167118 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 180860 Page 1 of 1
ONE CIVIC SQUARE JEFFREY W LAKER CPD CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 18829 SHADY NOOK ROAD
NOBLESVILLE IN 46062 CHECK NUMBER: 167118
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1110 4355300 75.00 ORGANIZATION MEMBER
1vlemneruncxs rorm rage I or
AN n
Confirmation
I aAmAm 9 1"M
s
r:
Your application for renewal has been received. Thank you for submitting a membership renewal application.
Please print this page for y our records
Jeffrey W.Laker 103491
18829 Shady Nook Rd. 12/20/2009
Carmel
Indiana
46032
1 year Active Membership $75.00
1 year Active Membership $75.00
$75.00
12/08/2008 09:45:57
1538766
Credit Card
To mail in payments, please use the address below.
IAAI
2151 Priest Bridge Dr. Suite# 25
Crofton, MD 21114
Please include this information with your payment. Thank you.
Jeffrey W.Laker 103491
-18829 Shady Nook Rd. 12/20/2009
Carmel
Indiana
46032
1 year Active Membership $75.00
1 year Active Membership $75.00
$75.00
12/08/Z008�09L45�57
153 8766
CreditCai
WWW.FIREARSON.CO
https: web. memberclicks. com/ mc/ quickForm /processCCTransaction.do 12/8/2008
rage I of I
Laker, Jeffery W
1
From: From IAAI [iaaimail @firearson.com] Sent: Mon 12/8/2008 9:47 AM
To: Laker, Jeffery W
Cc:
Subject: International Association of Arson Investigators Customer Receipt /Purchase Confirmation
Attachments:
GENERAL INFORMATION
Merchant International Association of Arson Investigators
Date/Time 08- Dec -2008 09:47:35 AM
Transaction ID 2209199139
ORDER INFORMATION
Invoice Number
Descri ption Form Name: Membership Renewal, Receipt ID: 1538766
Total:: US $75.00 J
Payme Method
BILLING INFORMATION
Customer ID
First Name Jeffrey W.
Last Name Laker
Company
Address 18829 Shady Nook Rd.
City Carmel
State /Province IN
Zip /Postal Code 46032
Country US
Phone 317 938 -4740
Fax
Email jlaker @carmel.in.gov
SHIPPING INFORMATION
First Name
Last Name
Company
Address
City
State/Province
Zip /Postal Code
Country
http: /owa,cityofcarmel.net/ exchange /JLaker /Inbox/ International %20Association %20oP /o2... 12/8/2008
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
Jeffrey W. Laker Purchase Order No.
18829 Shady Nook Road. Terms
Noblesville, IN 46062 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/9/08 reimburse-Officer Jeff Laker for membership renewal 75.00
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
Jef W. Laker IN SUM OF
18829 Shady Book Road
Noblesville, IN 46062
75.00
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 75.00 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
December 9 20 08
Signature
Chief °.6f Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund