001 -150,000
Phone: '` =: El 98. Other(specify): El 06. Over 150,000
E-mail(Required): Function:
a ❑01. Management ❑05.Investigation ❑09.EMS
❑::Would you like to receive Product and Service Information from our industry Fanners via a-mau ❑Op, Training ❑06.Maintenance -110.Hazmat
1 1 ❑03. Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education ❑12.Other:
To activate your online account,go www.firehouse.com/subscribe/memberzone-activation
visit us at: www.firehouse.com
Priority Code:,STDFiNL
PO BOX 3258,NORTHBROOK,IL 60065-3258
_
❑Department Address IJ Home Address(Please check one) t e .
Please make any name,title or address changes as necessary. P.W11
-=-°---=
DENISE SNYDER
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
SUBSCRIPTION:
' ' t 968826
Ship to:
NMI �01
. y..',
968826 RNLPD2
CARMEL FIRE DEPT STA 45 t • 1
10701 N COLLEGE AVE
INDIANAPOLIS, IN 46280
t $ 29:95
1 wish to support the Heroism Program ,fQ& $ '
E ! T SUBSCRIPTION,,p us Hero' $
Payment Options: complete below.
(Payment must be made in US Dollars
Subscriber Title/Rank(check one only): Type of Department(Check one only):
❑Payment Enclosed ❑ 01. Fire Chief ❑ 01. Volunteer/Paid-on-Call
Charge to: ❑ [MISA-71 ❑ ❑ ®; ❑Bill Me ❑ 02. Asst.or Deputy Fire Chief ❑ 02. Paid
❑ 03. Batd./Div./Distr.Chief ❑ 03: Combination PaidNolunteer
Credit.Card#r Expiration,Date El 04, Commissioner El 07. Other Fire Department
❑ 05. President/OwnerNP ❑ 04. Industrial/Institutional
Signature(Required): Date: ❑ 06. Secretary/Treasurer ❑ 05. Military/Federal
Name(Please pnnt)
...:.
171 07. Other Fire Officials,Federal State El 98. Other(specify)`
Title I Rank: and Local incl.City Mgrs.
❑ 08. Fire Marshal - -
Dept IAgency: „. El 09. Training Officer/Instructor Population Served by Department
Address: ❑ 10. Captain/Commander/Lt. ❑ 01. Under 2,500
❑ 11. EMS Director/Coordinator ❑ 02. 2,501 -10,000
City State,I Province;: ;.,',. r ❑ 12. Firefighter ❑ 03. 10,001 -25,000
Zip I Postal Code: Country: El 13. Paramedic/EMT El 04. 25,001 -75;000
Phone = - ❑ 98: Other(specify): ❑ 06. Over 01150,000000
E-mail(Required): Function:
[101. Management ❑05.Investigation ❑09.EMS
13. Would you like.to receive Product and Service Information from our industry Partners wa e-mail. ❑02. Training ❑06.Maintenance ❑10.Hazmat
1 1
[103. Prevention ❑07.Communication ❑11.Rescue
❑04. Suppression ❑08.Public Education ❑12.Other:
To activate your online account,go r: www.firehouse.com/subscribe/memberzone-activati
Visit us,at: www.firehouse.com
Priority Code:STDRNL
)rescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rohom, 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))
968827 44 $29.95
968829 42 $29.95
968824 41 $29.95
968826 45 $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
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. I ACCT#/TITLE AMOUNT Board Members
1120 968827 43-552.00 $29.95 1 hereby certify that the attached invoice(s), or
1120 968829 43-552.00 $2995 bill(s) is (are) true and correct and that the
1120 968824 43-552.00 $29.95 materials or services itemized thereon for
1120 968826 43-552.00 $29.95 which charge is made were ordered and
received except
MAR 22 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund