241796 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 219700
® ONE CIVIC SQUARE NATIONAL RIFLE ASSOCIATION CHECK AMOUNT: $""""*'30.00•
CARMEL, INDIANA 46032 11250 WAPLES MILL ROAD CHECK NUMBER: 241796
FAIRFAX VA 22030 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 30.00 ORGANIZATION & MEMBER
NATIONAL RIFLE ASSOCIATION of AMERICA
ACCOUNT NOTICE: Deadline Extended NRA
STAND and FIGHT
11250 WAPLES MILL ROAD
FAIRFAX,VIRGINIA 22030
Mr. James C. Barlow Please note: You must respond by March 3, 2015
3 Civic Sq. to receive these discounts and gifts.
Carmel, IN 46032-2584 ® Return this Membership Reply
'lll�l�l�'IIT'I"III���11�1111��1"11��1'�I��"�11'lll�ll�'l�ll ® Call Toll-Free, 1-(855)-NRA-2015
® Visit www.nra2015.org
07901RR00097908378 W5AK262U4
Dear Wayne:
Count on me! I'm ready to Stand and Fight with you and the NRA, to make sure we can keep our guns and our
rights until Obama lecwes the White Hoarse or good! To help NRA stand tall against Obama's desperate attacks
these next two years, I'm taking the following actions today:
MINI-TACTICAL
❑ I'm extending my NRA membership at a special discount rate: 11FLASHLIGHT
One year for$30 (normally $35). Please send me NBA's new
Stand and Fight cap in appreciation of my support. '.;f `
❑ Two years for$55 (normally $60). Please make sure I receive
NRA's mini-tactical flashlight as my special gift.
❑ Three years for$75 (normally $85). Please send my stainless STAND AND
steel multi-tool to honor my long-term NRA commitment. FIGHT CAF STAINLESS STEEL
�
Check here only if you do not wish to receive your gift item:El � - MULTI-TOOL
—❑-?'-tn read -to-become-a-Li-f,Member-of-the-NR __at the half p ice-.rat e-ofjtlst$500-(:lorm..a11-y$4;000?—_
❑ Enclosed is my full payment of$500. Please send my Life Member credentials and
my official NRA insignia rolling duffel (a$129 value) in honor of my decision.
Check here only if you do not wish to receive your duffel: E]
mem
❑ I'm sending $25 to join NRA's "Easy Pay" Life Member program.
Please send my NRA Stand and Fight cap, and bill me for the
$475 balance of my dues in $25 installments. w
Please select an installment option: I
❑ $25 monthly ❑ $25 quarterly
NRA
Check here only if you do not wish to receive your cap: ❑ X129 INSIGNIA
VALUE ROLLING DUFFEL
❑ I'm signing up family members and/or friends for one-year membership in the NRA, with full
benefits, for just $20 each. Important: Please clearly print name and address information for your friends
or family members on the back of this form.
Your membership includes a subscription to American Rifleman magazine.
PAYMENT INFORMATION:
Membership extension 5780K-15
Pa ($30 JO heck enclosed,payable to NRA 000009790837
payment $55 or$75)....................$
W5AK262U4
OR full Life Membership ❑Please charge my: ❑C ❑02 ❑F-7 ❑ Amount:$
payment($500)......................................$
OR Easy Pay Life initial Card#: Exp.
installment($25)....................................$ Mo. Yr.
One-year NRA memberships for Signature:
falnily/friends($20 each).......................$
TOTAL AMOUNT ENCLOSED.... $� • Email:
Contributions, gifts or membership dues made or paid to the National Rifle Association of America are not refundable
or transferable and are not deductible as charitable contributions for Federal income tax purposes.
NRA NATIONAL RIFLE ASSOCIATION of AMERICA
FRIENDS & FAMILY MEMBER SIGN-UP
Mail this form by March 3, 2015
Or, call 1-(855)-NRA-2015, or visit www.NRA2015.org.
Between now and March 3,2015,you can sign up family and friends for NRA membership,with full benefits,for just$20 each($35 value!).
Please complete the information below for each membership and include payment information on the front of this form. Thank you for
taking this important extra step to preserve our Second Amendment rights!
W5AVCRDE W5AVCRDE
Name: Name:
Address: Address:
City: City:
State: Zip: State: Zip:
Telephone number: Telephone number:
Email address: Email address:
Date of birth: / / Date of birth: / /
Month Day Year Month Day Year
Magazine choice: AMERICAN RIFLEMAN AMERICANHUNTER Magazine choice: E]AMERICAN RIFLEMAN AMERICANHUNTER
(choose one) AMERICA'S 1ST FREEDOM E]No magazine (choose one) LJ AMERICA'S]-FREEDOM No magazine
W5AVCRDE W5AVCRDE
Name: Name:
Address: Address:
City: City:
State: Zip: State: Zip:
Telephone number: Telephone number:
Email address: Email address:
Date of birth: / / Date of birth: / /
Month Day Year Month Day Year
Magazine choice: 7 AMERICAN RIFLEMAN E]AMERICANHUNTER Magazine choice: AMERICAN RIFLEMAN AMERICANHUNTER
(choose one) 7 AMERICA'S JIT FREEDOM No magazine (choose one) AMERICA'S 1ST FREEDOM No magazine
W5AVCRDE W5AVCRDE
Name: Name:
Address: - ----- - - - -- - Address: - --- - -- -_ —------- -- ---
City: City:
State: Zip: State: Zip:
Telephone number: Telephone number:
Email address: Email address:
Date of birth: / / Date of birth: / /
Month Day Year Month Day Year
Magazine choice: ❑AMERICAN RIFLEMAN AMERICANHUNTER Magazine choice: AMERICAN RIFLEMAN AMERICANHUNTER
(choose one) ❑AMERICA'S IST FREEDOM No magazine (choose one) AMERICA'S IIT FREEDOM No magazine
W5AVCRDE W5AVCRDE
Name: Name:
Address: Address:
City: City:
State: Zip: State: Zip:
,Telephone number: — —— -Telephone number:
Email address: Email address:
Date of birth: / / Date of birth: / /
Month Day Year Month Day Year
Magazine choice: F]AMERICAN RIFLEMAN ❑AMERICANHUNTER Magazine choice: ❑AMERICANRIFLEMAN AMERICANHUNTER
(choose one) ❑AMERICA'S 1ST FREEDOM ❑No magazine (choose one) ❑AMERICA'S 1ST FREEDOM No magazine
National Rifle Association of America• 11250 Waples Mill Road-Fairfax,VA 22030•www.NRA.org
Contributions, gifts or membership dues made or paid to the National Rifle Association of America are not
refundable or transferable and are not deductible as charitable contributions for Federal income tax purposes.
Membership starts the day of processing of dues payments by NRA. Three dollars and seventy-five cents of the annual membership fee is
designated for magazine subscription. Insurance benefits are subject to the conditions contained in the Master Policy on file at NRA headquarters
at the time a claim arises. There are special exclusions and limitations to such policy. Furthermore,NRA and the Insurers specifically reserve the
right to alter or change any conditions in the Master Policy,including,but not limited to,reductions in the amount of coverage,and the cancellation
or non-renewal of such policy. Annual Junior members are not eligible for insurance benefits. Affinity card available for applicants who meet
all credit criteria. The moving discount is off the Interstate Commerce Commission approved tariff rate.
VOUCHER NO. WARRANT NO.
ALLOWED 20
National Rifle Association
� IN SUM OF$
11250 Waples Mill Road,
Fairfax, VA 22030 S
i
1
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-553.00 $30.00
I hereby certify that the attached invoice(s), or
I I I
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 28, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/26/15 2015 membership dues $30.00
I,
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