321174 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 370252
b it ONE CIVIC SQUARE INDIANA POLYGRAPH ASSOCIATION CHECK AMOUNT: $.....***75.00*
CARMEL, INDIANA 46032 P.O.BOX 522 CHECK NUMBER: 321 174
ATT:MATT COLLINS CHECK DATE: 01/25/18
ROANOKEIN 46783
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 75.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 370252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INDIANA POLYGRAPH ASSOCIATION IN SUM OF$ CITY OF CARMEL
P.O. BOX 522 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ATT: MATT COLLINS rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ROANOKE, IN 46783
Payee
$75.00
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 $75.00 1 hereby certify that the attached invoice(s),or 1/11/18 0 annual membership dues-Keith $75.00
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
Thursday,January 18,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Indiana Polygraph Association INVOICE
Matt Collins
P.O. Box 522
Roanoke, IN 46783
260-760-3888
mcollins@isp.in.goy DATE:JANUARY 11,2018
TO: FOR:
Brett Keith IPA 2018 Dues
liedetector70)gmail.com
DESCRIPTION AMOUNT
2018 IPA MEMBERSHIP DUES $75.00
TOTAL $75.00
Make all checks payable to Indiana Polygraph Association
Please remit to IPA address above with a printed copy of you invoice. Upon payment, you will
receive another email showing your dues are paid in full. Thank you!
If you have any questions concerning this invoice, contact Matt Collins at 260-760-3888 or
mcollins@isp.in.gov.