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Home My Public Portal About15-2004-15 J 4 SCANNED RESOLUTION 2004-15 A RESOLUTION REIMBURSING THE GREENCASTLE FIRE DEPARTMENT FOR AN INDIANA DEPARTMENT OF NATURAL RESOURCES GRANT WHEREAS,The Common Council of the City of Greencastle, Putnam County, Indiana,hereby authorizes the appropriation of the following reimbursement: FIRE DEPARTMENT Boots, Foam and Coats— 101-507.422.0200 $4354.84 From the Indiana Department of Natural Resources for a VFA Grant. PASSED AND RESOLVED by the Common Council of the City of Greencastle at its Regular meeting on this 8th day of June, 2004. COMMON COUNCIL OF THE CITY OF GREENCASTLE c`2%., (4/, J Thomas W. Roach Russell W. Evans ,-. et://aA41 e-} ,. .4,,,,, , __..._ M N. Hammer ohn Lanie 24" L'I/Cti,_ Robert Sedlack Approved and signed by me this 8th day of June, 200 t` ` J o'clock p.m. 0 .„.1,-,L,-,_ ___,(__ Th Nanc A. Mich el Ma or Y � Y ATTEST: , )(eilim,01 Teresa P. Glenn, Clerk-Treasurer . CLAIM -- VOUCHER old acct# -:fii,:J State Form 11294(R 2/1-96) property code 674F Approved by State Board of Accounts,1996. Federal project# 03V FA3 ISmall Purchase# work plan# INSTRUCTIONS: This agency is requesting disclosure of your Social Security Number in accordance with I.C.4-1-8 VENDOR INFORMATION AGENCY INFORMATION Document Number Date(Month,Day,Year) Agency Name C300 Natural Resources-Forestry Vendor Name Agency Number Greencastle FD 300 Address(Number, Street) Social Security Number 1099 CODE 107 S. Indiana St Address(P. 0 Box Number) Federal I.D. Number 1099 CODE 356001046 NO City,State,and ZIP Code(00000-0000) Vendor Number Greencastle IN 46135-1649 AREA BELOW TO BE COMPLETED BY AGENCY. DATE AMOUNT FUND OBJECT CENTER LOAN/INV/NBR QTy, UNIT DESCRIPTION 05 12 $4354.83 6000 572500 130600 VFA Grant Total Grant $4813.00 Payment $4354.83 Final Payment $4354.83 Match $4354.84 Grant 434354.83 917-Ocy Furnished to: (Name of State Agency) Fire H GROSS AMOUNT$ 4354.83 Natural Resources-Forestry I certify that this claim is correct and valid and is a proper charge against the State Agency,Fund,and Center indicated. Authorized Signature of State Agency Date (Month, Day,Year) Pursuant to the provisions and penalties of Indiana Code 5-1-11-10-1,I hereby certify that the foregoing Fund and Center is just and correct,that the amount claimed is legally !due,after allowing all just credits,and that no part of the same has been paid. Sig re of Vendor Date(Month,Day,Year) .h. / /; 5/07/04 /"\ 2 6 -v ,� � � > .g> v., O A m < Q ' i 06 © m O mom -4 rn m .� Z VIZ c a 0‹ el r :: C n > W 0 -,] r1-+ r o nn G v MAC' R 0 0 LIS m r Z cn 0 ?0 H 4',. O .r (n rn * �+ O m Q * tr W' t * ' Ma c . * Cs. I ''� O y * pm\� -a t� > x (`vt 0 o 11 o: 0 oar I... � N O m Z0 --i dcop op ito z oZ .. C n T -4 75 o o a xy O o 1 r'!4n c m O O rco 0 Si' n O O -. b o x w W v o . -D-+ > c o- 11 p O na rt' M * v try x• W 0 G') 2 b v' 0 ru .t. 0 Xs i. — *N > m * "-i * I N * z 0 0 * ill * X C CVU'4 # -i I 'oo * Z C7 rn `% • to Yft W 0 D O * C Z U1 hi 0 fF► c ' 1 ) I (4 '> w tA) rs N . Z U, U a U) U ..