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Home My WebLink About205886 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366007 Page 1 of 1 ONE CIVIC SQUARE IN SCHOOL RESOURCE OFFICER ASSOC CARMEL, INDIANA 46032 PO BOX 1692 CHECK AMOUNT: $120.00 SOUTH BEND IN 46634 CHECK NUMBER: 205886 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 120.00 ORGANIZATION MEMBER INVOICE January 27, 2012 City of Carmel Police Department 3 Civic Square Carmel, IN 46032 2012 INSROA Membership Dues Sgt. Phil Hobson $30.00 Officer Wendy Bodenhorn $30.00 Officer Greg Dewald $30.00 Officer DJ Schoeff $30.00 TOTAL AMOUNT DUE: $120.00 Please make check payable to: Indiana School Resource Officer Association P.O. Box 1692 South Bend, IN 46634 INSROA Nlembershi Form Indiana School Resource Officers Association P.O Box 1692 South Bend, IN 46634 Full Name: Phil Hobson Title: Sergeant School Resource Officer Department /Organization Carmel Police Department Preferred Mailing Address: 3 Civic Square City: Carmel State /Province: Indiana Zip /Postal Code: 46032 Country: US Telephone: (_317)_846 -7221 Fax: (_317_571 -4066 Email: phobson(a0carmel.in.gov Are you and /or family planning to attend the state conference June 18 -21s� 2012? Yes 2012 Membership Registration Fee is $30 Shirt size X Large PLEASE CHECK APPROPRIATE REGISTRAION STATUS: DARE OFFICER X SRO_X SCHOOL SAFETY_X GREAT OFFICER_ OTHER Payment of 1012 INSROA Membership Dues: Active $30 REFIRED $30 Note: Dues will be used for training purposes only related to hotel rental fee's and travel expenses for our presenters! Also the website is down at this time! TOTAL ENCLOSED: Please list any ADA Special Needs: PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: Indiana School Resource Officer Association (INSROA). There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds. Membership confirmation/receipt and further information will be emailed. Please mail completed registration forms to: Indiana School Resource Officer Association (INSROA) P.O Box 1692 South Bend, IN 46634 INSROA Membershi Form Indiana School Resource Officers Association P.O Box 1692 South Bend, IN 46634 Full Name: Wendy Bodenhorn Title: Patrolman School Resource Officer Department /Organization Carmel Police Department Preferred Mailing Address: 3 Civic Square City: Carmel State/ Province: Indiana Zip /Postal Code: 46032 Country: US Telephone: (_317)_733 -6420 Fax: (_317)_733 -6422_ Email: wbodenhorn@carmel.in.gov Are you and /or family planning to attend the state conference June 18 -21st 2012 ?mss r� 2012 Membership Registration Fee is $30 Shirt size Medium PLEASE CHECK APPROPRIATE REGISTRAION STATUS: DARE OFFICER X SRO_X SCHOOL SAFETY_X GREAT OFFICER_ OTHER Payment of 2012 INSROA Membership Dues: Active $30 RETIRED $30 Note: Dues will be used for training purposes only related to hotel rental fee's and travel expenses for our presenters! Also the website is down at this time! TOTAL ENCLOSED: 'O`'' Please list any ADA Special Needs: PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: Indiana School Resource Officer Association INSROA). There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds. Membership confirmation/receipt and further information will be emailed. Please mail completed registration forms to: Indiana School Resource Officer Association INSROA) P.O Box 1692 South Bend, IN 46634 INSROA Membershi Form Indiana School Resource Officers Association P.O Box 1692 South Bend, IN 46634 Full Name: Greg Dewald Title: Patrolman School Resource Officer Department /Organization Carmel Police Department Preferred Mailing Address: 3 Civic Square City: Carmel State/ Province: Indiana Zip /Postal Code: 46032 Country: US Telephone: (_317)_844 -7251 Fax: (_317)_571 -4020_ Email: gdewald @carmel.in.gov Are you and /or family planning to attend the state conference June 18 -21st 2012? *es 2012 Membership Registration Fee is $30 Shirt size XX Large PLEASE CHECK APPROPRIATE REGISTRAION STATUS: DARE OFFICER X SRO_X SCHOOL SAFETY_X GREAT OFFICER_ OTHER O' Payment of 012 INSROA Membership Dues: Active $30 RETIRED $30 Note: Dues will be used for training purposes only related to hotel rental fee's and travel expenses for our presenters! Also the website is down at this time! TOTAL ENCLOSED: $r Please list any ADA Special Needs: PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: Indiana School Resource Officer Association (INSROA). There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds. Membership confirmation/receipt and furtheT information will be emailed. Please mail completed registration forms to: Indiana School Resource Officer Association (INSROA) P.O Box 1692 South Bend, IN 46634 INSROA Membershi Form Indiana School Resource Officers Association P.O Box 1692 South Bend, IN 46634 Full Name: D.J. Schoeff Title: Patrolman School Resource Officer Department /Organization Carmel Police Department Preferred Mailing Address: 3 Civic Square City: Carmel State/ Province: Indiana Zip /Postal Code: 46032 Country: US Telephone: (_317)_846 -7331 Fax: (_317 _)_571 -4012_ Email: dschoeff@)carmel.in.gov Are you and /or family planning to attend the state conference June 18 -21s� 2012? Yes 2012 Membership Registration Fee is $30 Shirt size Large PLEASE CHECK APPROPRIATE REGISTRAION STATUS: DARE OFFICER X SRO_X SCHOOL SAFETY X GREAT OFFICER_ OTHER Payment of 2012 INSROA Membership Dues: Ctive $30 RETIRED $30 Note: Dues will be used for training purposes only related to hotel rental fee's and travel expenses for our presenters! Also the website is down at this time! TOTAL ENCLOSED: O. O Please list any ADA Special Needs: PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: Indiana School Resource Officer Association INSROA). There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds. Membership confirmation/receipt and further information will be emailed. Please mail completed registration forms to: Indiana School Resource Officer Association INSROA) P.O Box 1692 South Bend, IN 46634 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)) 01/27/12 membership dues $120.00 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 Indiana School Resource Officer Association IN SUM OF P.O., Box 1692 South Bend, IN 46634 $120.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 43- 553.00 $120.00 I hereby certify that the attached invoice(s), or 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 Friday, Ja uary 27, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund