182751 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 010530 Page 1 of 1
ONE CIVIC SQUARE AMERICAN POLYGRAPH ASSOC
CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 30555 SOUTHFIELD RD #410
SOUTHFIELD MI 48076 -7753
CHECK NUMBER: 182751
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 150.00 BRETT KEITH
r
AMERICAN POLYGRAPH ASSOCIATION
CHAD RUSSELL, 'Treasurer
P.O. BOX 8037
CHATTANOOGA, TN. 37414
(800) 272 -8037
Fed LD. 52- 1.035722
February 4, 2010
BRETT KEITH
4304 WORCHESTER CT
CARMEL, IN 46033 Member No. 5548
ANNUAL M:EMBERS.H1P DUES (January 1 December 31, 2010) U.S.:FUNDS .................$150.00
It is that time of year again; time to renew your commitment to continuing education, farther research, a
.unified voice ,_professional_improvement, insightful p.ublications,_and all the other -benefits that come.___
along with being a member of the American. Polygraph Association.
The deadline for the payment of dues is March 31' 2010. Payment of dues after this date will be
assessed a $25 handling fee. This is simply an attempt to recoup costs associated with reinstating the
member and their publications. Please be sure that any third parties paying for your membership or
subscription are aware of this change.
Receipts will be mailed directly to the member at the address above. Please be sure to provide the receipt
to any third party, should they require it.
Retain the above portion for your records
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
American Polygraph Association Purchase Order No.
P.O. Box 8037 Terms
Chattanooga, TN 37414 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
p ayme nt for membership dues.- 150.00
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
A merican Polygraph Association IN SUM OF
P.O. Box 8037
Chattanooga, TN 37414
150.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 553 150.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
0 which charge is made were ordered and
received except
February 24 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund