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Home My WebLink About156665 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