186417 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 192000 Page 1 of 1
z, ONE CIVIC SQUARE MAGLOCLEN "LAW ENF COMMITEE" CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 140 TERRY DR, SUITE 100
NEWTOWN PA 18940 CHECK NUMBER: 186417
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 30 -1A22 400.00 ORGANIZATION MEMBER
s
Toll -Free: (800) 345 -1322
LEN Local: (215) 504 -4910
AuL
Fax: (215) 504-4926
Miciclle Atlantic -Great Lakes Organived Crime Law Enforcem.eat Network'
140 Terry Drive, Suite 100
Newtown, Pennsylvania 18940
I NVOI C E 5/27/2010
Leland C Goodman, Major
CITY OF CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE
CARMEL, IN 46032
PO Invoice 30 -1A22_
ANNUAL USER FEE
July 1, 2010 to June 30, 2011
$400.00 (US Dollars)
PAYMENT DUE Saturday, July 31, 2010
MAKE CHECK PAYABLE TO:
MAGLOCLEN
ATTN: Fiscal Department
140 Terry Drive Suite 100
Newtown, Pennsylvania 18940
FID 23- 2160277
MAGLOCLEN is now able to take credit card payments for your User Fee. To pay
by credit card, you can log onto OfficialPayments.com, click .onto STATE PAYMENTS
and enter 7517 under the JURISDICTION CODE. Select "Make a Payment Then
select "MEMBERSHIP DUES" under Payment Type. Select "Make a Payment
Enter payment, accept and fill in information, then click "Complete You can also
pay by credit card by calling us at 1- 800 345 -1322 and tell the operator to forward
you to someone who can take your payment information.
Attention New Jersery Agencies: Due to the fact that we are a government entity, we are not required to apply for a Business
Registration Certificate with the State of New Jersey.
,ham
"DEDICATED TO CONIMUNICATION, COOPERATION R COORDINATION"
Regional Information
B
Sharing Systems° ureau of Justice A ssi st ance
011ice of .luaiice U oenanmenl of Justice
by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
MAGLOCLEN Purchase Order No.
ATTN: Fiscal Department
140 Terry Drive., Suite 100 Terms
Newtown, PA 18940
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/3/10 30 -1A22 annual payment 400.00
Total
1 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 d
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
rGL�OCLEN���
IN SUM OF
ATTN: Fiscal Department
140 Terry Drive, Suite 100
Newtown, FA 18940
400.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or DEPT. INVOICE No. ACCT #ff ITLE AMOUNT I hereby certify that the attached invoice(s), or
11 +1i0 30 1A22 553 400.00 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
June 3 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund