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226972 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 096000 Page 1 of 1 ONE CIVIC SQUARE FIRE DEPT SAFETY OFFICERS ASSOCLCHECK AMOUNT: $85.00 a CARMEL, INDIANA 46032 PO BOX 149 ASHLAND MA 01721 CHECK NUMBER: 226972 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 17713 85 . 00 ORGANIZATION & MEMBER DEPART�rF�t SXFEry EIRE DEPARTMENT SAFETY OFFICERS ASSOCIATION .............................................................................................................................................................................. o o MASSACHUSETTS OFFICE: 11 Grove Street, Hopkinton, MA 01748 Voice 508.881.3114 • Fax 508.881.1128 pSS��\P Web Site www.fdsoa.org • Email fdsoa @fdsoa.org ERS Chairman Michael L. Petroff Executive Director Robert L. Finley Dear Gary D., Thank you for your registration and participation in FDSOA this past year. Your yearly membership has expired and we would like to encourage you to re-register for the next year as soon as possible. Please note that all renewal notices and other pertinent membership information will be sent to your email address from this point forward. We will no longer be mailing renewal notices through the postal service. If your department/organization requires and invoice, please contact our Membership Coordinator at membership @fdsoa.org and we will be pleased to assist you with that. IMPORTANT: You already have an account so please DO NOT SIGN UP FOR A NEW ONE. Use your email address Gbrandt @Carmel.In.Gov or membership number 17713 to log in to your existing account. You can also retrieve your password if you need it. "Please look over your contact information carefully and correct any inaccurate information we have on file. To renew your membership please go to www.fdsoa.org and click on the Membership Management link provided at the top of the page. Please email the office at publications @fdsoa.org if you have any additional questions. Thank you for your continued support of the FDSOA. Sincerely, Membership Services Please make checks payable to FDSOA •Payable in US Funds Name: Gary D. Brandt Expiration Date: 9/13/2013 Title: Lieutenant Membership Type: Individual Company: Carmel Fire Department TOTAL AMOUNT DUE: $ 85.00 Reference#: 17713 VOUCHER NO. WARRANT NO. ALLOWED 20 FDSOA IN SUM OF $ P.O. Box 149 Ashland, MA 01721 $85.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 I 17713 I 43-553.00 I $85.00 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 DEC - 9 2013 6 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, 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)) 17713 $85.00 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