329099 08/22/18 a
CITY OF CARMEL, INDIANA VENDOR: 363105
ONE CIVIC SQUARE INTL POLICE MOUNTAIN BIKE ASSOC CHECK AMOUNT: $********60.00*
r °"��Ab CARMEL, INDIANA 46032 583 FREDERICK ROAD SUITE 5B CHECK NUMBER: 329099
9� �_.;%= BALTIMORE MD 21228 CHECK DATE: 08/22/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 60.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 363105
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
_
INTL POLICE MOUNTAIN BIKE ASSOC IN SUM OF$ CITY OF CARMEL
583 FREDERICK ROAD SUITE 5B 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.
BALTIMORE, MD 21228
Payee
$60.00
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 $60.00 1 hereby certify that the attached invoice(s),or 8/14/18 0 annual membership-Pitman $60.00
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
Tuesday,August 14,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
17_ b Rea.. ! .-.-
International Police Mountain Bike Association
�• 9 Enclosed are my$60 membership renewal dues or
(Police on Bikes,Inc.,d6a IPMBA,Tax ID#52-2137781)
0 Charge my 0 Visa 0 Mastercard
-I-I-I-I-I-III-I-I-I-I-I-I-I
Expiration date / Security Code
Signature
DUE DATE: August 31,2018 Phone 0 Home 0 Dept. 0 Cell ( )
Email (for credit card receipt)
20090760 08/18 R10718 0 1 support IPMBA's efforts to keep world-class public safety cyclist
Michael Pitman training affordable. My tax-deductible contribution is enclosed.
150 Springs Court
Carmel IN 46033 0 $100 0$75 0 $50 0 $25 0 $
Call 410-744-2400/Fax 410-744-5504/Online www.ipmba.org
Address correct?Please indicate changes. Mail IPMBA, 583 FrederickRoad, Suite.5B, Baltimore MD.21228