160398 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 353566 Page 1 of 1
ONE CIVIC SQUARE I A L E I A
CARMEL, INDIANA 46032 PO BOX 13857 CHECK AMOUNT: $100.00
RICHMOND VA 23225 CHECK NUMBER: 160398
CHECK DATE: 6/1012008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 43SS300 100.00 ORGANIZATION MEMBER
i
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International Association of Law Enforcement Intelligence Analysts, Inc.
IlALHA
Application for New Membership /Renewal
Type of Membership*: New: Renewal: Membership
Regular _X_ Associate Corporate Agency Developing Country Student
*If you are NOT a current member of law enforcement, please write on a separate piece of paper why you should be accepted
into the membership category for which you are applying.
Applicant Name:
(Last) (First) (Middle)
Agency /Employer.,t`
Agency /Employer Address: I r cy-
City.. Cy.t ccfyi✓' I State/Province: i'ta Country/Postal Code f--
Work Phone j� Fax:
E -mail 7.11` l�� !'CI S t�'�E 14� f .C'.�.
Current Position/Title:
„(f s
Home Address (Optional):
City: f :9' t' 1 4 try State /Province: Country, Postal Code
Send mail to: Employer Address Home Address
Address for Membership Directory: X Employer Address Home Address
Are you interested in receiving literature from the Society of Certified Criminal Analysts? Yes K
Are you interested in receiving marketing materials from IALEIA corporate members? Yes
Sponsoring Member. V Membership 4.
Applicant's Certification
I hereby apply for membership in the International Association of Law Enforcement Intelligence Analysts, Inc. in the
membership category stated above. I agree to be bound by the Bylaws of the Association and by its Code of Ethics. 1
understand that if, for any reason, my app/ ation is not accepted, a full refund will be made to me.
(Signature) (Date)
Payment Information
Fees: Regular /Associate $50 /year Members from developing countries $10 /year
Student $25 /year Corporate $1000 /year
(Multiple year payments are permissible up 1 five years in advance)
Amount Enclosed: 5p Payment Method: (Circle on Che k Money Order VISA MasterCard AmEx
Carholder's Name Card Number: Exp. Date:
Credit Card Billing Address
(Only street address and postal code are needed.)
Authorized Signature:
Dues are payable to IALEIA in U.S. dollars; checks mast be payable at U.S. branch banks. Returned
checks will result in a $25 fee assessed to the prospective member. Bank charges to us from you will be billed to you.
IALEIA is a non profit organization; dues are tax deductible to the extent provided by the tax laws in your country.
Mail application and payment to: IALEIA Inc., P.O. Box 13857, Richmond, VA 23225
If paying by credit card, you may fax form to: 804 565 -2059
Revised 1118106
International Association of Law Enforcement Intelligence Analysts, Inc.
IALEIA
Application for New Membership /Renewal
Type of Membership New: XX Renewal: Membership
Regular XX Associate Corporate Agency Developing Country Student
*If you are NOT a current member of law enforcement, please write on a separate piece of paper why you should be accepted
into the membership category for which you are applying.
Applicant Name: Doan Marie L.
(Last) (First) (Middle)
Agency /Employer: Carmel Police Department
Agency /Employer Address: 3 Civic Square
City: Carmel State /Province: IN Country/Postal Code 46032
Work Phone: (317) 571 -2522 Fax: (317) 571 -2725
E -mail: mdoan @carmel.in.gov
Current Position/Title: Special Investigations Administrator
Home Address (Optional):
City: State /Province: Country, Postal Code
Send mail to: XX Employer Address Home Address
Address for Membership Directory: XX Employer Address Home Address
Are you interested in receiving literature from the Society of Certified Criminal Analysts? Yeso
Are you interested in receiving marketing materials from IALEIA corporate members? Yes E]
Sponsoring Member: Lt. Dennis Ellis/ Indiana State Police Membership 1135
Applicant's Certification
I hereby apply for membership in the International Association of Law Enforcement Intelligence Analysts, Inc. in the
membership c tegory stated above. I agree to be bound by the Bylaws of the Association and by its Code of Ethics. I
refund will be made to me.
undersfand� a 'f, for any n, m pplication is not accepted, a full
x$/27/20
W� (Date)
(Signature)
Payment Information Members from developing countries $10 /year
Fees. Regu%rlAssociate $50 /year XX Corporate $1000 /year
Student $25 /year
U asterCard AmEx
flvMo Mon Order adv
(Multiple year payments are permissible M
Amount Enclosed: 50 50Payment Method: (Circle one)
Card Number:
Exp. Date:
carholdler's Name
Credit Card Billing Address (pnly street address and postal code are needed.)
Authorized Signature'.
able at U.S. branch banks. Returned
Dues are payable to IALEIA in U.S. dollars; checks must be pay
Bank charges to us from Y ou will be billed to You
s are tax deductible to the extent provided by the tax taws in your country.
2SSeSSee to the prospective member.
IALEIA is a non -profit organization; du
a ment to: IALEIA Inc., P.O. Box 13857 Richmond, VA 23225
Mali application and p Y y ou may fax form to
i f paying p y credit card Revised 11/8/06
,1
Prescribed by State Board of A'&ounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
IALEIA Inc. Purchase Order No.
P.O. Box 13857 Terms
Richmond, VA 23225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/29/08 payment for membership renewal 50.00
5/29/08 payment for membership renewal 50.00
Total 100.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IALEIA Inc. r I j I A/ A IN SUM OF
P.C.. Box 13857
Richmond, VA 23225
100.00
ON ACCOUNT OF APPROPRIATION FOR
police genreal fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 553 50.00 bill(s) is (are) true and correct and that the
1110 553 50.00 materials or services itemized thereon for
which charge is made were ordered and
received except
May 29 20 08
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund