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Home My WebLink About320467 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 354777 d Y ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $....***250.00* x ?4 CARMEL, INDIANA 46032 ATTN:TOM KUHLENSCHMIDT-ISOA TREASU CHECK NUMBER: 320467 PO BOX 1146 CHECK DATE: 01/11/18 VINCENNESIN 47591 DEPARTMENT ACCOUNT PO NUMBER_ INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 250.00 ORGANIZATION & MEMBER n t VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 354777 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA SWAT OFFICERS ASSOC, INC IN SUM OF$ CITY OF CARMEL ATTN:TOM KUHLENSCHMIDT-ISOA TREASU An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PO BOX 1146 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. VINCENNES, IN 47591 Payee $250.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 0 43-553.00 $250.00 1 hereby certify that the attached invoice(s),or 1/4/18 0 annual membership $250.00 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 Monday,January 8,2018 aC, EN..A.,, Jim Barlow Chief 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 'Receipt 12018 Membership Renewal I Indiana SWAT Officers Association Page 1 of 3 SportsEngine Registration: Indiana SWAT Officers Association 2018 Membership Renewal Receipt Registration Complete! You have successfully completed the 2018 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: �rJA �. Bax 1.14 lice he *NVQ r5 1 PLEASE PRINT THIS PAGE FOR YOUR RECORDS Questions? Please direct any questions regarding this registration to: Thank you for your participation! Mike Hart Inquiries Aryan jellison Phone: 317-710-0336 Registration What Membership are you renewing? Team Membership Individual Information Team Information First Name Ryan Last Name Jellison Assignment Title Team Commander Middle Initial D Address 1 3 Civic Square City Carmel State/Province IN Zip 46032 Phone Number 317-571-2500 Email rjellison@carmel.in.gov Agency Name/Military Unit Carmel Police SWAT Team Team Membership Fee Team of 13 or more https:Hindianasoa.sportngin.com/survey/complete?code=627299230 1/3/2018