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167258 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 013514 Page 1 of 1 0 ONE CIVIC SQUARE APCO INTERNATIONAL, INC CARMEL, INDIANA 46032 351 N WILLIAMSON BLVD CHECK AMOUNT: $276.00 DAYTONA BEACH FL 32114 -1112 CHECK NUMBER: 167258 CHECK DATE: 12/23/2008 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 1115 4355300 276 ORGANIZATION MEMBER Azl e m. a `8 efZ" 6y, f PUBLIC c� ANNUAL DUES INVOICE c 0 'APCO International Federal ID Number 63- 046 -1885 S Association of Public -Safety Communication Officials APCO INTERNATIONAL INC. 351 NORTH WILLAMSON BLVD. DAYTONA BEACH, FLORIDA 32114 888- APC09 -1 -1 OR 386 322 -2500 Accounts Payable Statement Date: December 11, 2008 Carmel Clay Communication /Police Dept PO Number: 31 First Avenue NW Carmel, IN 46032 Bill Code: 308659 Total Amount Due: $276.00 You are being billed for: 2009 APCO Membership Dues NOTE Return statement with remittance. If paying by credit card please complete back of form. MEMBER NO. CAT. NAME DESCRIPTION AMOUNT DUE Org. Amount Amount Primary Chapter Amt. Due Paid Balance 96109 AC Bill Akers IN $92.00 $92.00 $0.00 $92.00 96115 AC Todd Luckoski IN $92.00 $92.00 $0.00 $92.00 86057 AC Marvin Stewart IN $92.00 $92.00 $0.00 $92.00 T tal Amount Due: $276.00 Page 1 of 1 PUSUC A APCO International, Inc. 2009 Membership Renewal a� c O 351 N. Williamson Blvd. Federal No. 63- 046 -1885 Daytona Beach, FL 32114 SAFETY If you would like to pay by credit card, complete the following information and fax to 386- 322 -2501 or mail to the address above: Agency Name Bill code number Amount Paid Agency Contact Name Contact's found on front Phone Number MasterCard Visa Card# Amex Discover Expiration Date Security Number Cardholder's Name Cardholder's Signature To make changes to the individuals listed on the front of the invoice, mark the front with edits and fax to us indicating the following: If the individual has left your agency or retired (provide date, if available) if iu@ iiiutvluuai i5 5t111 at yviir dgCiiCy uu yvu ar i1Vt 1 Ci1CVVillg at L11iJ iiniC O New members must have a completed application submitted, find the application online at http://www.apco9ll.org/new/membership/app-reg.php If you have any questions, please contact Jackie Bender at benderPapco97.1.org or 386- 944 -2429. APCO International dues are not a deductible for federal tax purposes, but may be deducted as a business expense. $35 of your dues are for a one year subscription to Public Safety Communications magazine, members may not deduct the subscription from 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 Fax 386 322 -2501 Voice 386 322 -2500 VOUCHER NO. WARRANT NO. ALLOWED 20 APCO International IN SUM OF 351 N. Williamson Blvd. Daytona Beach, FL 32114 $276.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 43- 553.00 $276.00 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 Tuesday, December 16, 2008 Director 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)) 12/11/08 I I I $276.00 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 Clerk- Treasurer