240922 01/13/15 tCITY OF CARMEL, INDIANA VENDOR: 010530
ONE CIVIC SQUARE AMERICAN POLYGRAPH ASSOC CHECK AMOUNT: $*******150.00*
CARMEL, INDIANA 46032 PO BOX 8037 CHECK NUMBER: 240922
CHATTANOOGA TN 37414-0037 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 5548 150.00 ORGANIZATION & MEMBER
j
AMERICAN POLYGRAPH ASSOCIATION
CHAD RUSSELL Treasurer
P.O.BOX 8037
CHATTANOOGA,TN. 37414
(800)272-8037
Fed LD.52-1035722
BRETT A.KEITH #5548
4304 WORCHESTER CT
CARMEL,IN 46033
ANNUAL MEMBERSHIP DUES(January 1 -December 31,2015)U.S.FUNDS .................$150.00
It is that time of year again;time to renew your commitment to continuing education,further research,a unified voice,
professional improvement,insightful publications,and all the other benefits that come along with being a member of the
Americano y--I grapes s� on. — -*---
You
---You may now pay your membership renewal on the APA website www.nolvgraph.org provided you have already
registered for access,have a username and password. The link to pay is located on the left hand side at the bottom of
the list. Your address MUST match the address on your credit card statement or it will be declined.
The deadline for the payment of dues is March 311,2015. Payment of dues after this date will be assessed a$25 handling
fee. This is simply an attempt to recoup costs associated with reinstating the member and their publications. Please be sure
that any third-parties paying for your membership or subscription are aware of this charge.
Receipts will be mailed directly to the member at the address above. Please be sure to provide the receipt to any third-
party;should they require it:
Retain the above portion for your records
VOUCHER NO. WARRANT NO.
ALLOWED 20
American Polygraph Association
IN SUM OF$
P.O. Box 8037
Chattanooga, TN 37414
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 5548 43-553.00 $150.00 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
Wednesday, January 07, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
i
i
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.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/06/15 5548 2015 annual membership $150.00
I 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