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Home My WebLink About259060 05/31/16 0,;/ 4 CITY OF CARMEL, INDIANA VENDOR: 362629 ® ONE CIVIC SQUARE ' INDIANA DIV OF INTNTL ASSOC FOR ICCHECK AMOUNT: $*****"**20.00* :9 ?� CARMEL, INDIANA 46032 4519 MAPLE TERRACE PARKWAY CHECK NUMBER: 259060 ''��TUM�°' FORT WAYNE IN 46835 CHECK DATE: 05/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 ELLIOTT 20.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) INDIANA DIV OF INTNTL ASSOC FOR ID ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 4519 MAPLEEERACE PARKWAY 4 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service cFORZ W-A NEr IN 46835h , ' _ �'' rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $60.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT Elliott 43-553.00 $20.00 1 hereby certify that the attached invoice(s),or 5/16/16 Elliott Membership dues for Elliott,Pilkington,Lane $20.00 1110 101 1110 101 Pilkington 43-553.00 $20.00 bill(s)is(are)true and correct and that the 5/16/16 Pilkington $20.00 1110 101 materials or services itemized thereon for 1110 101 1110 Lane I 43-553.00 I $20.00 5/16/16 Lane $20.00 101 which charge is made were ordered and 1110 101 received except Monday, May 16,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer `,�OONpL AS °y INDIANA DIVISION OF Z THE INTERNATIONAL ASSOCIATION FOR 2 IDENTIFICATION MEMBERSHIP RENEWAL FORM FNTIF� Please complete this form to renew your Indiana-!4k1 Membership for the coming year. Return the signed form with a check or money order for$20.00 payable to "Indiana Division IAI" to the Secretary/Treasurer at the address below, OR you may sc n"the=signed form and email it to the Secretary/Treasurer at the email address below and pay through PayPal on our website at www.iniai.org/Membership. The information on this form will be used to prepare the Member Directory, so please check addresses, telephone numbers, and email addresses for accuracy. Your membership letter will be sent upon receipt of your renewal form and payment. Members must pay annual dues on or before April I"each year to remain in good standing. ;'Sean{Matusko� ecretary�r surer .55M.,West46 St�ee�t, Staite C ` ladana oohs N=46202 P' sd matuskoCaD-comcast.net Federal Employer Identification Number: 35-1934954 Indiana IAI Member Number: 006 Membership Level: ® Active ❑ Associate Name: John Elliott Are you a Member of the IAI Parent Body? ® Yes: Member Number: 12344 ❑ No Employer(Agency or Company): Carmel Police Department Title or Position: Inspector Office Address: 3 Civic Sqaure City: Carmel State: Indiana Zip Code: 46032 Office Telephone Number: (317)571-2515 Fax Number: (317)571-2507 Office Email Address: jelliott@carmel.in.gov Changes from Prior Year: I wish to renew my membership in the Indiana Division of the International Association for Identification. I continue to meet all the requirements as stated in the Constitution and Bylaws. Member's Signature: vis- Date: 5/11/2016 IAI Office Use Only Received: Form of Payment: Receipt Number: Record Updated: Member Notified: 'p�PNA a°Ds js� INDIANA DIVISION OF THE INTERNATIONAL ASSOCIATION FOR = IDENTIFICATION MEMBERSHIP RENEWAL FORM 9 TIF�G� Please complete this form to renew your Indiana IAI Membership for the coming year. Return the signed form with a check or money order for$20.00 payable to "Indiana Division IAI" to the Secretary/Treasurer at the address below, OR you may scan the signed form and email it to the Secretary/Treasurer at the email address below and pay through PayPal on our website at www.iniai.orq/Membership. The information on this form will be used to prepare the Member Directory, so please check addresses, telephone numbers, and email addresses for accuracy. Your membership letter will be sent upon receipt of your renewal form and payment. Members must pay annual dues on or before April 1st each year to remain in good standing. � ^- r eqn Matusko, Se cretary/Treasurer � rt 5:50�1Nest 16VUStreet, Suite�C I'nd:ian�apoJ[s; _��dmatusko(a�corricast neti`�i;"�; _, Federal Employer Identification Number: 35-1934954 Indiana IAI Member Number: Membership Level: ] Active. ❑ Associate Name: ( l CAH 1 q Are you a Member of the IAI Parent Body? � Yes: Member Number: 3�� ❑ No Employer (Agency or Company):00 " IeL Wul D Title or Position: Office Address: City: �(tl/I�(` State: Zip Code:4w-3z Office Telephone Number: ( ) ��I -�� Fax Number: Office Email Address: I 'IngwO)C"el ' o •90V Changes from Prior Year: � I N I wish to renew my membership in the Indiana Division of the International Association for Identification. I continue to meet all the requirements as stated in the Constitution and Bylaws. Member's Signature: Date: S11W10. IAI Office Use Only Received: Form of Payment: Receipt Number: Record Updated: Member Notified: i f A AS 1Si INDIANA DIVISION OF �P - 90 THE INTERNATIONAL ASSOCIATION FOR = IDENTIFICATION TIF��° MEMBERSHIP RENEWAL FORM Please complete this form to renew your Indiana IAI Membership for the coming year. Return the signed form with a check or money order for$20.00 payable to "Indiana Division IAI" to the Secretary/Treasurer at the address below, OR you may scan the signed form and email it to the Secretary/Treasurer at the email address below and pay through PayPal on our website at www.iniai.org/Membership. The information on this form will be used to prepare the Member Directory, so please check addresses, telephone numbers, and email addresses for accuracy. Your membership letter will be sent upon receipt of your renewal form and payment. Members must pay annual dues on or before April 1st each year to remain in good standing. Sean;M�atuskSe�cr,eta,ry, Treasurer, -, � W st��thrStreet,rSuite C ' �, 2 L ~1,;Indianap9ls,�I.N '46202 '; -6-0 , sdmatusko ccD_comcast.net Federal Employer Identification Number: 35-1934954 Indiana IAI Member Number. L;A 5� Membership Level: Active El Associate Name:�A A( k vLj Are you a Member of the IAI Parent Body? X(Yes: Member Number:3� I ❑ No Employer (Agency or Company): Cao MTi1 Ce1Pga(*M±- Title or Position:�Y �N4 qav (3vDWK1 - Office Address: C\N � L XUv.�-/ City: Cuma State: Zip Code: zq�0�Z Office Telephone Number: ( )Oil -Z�j �{- Fax Number: Office Email Address)1 a�v "V Changes from Prior Year: I Y I wish to renew my membership in the Indiana Division of the International Association for Identification. I continue to meet all the requirements as sta ed in the Constitution and Bylaws. Member's Signatur : Date:17-114(0 IAI Office Use Only Received: Form of Payment: Receipt Number: Record Updated: Member Notified: