HomeMy WebLinkAbout301708 08/08/16 i°,COHb
/ z€� CITY OF CARMEL, INDIANA VENDOR: 363105
.ONE CIVIC SQUARE INTLi POLICE MOUNTAIN BIKE ASSOC CHECK AMOUNT: $......**55.00*
CARMEL, INDIANA 46032 583 FREDERICK ROAD SUITE 5B CHECK NUMBER: 301708
by_�oN BALTIMORE MD 21228 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 PITMAN 55.00 ORGANIZATION & MEMBER
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
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INTL POLICE MOUNTAIN BIKE ASSOC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
583 FREDERICK ROAD SUITE 5B IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
BALTIMORE, MD 21228 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$55.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Boaird Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Pitman 43-553.00 $55.00 1 hereby certify that the attached invoice(s),or $/1/16 Pitman annual membership $55.00
1110 101 1110 101
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,August 03,2016
Tim Green
Chief of Police
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
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International Police Mountain Bike Association Enclosed are my$55 membership renewal dues or
(Police on Bikes,Inc.,dba IPMBA,Tax ID#52-2137781)
0 Charge my 0 Visa 0 Mastercard
-I-I-I-I-I-I-I-I-I-I-I-I-I-I-i-I
Expiration date / Security Code
Signature
DUE DATE: August 31, 2016 Phone 0 Home 0 Dept. 0 Cell ( )
Email (for credit card receipt)
20090760 08/16 R10716 0 1 support IPMBA's efforts to keep world-class public safety cyclist
Michael Pitman training affordable. My tax-deductible contribution is enclosed.
150 Springs Court 0$100 0$75 0 $50 0 $25 0 $
Carmel IN 46033
Call 410-744-2400/Fax 410-744-5504/Online www.ipmba.org
Address correct?Please indicate changes. Mail IPMBA,583 Frederick Road, Suite 5B, Baltimore MD 21228
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