315495 8/30/2017 CITY OF CARMEL, INDIANA VENDOR: 163800
.; � ONE CIVIC SQUARE INTERNATIONAL ASSOC OF CHIEF POLI�ECK AMOUNT: $.......150.00*
,rte; CARMEL, INDIANA 46032 PO BOX 62564 CHECK NUMBER: 315495
BALTIMORE MD 21264 CHECK DATE: 08/30/17
MlipN�'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 100633 1001268796 150.00 ANNUAL MEMBERSHIP DUE
02 -0 2 $ «
k k \ 3 O A
a O
a o S # ® ca CL c
0 � 0
n 0 > m
0q m U 0 % m
oQ 2
\ z E / %
$
\�
CO m n
>
$
( ) # § 0
ƒ CD S_0 o
\ 0 2 k
ems / 0 0 /
\ \ $ k o @ :Em
3 § F D
CL
0
2 ? E 2
$ _ 'Tlq O
>
iO
ƒ \§ |
= o a
& :Ea 95
- 2 >
/ 0 ? §
% i g / / § m
=r $ 2 §% ? ; o
7 _
§ \ } CD # f
CL / -
g f 2 0 CD
(
3 > + - ± -
/ E f 3 3
=L ] \
� - 0)
k a +
a ƒ 9 E
k 0 \ \ / /
E 7 m k ƒ §
/\ crCD
c - !Z! 0 a ƒ J
%Z § q § z
/
3 ; CD §
2 + \ D $
§ k § $ a 0 0
8 2 § Q E ]
ƒ @ ° q ƒ C o
2 / ) # \ \ k Z /
/ k \ (n \
| �<
_0 \
/_CD o >
§\
RL
) 7
�E L °
2 2 \ k �CD
$
« i . X E §
/ / / \ CD c/ \ D r
I O ] £ 7 ]
% / E q ƒ } q
, _ 2
§ / f \
q §
CD 0 CD z
J \ } N
C
0
( k
C) ® k
ArN*. IACP Invoice IACP Invoice
International Association of Chiefs of Police PAY THIS AMOUNT: $150.00
P.O.Box 62564,Baltimore,MD,21264,USA Return this portion with payment or fa:
Phone:(703)836-6767 Fax:(703)836-4754 credit card information.
Federal 1D:53-0227813 Remittance Fax: 703-836-4543
James C Barlow Customer Number:2132088 Make checks payable in US funds to IACP
Chief of Police Invoice/Order Number: 1001268796 charge it to a credit card.
Carmel Police Dept PO Number: 100633
3 Civic Sq Date: August 11,2017
Carmel,IN 46032
Customer: 2132088 James C Barlow Order No.: 1001268796
Charge Amount: Balance Due(USD): 150.00
Credit Card# Exp.Date: _ /_ Check Amount:
Credit Card Holder Name(Please Print): Check No:
Signature: Credit Card Accepted-(AE.MC.Visa.Discover)-Circle One
Please Send Payment To: International Association of Chiefs of Police,P.O.Box 62564 Baltimore,MD 21264
Product Order Date Fulfill Status Status Qty Unit Price Total
IACP/OIACT-IACP-Active Member 11-Aug-2017 to 08/11/2017 Active Active 1 150.00 150.00
31-Dec-2018
Paid To Date 0.00
Current Amount Due: 150.00
Questions: (800)THE-IACP or email membership@theiacp.org
Please disregard if payment has already been sent. Thank You!
Keep this portion for your records
Customer Number:2132088
Invoice/Order Number: 1001268796
PO Number: 100633
Date: 8/11/2017
Balance Due(USD): 150.00
James C Barlow \�
Check Amount:
Chief of Police
Carmel Police Dept Check No:
3 Civic Sq
Charge Amount:
Carmel, IN 46032
Credit Card Used: