309555 03/27/17 CITY OF CARMEL, INDIANA VENDOR: 354777
ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $....***250.00*
rq; CARMEL, INDIANA 46032 AT BOX OM KUHLENSCHMIDT-ISOA TREASU CHECK NUMBER: 309555
>o� CHECK DATE: 03/27/17
VINCENNESIN 47591
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 250.00 ORGANIZATION & MEMBER
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Receipt 12017 Membership Renewal I Indiana SWAT Officers Association Page 1 of 2
SportsEngine Registration: Indiana SWAT
Officers Association
2017 Membership Renewal
Receipt
Registration Complete!
You have successfully completed the 2017 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:
ISOA
P.O. Box 1146
Vincennes, IN 47591
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: $250.00
• Status: Unpaid
• Order Number: ANB67852
• Date: 03/03/2017 07:09AM CST(03/03/2017 01:09PM UTC)
• SportsEngine Account: ryan jellison
Attachments
Item(s) Purchased
Item Entry# Name Price Total Status
2017 Membership Renewal Fee-Team of 13 or more,Qty: 1 24190475 ryan jellison $250.00 $250.00 Unpaid
Wryan jellison
Registration
What Membership are you renewing? Team Membership
https:Hindianasoa.sportngin.com/order/complete/6760869 3/3/2017
Receipt 12017 Membership Renewal Indiana SWAT Officers Association Page 2 of 2
Team Information
First Name Ryan
Last Name Jellison
Assignment Title Assistant Team Leader
Middle Initial D
Address 1 3 Civic Square
city Carmel
State/Province IN
Zip 46032
Phone Number 317-727-9862
Email rjellison@carmel.in.gov
Agency Name/Military Unit Carmel Police Department SWAT Team
Team Membership Fee Team of 13 or more (1)Team of 13 or more, $250.00
Roster
https:Hindianasoa.sportngin.com/order/complete/6760869 3/3/2017