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205900 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 163800 Page 1 of 1 ONE CIVIC SQUARE INTERNATIONAL ASSOC OF CHIEF POL SECK AMOUNT: $120.00 CARMEL, INDIANA 46032 PO BOX 62564 BALTIMORE MD 21264 CHECK NUMBER: 205900 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 1001018335 120.00 ORGANIZATION MEMBER IACP Membership Renewal Notice First Notice Am Is �y International Association of Chiefs of Police Pay This Amount: $120.00 r� P.O. Box 62564, Baltimore, MD 21264 -2564 Return this portion with payment to P.O. Box or Phone: (703)836 -6767 Fax: (703) 836 -4543 Federal ID: 53- 0227813 fax to (703) 836 -4543 Tim Green Member Number: 1682694 Make checks payable in US funds to IACP Chief of Police Order/Invoice Number:1001018335 Renew Online: www.theiaep.org /renew Carmel Police Dept PO Number: 3 Civic Sq Date: 1/5/2012 Carmel, IN 46032 Customer: 1682694 Order /Invoice No: 1001018335 Credit Card Exp. Date: Balance Due (USD): $120.00 Voluntary Foundation Contribution: Credit Card Holder Name (Please Print Charge Amount: Signature Credit Cards Accepted (AE,MC,Visa, Discover) Circle Description Order Date Qty Amount Line Total IACP Active Member 01 -Jan-2012 to 31- Dec -2012 12/07/2011 1 120.00 120.00 Total: 120.00 Paid: 0.00 Balance Due: 120.00 You must include your Member Number and Order /Invoice Number 1001018335 on your check. Please do not make any changes on this form as our renewal service is automated. o make changes, update your profile online at i-. Questions: (800)THE -IACP or email membership @theiaep.org 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)) 01/05/12 1001018335 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 International Assoc of Chiefs of Police IN SUM OF P.O. Box 62564 Baltimore, MD 21264 $120.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 I 1001018335 I 43- 553.00 I $120.00 1 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 Thursday, January 26, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund