172463 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 219700 Page 1 of 1
0 ONE CIVIC SQUARE NATIONAL RIFLE ASSOCIATION
CARMEL, INDIANA 46032 11250 WAPLES MILL ROAD CHECK AMOUNT: $35.00
FAIRFAX VA 22030
CHECK NUMBER: 172463
CHECK DATE: 5/13/2009
r dEPARTMENT AC COUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1110 4355300 35.00 ORGANIZATION MEMBER
E5 20,515
NRA RENEWAL STATEMENT
11250 Waples Mill Road, Fairfax, VA 22030
AT'TLNTION: Your NRA membership expired April, 2009. Please send
your dues now to avoid I rther loss ol'your valuable membership benefits.
Act now!
Mail this statement with your dues today, or call toll -free,
1- 877 NRA -2000 to charge your dues. Or, visit
www.NRAincinberservices.org to renew online and receive a $2 discount
off your membership dues!
NRA MEM.BIHR IDI/: 000127156875
Detach and return bottom portion only with your payment
l�
Pre,. =gibed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
t
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
National Rifle Association Purchase Order No.
11250 Waples Mill Rd
Terms
Fairfax, VA 22030
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/6/09 a ment for membership renewal Dwight Frost 35.00
Total
I 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
�PJCHER NO. WARRANT NO.
l ALLOWED 20
National Rifle Association
IN SUM OF
11250 Waples Mill Rd
Fairfax, VA 22030
35.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 553 35.00 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
May 6, 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund