206114 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 363971 Page 1 of 1
ONE CIVIC SQUARE A P C O
CARMEL, INDIANA 46032 351 N WILLIAMSON BLVD CHECK AMOUNT: $92.00
DAYTONA BEACH FL 32114 CHECK NUMBER: 206114
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350900 27696 92.00 2012 OBLIGATIONS
ANNUAL DUES INVOICE
co Federal ID Number 63- 046 -1885
APCO INTERNATIONAL INC.
International 351 NORTH WILLAMSON BLVD.
DAYTONA BEACH, FLORIDA 32114
APCO International 351 North Williamson Blvd. Daytona Beach, FL 32114 888- APC09 -1 -1 OR 386- 322 -2500
Janet Arnone
Office Administrator Statement Date: 1!3112012
Carmel Clay Communications Center P.O. Number:
31 1St Ave NW
Carmel, IN 46032 -1715 Bill Code: 308659
Total Amount Due: $506.00
You are being billed for: 2012 APCO Membership Dues
Note: r Return invoice With remittance.
Please indicate those individuals no longer with your organization by drawing a line through their name.
Each new member requires a new application. Please complete the application on the back. Duplicate application as needed.
Payment Donations:
ff Check Check: Silent Key:
MasterCard Card
Visa Expiration Date: Sunshine Fund:
Amex Cardholder's Name:
Discover Cardholder's Signature: Please add this to your
total amount due.
Please retain a copy for your records and mail invoice with payment.
MBR CAT. NAME DESCRIPTION AMOUNT DUE
Primary Chapter Original Amt Amount Due AmountPaid Balance
IN 592.00 $92.00 50.00 592.00
t i y s IN 569.00 $69.00 50.00 S69.00
14-3-5 Peggy fN S69.00 S69.00 50.00 569.00
96115 FULL Todd Luckoski 1N 592.00 $92.00 50.00 592.0
c FULL ar%' tWwrrrt iN 592.00 S92.00 50.00 S92.00
IN S92.001 S92.001 SO,001 S92.00
Total Amount Due: 0
Page 1 of I
VOUCHER NO. WARRANT NO.
ALLOWED 20
APCO International
IN SUM OF
351 N. Williamson Blvd.
Daytona Beach, FL 32114
$92.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Members
Encumbered f` I hereby certify that the attached invoice(s), or
27696 I 43- 509.00 I $92.00
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
Wednesday, February 08, 2012
Director
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))
01/31/12 $92.00
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