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321628 02/13/18 0;11i" CITY OF CARMEL, INDIANA VENDOR: 013514:'_ONE CIVIC SQUARE APCO INTERNATIONAL, INC CHECKAMOUNT: $********92.00` CARMEL, INDIANA 46032 351 N WILLIAMSON BLVD CHECK NUMBER: 321628 DAYTONA BEACH FL 32114-1112 CHECK DATE: 02/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4355300 92.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. . Prescribed by State Board of Accounts City Form No.201 (Rev.1995) . ALLOWED 20 vendor# .013514 ACCOUNTS PAYABLE VOUCHER IN SUM OF$ TY OF CARMEL APCO INTERNATIONAL, INC CI 351 N WI LLIAMSON BLVD : An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered;by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DAYTONA BEACH, FL 32114-1112. Payee $92.00 Purchase Order# ON ACCOUNT OF APPROPRIATION:FOR . . Terms ICS 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 $92.00 1 hereby certify that the attached invoice(s),or 1/23/18 0 $92.00 1115 101 1115 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 Tuesday,:January 30,2018 Arnone,Janet. Admin Assistant 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 ANNUAL DUES INVOICE F. ,"i� JAPCO APCO Federal ID#: 63-0461885 APCO INTERNATIONAL INC. International DA NORTH SON BLVD. DAYTONA BEACH, FLORIDA 32114 APCO International♦351 North Williamson Blvd.♦Daytona Beach,FL 32114 888-APC09-1-1 OR 386-322-2500 Janet Arnone Org Number: 308659 Office Administrator Statement Date: 1/23/2018 Carmel Clay Communications Center 31 1 St Ave NW P.O.Number: Carmel,IN 46032-1715 Total Amount Due: $92.00 Payable in US Funds Final Notice Total Amount Paid: 2018 APCO Membership Dues-To make changes to your invoice: • Individuals no longer with your organization: draw a line through their name. •Individuals with your organization; but no longer on the invoice: draw a line through their name and check the box. • Add New Members: Each new member requires an application;download and duplicate, as needed,the application at www.apcointl.org/join.Return application with payment. MBR# CAT. NAME DESCRIPTION AMOUNT DUE Payable in US Funds Primary Chapter Original Amt Amount Due Total Paid Balance 96115 FULL Todd Luckoski 0 IN $92.00 $92.00 $0.00 $92.00 Total Amount Due: $92.00 RETURN INVOICE WITH REMITTANCE. RETAIN A COPY FOR YOUR RECORDS. Select Payment Method ❑ Check Enclosed#: ❑ M/C ❑ VISA ❑ AMEX Exp Date / Card# Card Holder's Name Card Holder's Signature Card Holders E-mail: Page 1 of 1