181798 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 013514 Page 1 of 1
ONE CIVIC SQUARE APCO INTERNATIONAL, INC
CARMEL, INDIANA 46032 WILLIAMSON BLVD CHECK AMOUNT: $92A0
351 N
DAYTONA BEACH FL 32114 -1112
A;,;.s� G CHECK NUMBER: 181798
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4355300 92.00 ORGANIZATION MEMBER
Keep this portion for your records: APCO 2010 Dues Renewal Receipt
1-Customer Name Member Category Chapter Amount Due
(Dennis Stiltz 229379 Active Member (Tier One) Indiana APCO $92.00
APCO International dues are not deductible for federal tax purposes, but may be deducted as a business expense. $35 of your clues are for a one year subscription to Public Safety
Communications magazine, members may not deduct the subscription price from their dues. APCO estimates that 7.6% of your dues are not deductible because of APCO's lobbying activities on
behalf of its members.
APCO International 351 N. Williamson Blvd., Daytona Beach, FL 32114 Phone 386- 322 -2500
Fax 386 322 -2501
PUBLIC APCO International, Inc. 2010 Membership Dues Invoice
i l tv
,il 351 N. Williamson Blvd. Federal No. 63- 046 -1885
P 7 Daytona Beach, FL 32114 Member [D 229379
Current Membership Expires: 12/31/2009
snF�rr r Statement Date: 1/14/2010
"4`" Purchase Order Number:
Below is your primary contact information. Please verify and note any changes: (or attach business card)
Dennis Stiltz
Carmel Clay Communication /Police Dept
31 First Avenue NW
Carmel, IN 46032
Email:
Phone: (317) 571 -2586
Fax: (317J 571 -2585
Log onto https: /apconetforum.org /eweb click on "My Information" to view complete contact information.
1 Original Amount' Amount Duel Amount Paidl Balance Due
APCO Active Member (Tier One) $92.00 $92.00 $0.00 $92.00
Primary Chapter: Indiana APCO
$92.00
Payment: Donations:
Check Check No.: Silent Key:
MasterCard Card
Visa Expiration Date: Security No: Sunshine Fund:
Amex Cardholder's Name:
Discover Cardholder's Signature: Please add this to your
total amount due.
Please return the above portion with payment in U.S. currency for proper processing.
VOUCHER NO._ z WARRANT NO.
ALLOWED 20
APCO Institute, Inc.
IN SUM OF
351 N. Williamson Blvd.
Daytona Beach, FL 32114
$92.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 43- 553.00 $92.00 I hereby certify that the attached invoice(s), or
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 26, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 20i (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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/14/10 I
1 1 $92.00
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