251896 12/02/15 y�f,CAq�
! tE CITY OF CARMEL, INDIANA VENDOR: 013514
ONE CIVIC SQUARE APCO INTERNATIONAL, INC CHECK AMOUNT: $********69.00*
�? ?� CARMEL, INDIANA 46032 351 N WILLIAMSON BLVD CHECK NUMBER: 251896
°M,�roN� DAYTONA BEACH FL 32114-1112 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 357552 69.00 ORGANIZATION & MEMBER
2016 Membership Dues Invoice
Federal No.63-046-1885
mi Member ID#: 357552
APCO Current Membership Expires: 12/31/2015
International Statement Date: 11/19/2015
APCO International♦351 North Williamson Blvd.♦Davtona Beach.FL 32114 Purchase Order Number:
Invoice#: 315633
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
Log onto www.myapcointl.org click on"My Information"to view complete contact information.
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: $
❑ Discover Cardholder's Signature: Please add this to your
total amount due.
Please return this copy with payment in U.S.currency for proper processing.
Keep a copy for your records: APCO 2016 Dues Renewal Receipt
Customer Name IMember# Category Chapter Amount Due
Adam Harrington 1357552 Associate Member Indiana APCO $69.00
APCO International,Inc is designated under IRS code 501(c)(3)as a charitable entity and a portion of your payment maybe tax deductible to the extent permitted by law.A one year
subscription to Public Safety Communications magazine is valued at$35 and members may not deductthis subscription amount For reporting purposes required by some jurisdictions,APCO
estimates that 3%of member dues are allocated to lobbying activities.
APCO International 351 N.Williamson Blvd.,Daytona Beach,FL 32114 Phone 386-322-2500
Fax 386-322-2501
VOUCHER NO. WARRANT NO.
ALLOWED 20
APCO International Membership
IN SUM OF$
351 North Williamson Boulevard
Daytona Beach, FL 32114 i
$69.00
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 357552 43-553.00 $69.00 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
i
'l
Fire Chief
I Title
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
357552 $69.00
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