193128 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00350572 Page 1 of 1
ONE CIVIC SQUARE I A A I CHECK AMOUNT: $95.00
CARMEL, INDIANA 46032 2111 BALDWIN AVE SUITE 203
CROFTON MD 21114 CHECK NUMBER: 193128
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1120 4355300 21351 95.00 ORGANIZATION MEMBER
r T -A 1
I A
BILL TO: REMIT TO:
Christopher M. Ellison IAAI
City of Cannel Fire 2111 Baldwin Avenue, Suite 203
8772 Randall Dr Crofton, MD 21114
Fishers IN 46038 -1079
iaai @firearson.com
PHONE: FAX:
410- 451 -3473 410 -451 -9049
INVOICE NO. MEMBER ID: PO /REF NO: DUES DATES INVOICE DATE DUE DATE
21351 121671 01/01/2011 01/01/2012 12/16/2010 01/15/2011
DESCRIPTION QTY RATE AMOUNT
Active Membership 1 $75.00 $75.00
Indiana Chapter Dues 1 $20.00 $20.00
Please note that processing this
membership cannot be completed until we
receive the paymentsibalance.
PRIOR BALANCE $0.00
INVOICE AMOUNT $93.00
PAYMENTS $0.00
,TOTAL DUE
R. d
VOUCHER NO. WARRANT NO.
ALLOWED 20
International Association of Arson Investigators
IN SUM OF
2111 Baldwin Avenue, Ste. 203
Crofton, MD 21114
$95.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 21351 43- 553.00 $95.00 1 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
21351 $95.00
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
1 20
Clerk- Treasurer