223491 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 367495 Page 1 of 1
i ONE CIVIC SQUARE GREAT LAKES FIRE ACCREDITATION - CHECK AMOUNT: $100.00
f CARMEL, INDIANA 46032 C/O NAPERVILLE FIRE DEPT
1380 AURORA AVENUE CHECK NUMBER: 223491
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NAPERVILLE IL 60540
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 100 . 00 ORGANIZATION & MEMBER
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Dues Notice
I GREAT LAKES FIRE ACCREDITATION
MANAGERS
c/o Naperville Fire Department
1380 Aurora Ave. Naperville, IL 60540
630-420-6140
Annual dues for membership in GLFAM
Cost: $100
Please complete this membership registration form regardless of new or
existing membership. Additional department affiliated members may be
listed on the same form.
Name•����5�
Department or Organization:
Address: Q .\y `c_`�a,;z- City/State:
Zip Codey�o`3'a-Phone Number(3\--)
E-mail Address:
Enclose check payable to: GLFAM
Mail to:
GREAT LAKES FIRE ACCREDITATION MANAGERS
c/o Naperville FD 1380 Aurora Ave. Naperville, IL 60540
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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))
$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
Great Lakes Fire Accreditation Managers
C/O Naperville Fire Department IN SUM OF $
1380 Aurora Avenue
Naperville, IL 60540
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 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
AUG
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund