HomeMy WebLinkAbout205138 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 010530 Page 1 of 1
ONE CIVIC SQUARE AMERICAN POLYGRAPH ASSOC
CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 PO BOX 8037
CHATTANOOGA TN 37414 -0037
CHECK NUMBER: 205138
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 150.00 ORGANIZATION MEMBER
AMERICAN POLYGRAPH ASSOCIATION
CHAD RUSSELL, Treasurer
P.O. BOX 8037
CHATTANOOGA, TN. 37414
(800) 272 -8037
Fed t.D. 52- 1035722
NOVEMBER 2, 2011
BRETT A. KEITH
4304 WORCHESTER CT
CARMEL, IN 46033 5548
ANNUAL MEMBERSHIP DUES (January 1 December 31, 2012) U.S. FUNDS .................$150.00
It is that time of year again; time to renew your commitment to continuing education, further research, a
unified voice, professional insightful publications, and all the other benefits that come
along with being a member of the American Polygraph Association.
The deadline for the payment of dues is March 31", 2012. Payment of dues after this date will be
assessed a $25 handling fee. This is simply an attempt to recoup costs associated with reinstating the
.member and their publications. Please be sure that any third parties paying for your membership or
subscription are aware of this change.
Receipts will be mailed directly to the member at the address above. Please be sure to provide the receipt
to any third -party, should they require it.
Retain the above portion for your records
,A
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/02/11 membership dues $150.00
1 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
American Polygraph Association
IN SUM OF
P.O. Box 8037
Chattanooga, TN 37414
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 I 43- 553.00 I $150.00
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
Tuesday, January 03, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund