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Home My WebLink About255851 03/01/16 �u!_49gy CITY OF CARMEL, INDIANA VENDOR: 354777 Y'1 ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $....***250.00* CARMEL, INDIANA 46032 ATTN:TOM KUHLENSCHMIDT-ISDA TREASU CHECK NUMBER: 255851 PO BOX 1146 CHECK DATE: 03/01/16 VINCENNESIN 47591 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 VTJ88707 250.00 ORGANIZATION & MEMBER Receipt 12016 Membership Renewal I Indiana SWAT Officers Association Page 1 of 3 TST Registration: Indiana SWAT Officers Association 2016 Membership Renewal Receipt Registration Complete! You have successfully completed the 2016 Membership Renewal Registration with Indiana SWAT! If you chose to pay online, you will see a charge on your account from Indiana SWAT Officers. If you chose to pay offline, please make checks payable to ISOA and send payment to: enc PLEASE PRINT THIS PAGE FOR YOUR RECORDS Questions? Please direct any questions regarding this registration to: Thank you for your Participation! Mike Hart A receipt has been emailed to rjellison@carmel.in.gov. If you would like to change your account Inquiries email address, visit your account settings. Phone: 317-710-0336 • Print Order Receipt • Order Total 25-ow • Status: Unpaid • Order Number: VTJ88707 • Date: 01/27/2016 08:52AM CST(01/27/2016 02:52PM UTC) • Sport Ngin Account:ryan jellison Attachments Item(s) Purchased Item Price Total Status Membership Renewal Fee-Team of 13 or more,Qty: 1 $250.00 $250.00 Unpaid J'Aryan jellison Registration What Membership are you renewing? Team Membership https:Hindianasoa.sportngin.com/order/complete/4476836 1/27/2016 Receipt 12016 Membership Renewal I Indiana SWAT Officers Association Page 2 of 3 Team Information First Name Ryan Last Name Jellison ........................--------...........................--..........--........-.—.............. - -..... ---.................................................................................................................................................................................--....... Assignment Title Sergeant Middle Initial D ................._.._.......—..........................................-..__.........--......................_................ ............................-_........-..-----........................._..........._.........................................................-._.................... Address 1 3 Civic Square City Carmel ....................................__...............-.................................--...........................................................................................................................................................................--.................................................._........................... State/Province IN Zip 46032 _..____.._.._ __..__.. _...._. _..___-----..___...___ Phone Number 3175712599 Email 'rjellison@carmel.in.gov -� .......__....----.._..__________..._______._.__._______ ______ _�_ __ _____ __ ......... ___--------.______ Agency Name/Military Unit Carmel SWAT Team ............._..............-......-.....-.................. ---............_..........................-._................._................................_.................................................._............_......_............................................................................ Team Membership Fee Team of 13 or more (1)Team of 13 or more, $250.00 Roster Team Member Name 1 jeff horner Team Member 1 Email jhorner@carmel.in.gov ......................................................................................................................................................................................................................................... Team Member Name 2 brady myers Team Member 2 Email bmyers@carmel.in.gov I..._..........................-................................................................................-........................_..........__....................................................................... Team Member 3 Name shane collins Team Member 3 Email scollins@carmel.in.gov ................._....-_._...._............................................._...........................-..................... -.._..- ..-_.-.........................----....------- Team Member 4 Name greg dawson Team Member 4 Email gdawson@carmel.in.gov Team Member 5 Name todd clark Team Member 5 Email tclark@carmel.in.gov Team Member 6 Name ted gauthier ........................................................................................................................................................................................................................................ Team Member 6 Email egauthier@carmel.in.gov ........................_.._........._.--................................_................................_.............................................................................................................. .. Team Member 7 Name troy smith .--............__...................................................--........--......................................................-.................................................................. Team Member 7 Email tsmith@carmel.in.gov ...............................__..._........._...........--.............__..................................................._......---.....- ......... Team Member 8 Name ben fisher Team Member 8 Email cfisher@carmel.in.gov Team Member 9 Name greg loveall Team Member 9 Email gloveall@carmel.in.gov Team Member 10 Name cody barlow ___...._............._____..___________..____ Team Member 30 Email cbarlow@carmel.in.gov ..............................._.._._..-................................._.................-..................................................._...................................................................... .... Team Member 11 Name adam devenport ..........................-...............-....................._._...................................-.................--.........- Team Member 11 Email adevenport@carmel.in.gov ............. ---_......................................_...._-...................................._......----..............._........................... ....._.._.....-- Team Member 12 Name shane vannatter ..................._....._..-....--..................................—----......................-............-......_.._..._.__.........................I.......... - Team Member 12 Email svannatter@carmel.in.gov wTeam Member 13 Name scott long .............._.._.............................................................._-................................................-..................................................._.................... Team Member 13 Email slong@carmel.in.gov WTeam Member 14 Name mark paris Team Member 14 Email mparis@carmel.in.gov Team Member 15 Name will gilbert https:Hindianasoa.sportngin.com/order/complete/4476836 1/27/2016 ~ Receipt 12016 Membership Renewal I Indiana SWAT Officers Association Page 3 of 3 R Team Member 15 Email wgilbert@carmel.in.gov ..........................._..._......................................_............................................................................................................................................. Team Member 16 Name bob locke ........................_......._..............................................................................................................................................................................................-- Team Member 16 Email rlocke@carmel.in.gov .........._..........................................................._............................................................_................._...........................I........_....._..._...._._ Team Member 17 Name kip benbow Team Member 17 Email kbenbow@carmel.in.gov . . . . . .......... Team Member 18 Name chris walker Team Member 18 Email cwalker@carmel.in.gov Team Member 19 Name carl drake Team Member 19 Email cdrake@carmel.in.gov _.............. Team Member 20 Name tim fagin ................_._....................._.................................---.._...................................................... ._..........................................I............._.._............. Team Member 20 Email tfagin@carmel.in.gov https:Hindianasoa.sportngin.com/order/complete/4476836 1/27/2016 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 02/03/16 VTJ88707 2016 Annual membership dues $250.00 1110 101 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