HomeMy WebLinkAbout226215 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 363971 Page 1 of 1
ONE CIVIC SQUARE A-P C O CHECK AMOUNT: $69.00
CARMEL, INDIANA 46032 351 N WILLIAMSON BLVD
DAYTONA BEACH FL 32114 CHECK NUMBER: 226215
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 357552 69 . 00 ORGANIZATION & MEMBER
2014 Membership Dues Invoice
Federal No.63-046-1885
rf Member ID#: 357552
Current Membership Expires: 12/31/2013
International Statement Date: 11/5/2013
APCO International a 351 North Williamson Blvd.♦Davtona Beach.FL 32114 Purchase Order Number:
Invoice#:250468
Below is your primary contact information. Please verify and note any changes:(or attach business card)
Adam Harrington
Planning Section Chief
Carmel Fire Department
2 Civic Sq
Carmel,IN 46032-2584
Email:aharrington @carmel.in.gov
Phone: (317) 571-2662
Fax:(317) 571-2615
Lo onto www.m a cointl.or click on"M Information"to view complete contact information.
Log Y P g Y P
Original Amount Amount Due Amount Paid Balance Due
APCO Associate Member $69.00 $69.00 $0.00 $69.00
Primary Chapter: Indiana APCO
$69.00
Payment: Donations:
❑ Check Check No.: Silent Key:
❑ MasterCard Card#: $
❑ Visa Expiration Date: Sunshine Fund:
❑ Amex Cardholder's Name: $
)rescribed 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
nrhom, 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))
357552 $69.00
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
APCO International Membership
IN SUM OF $
351 North Williamson Boulevard
Daytona Beach, FL 32114
$69.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 357552 I 43-553.00 I $69.00 I 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
NOV 18 2013
i�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund