205244 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00351320 Page 1 of 1
ONE CIVIC SQUARE NATIONAL TACTICAL OFFICERS ASSO
Q J� CARMEL, INDIANA 46032 PO BOX 797 HECK AMOUNT: $150.00
DOYLESTOWN PA 18901 CHECK NUMBER: 205244
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 12763 150.00 ORGANIZATION MEMBER
'N A
T A
NATIONAL TACTICAL OFFICERS ASSOCIATION
PO Box 797, Doylestown, PA 18901 800.279.9127 Fax 215.230.7552
FEDERAL TAX ID: 85- 0402507
MAJOR JAMES BARLOW
CARMEL (IN) P D SWAT
3 CIVIC SQ
CARMEL, IN 46032
Terms Due Upon Receipt Date Sent: December 14, 2011
Team Membership ID Number: 12763 Ex iration Date. 2!912012
Quantity Description Unit Price Extension
1 TE Team Annual Membership Renewal $150.00 USD $150.00 USD
Total $150.00 USD
Amount Paid 0
(US FUNDS) Total Due $150.00 USD
Complete form below and include if you are mailing payment
e
Sent: 12114/2011
CARMEL (IN) P D SWAT For An Immediate
MAJOR JAMES BARLOW Member ID #:12763 Credit Card Receipt or
3 CIVIC SO SEND CHECKS TO
Expires: 2/9/2012 Renew Online
CARMEL, IN 46032
go to our website www.ntoa.org NTOA
Due:$150.00 USD NTOA Store P.O. Box 797
VISAIAMEXIMC Number Membership Renewals Doylestown, PA 18901
Card Codes Expiration D Renewal Payment_ _ffi1;50.40_LSSD
VISA MC: Amount Enclosed
3 digits near signature line on back
CARD HOLDER NAME
AMEX:
4 digits on card front CARD HOLDER PHONE
gee- -e o- -o• e° o
s I *I FMff M, QMMM
Point Of Rank/ Agency Stats: Sworn Officers: Pop of Jurisdiction Served
Contact Name
St. or Team Status 4 13 Part-time Full -time
PO Box
MultiJurisdictional Population of Multi-Jurisdiction Served
Agency City State
Address Yes No
Country Zip /Postal Multi -Juris Name:
Code
P.O.C. #Tactical #Negotiators #TEMS
E -mail
Area Code Fax Sworn TEMS Breachers #Bomb
Phone Number I Techs
VOUCHER NO. WARRANT NO.
ALLOWED 20
National Tactical Officers Associ tion
IN SUM OF
P.O. Box 797
Doylestown, PA 1$901
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
Prior t r i hereby certify that the attached invoice(s), or
1110 I 12763 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
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))
12/14/11 12763 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