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166258 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 139800 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOC OF CHIEFS OF POLIC CARMEL, INDIANA 46032 10293 N MERIDIAN ST STE 175 HECK AMOUNT: $407.00 INDIANAPOLIS IN 46290 CHECK NUMBER: 166258 CHECK DATE: 11/24/2008 DE PARTMENT AC PO NUMBER INVO NUMBER AMOUNT DESCRIPTION 1110 4355300 407.00 ORGANIZATION MEMBER i 1 2009 Membership Dues Invoice Membership year is January I through December 31. Please Print Clearly Membership information will appear in directory as shown below. 1 Agency 1 1 Chief Michael Fogarty Main Phone: 317.571.2500 RECEIVED Carmel P.D. Main Fax: 317.571.2512 NOV O 2008 3 Civic Square County: Hamilton Carmel, IN 46032- Municipal Population: 600 UARMEL POLICE DEPT D ues structure /'The I'ACP duels structure is based on the number of sworn officers. Each agency is entitled to two memberships. Number of Includes 2 For Each.Additional For Each Additional Sworn Officers Memberships Command Member Administrative Member 1— 10 $191 $170 $85, 11-25 $233 $170 $85 26-75, $280 $170 $85 >75 $407 $170 V`� $85` .e Proprietary Security $371 $202 V NAB Retired, $20 per person $0 $0 Life $0 $0 $0 Please verify the information below, making changes where appropriate. Chief Michael D. Fogarty E -mail: mfogarty @carmel.in.gov Membership Category: Life Active Direct Phone: 317.571.2523 Direct Fax: 317.571.2512 Assistant Chief Timothy Green E -mail: tgreen @carmel.in.gov Membership Category: Command1 Direct Phone: 317.571.2519 Direct Fax: 317.571.2512 2009 IACP Dues: $407 based onXSworn Officers. I o� PaymentType: 0 Check 0 Visa 0 MasterCard 0 Payment Amount: Account No. Exp. Date: Signature: Please enclose a copy of this invoice with your payment. Indiana Association of Chiefs of Police, Inc. 10293 N. Meridian Street, Suite 175 Indianapolis, IN 46290 Phone: 317.816.1619 Fax: 317.816.1633 E -mail: info @iacop.org Tax I.D. 23- 7326896 OVER 1 Add New Memb If the individual listed below is the second member for your agency's two memberships, please check the appropriate membership category: Command (no additional charge) Administrative (no additional charge) Rank: First Name: Last Name: Direct Phone: Direct Fax: E -mail: Please check the appropriate Membership Category for the member(s) listed below and adjust your membership dues: Additional Command ($160 for each additional Command member) Additional Administrative ($80 for each additional Administrative member) Rank: First Name: Last Name: Direct Phone: Direct Fax: E -mail: Command: Chief, Marshal, Sheriff, Director, Assistant Chief, Deputy Chief, Major Administrative: All other ranks Please note: 1. Membership year is from January l to December 31. 2. Pursuant to the Revenue Act of 1987, we are required to advise you that your dues payments remain deductible as business expenses to the same extent as permitted under prior law. Your Association dues, however, are not deductible as charitable contributions for Federal Income Tax purposes. 3. Tax I.D. 23- 7326896. The National Police Officer Selection tests (POST) are quality written exams for new hires developed by Stanard Associates, Inc. and offered by the IACP Foundation. National First Second Line Supervisor Tests are also available. Call 317.816.1619 for more information. For all your medical and fitness testing needs, Public Safety Medical Services has been endorsed by the IACP Foundation. They can be reached at 877.972.1180. SAVE THE DATE! IACP MID- WINTER CONFERENCE TRADE SHOW JANUARY 28-30, 2 0 0 9 CROWNE PLAZA HOTEL, CONFERENCE CENTER DOWNTOWN INDIANAPOLIS THANK YOU FOR YOUR SUPPORT OF THE IACP! VISIT US AT WWW.IACOP.ORG Indiana Association of Chiefs of Police, Inc. 10293 N. Meridian Street, Suite 175 Indianapolis, IN 46290 Phone: 317.816.1619 Fax: 317.816.1633 E -mail: info @iacop.org 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 Indiana Association of Chief6 ­of POlice, I nc. Purchase Order No. 10293 N. Meridian Street, Suite 175 Terms Indianapolis, IN 46290 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) annual membership dues 407.00 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 I ndiana Association of Chiefsoof IN SUM OF Police, Inc. 10293 N. Meridian Street, Suite 175 Indianapolis, IN 46290 407.00 ON ACCOUNT OF APPROPRIATION FOR police generalfund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 5 553 407.00 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 November 12 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund