181259 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00351446 Page 1 of 1
ONE CIVIC SQUARE INDIANA POLYGRAPH ASSOC
d C ARMEL, INDIANA 46032
WARSAW POLICE DEPARTMENT CHECK AMOUNT: $75.00
A. 1476 S 700 W CHECK NUMBER: 181259
'�e.� WABASH IN 46992
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 75.00 ORGANIZATION MEMBER
c roll A P I/
VERITA
DMA POLYGRAPH
Indiana Polygraph Association,Inc.
1476 S. 700 W.
WABASH„ Indiana 46992
U.S.A
Phone: (765) 473 -6666 Fax: (765) 473 -3207
Invoice Date 1/5/2010
Member ID 25
Payment Terms
Member: Brett A. Keith
4304 Worchester Court
Carmel, Indiana 46033
U.S.A.
Member Dues $75.00
Amount Paid
Total Due $75.00
2010 Dues
Page 16 of 80
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Indiana Polygraph Association Purchase Order No.
1476 S. 700 W Terms
wabash, IN 46992 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/5/10 payment for membership dues 75.00
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Polygraph Association IN SUM OF
1476 S. 700 w
Wabash, IN 46992
75.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
D PT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 553 75.009 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
January 8 20 10
&4114. D letre4
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund