156665 02/21/2008 CITY OF CARMEL INDIANA VENDOR: 164001 Page 1 of 1
ONE CIVIC SQUARE INTL ASSOC FOR IDENTIFICATION
I CARMEL, INDIANA 46032 INDIANA DIVISION CHECK AMOUNT: $15.00
5851 IRON OAKS COURT
CHECK NUMBER: 156665
INDIANAPOLIS IN 46237
CHECK DATE: 2/21/2008
DEPARTMENT ACC OUNT PO NUMBER IN VOICE NUM BER AMOUNT DESCRIPTION
11'10 4355300 15.00 ORGANIZATION MEMBER
INDIANA DIVISION OF
THE INTERNATIONAL ASSOCIATION FOR IDENTIFICATION
FEDERAL EMPLOYER IDENTIFICATION NUMBER 35- 1934954
AnnaMary T. Sullivan, Secretary- Treasurer
5851 Iron Oaks Court
Indianapolis, Indiana 46237
annamary. sul l i vanoyahoo. com
MEMBERSHIP RENEWAL
Please complete this form to renew your Indiana IAI membership for the coning year and return the signed original,
with a check or money order for $15.00 payable to "Indiana Division IAI," to the Secretary Treasurer at the above address.
The information on this form will be used to prepare the Member Directory, so please check addresses, telephone numbers,
and e -mail addresses for accuracy. Your membership letter will be sent upon receipt of your renewal form and. dues
payment. Members must pay annual dues on or before April I each year to remain in good standing.
INDIANA IAI MEMBER NUMBER j K 331 MEMBERSFIIP LEVEL: L kkCTIVE El ASSOCIATE
NAME Rl,t ,coo- olt�iA�
ARE YOU A MEMBER OF THE IAI PARENT BODY? YES: MEMBER NUMBER I NO
EMPLOYER (AGENCY OR COMPANY
TITLE OR POSITION �2 �C21/?G
OFFICE ADDRESS 3 6� Ui 99 lx a._-f/
CITY oz/ _r STATE //V ZIP CODE y(a O
OFFICETELEPHONENUMBER 3f� S 7/' L�O 7 FAX NUMBER
OFFICE E -MAIL ADDRESS ne V lam" 9
CHANGES FROM PRIOR YEAR I�Lrz_
I wish to renew my membership in the Indiana Division of the International Association for Identification. I
continue to meet all requirements as stated in the Constitution and Bylaws.
MEMBER'S SIGNATURE DATE
IAI Office Use Only
RECEIVED FORM OF PAYMENT
RECEIPT NUMBER RECORD UPDATED MEMBER NOTIFIED
M
INDIANA DIVISION
INTERNATIONAL ASSOCIATION FOR IDENTIFICATION
Federal Employer Identification Number 35- 1934954
5851 Iron Oaks Court Indianapolis, IN 46237
INVOICE
TO: Rebecca S. Diener
DATE:02 -03 -2008
REFERENCE: Rebecca S. Diener
DESCRIPTION: 2008 Membership dues for the Indiana Division of the International
Association for Identification.
AMOUNT: 15.00
P.O. 0003
TOTAL AMOUNT DUE 15.00
REMIT TO: Indiana Division of the International Association for Identification
5851 Iron Oaks Court, Indianapolis, IN 46237
Telephone: (317) 788 -8818
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 Division of the International Purchase Order No.
Association for Identification
5851 Iron Oaks Court Terms
Indianaoplis, IN4'46237
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 08 Davment for membership dues for Becky Diener 15.00
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
Indiana Division of the International IN SUM OF
Association for Identification
5851 Iron Oaks Court
Indianapolis. IN 46237
15.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 553 15.00 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
20
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund