167665 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 00351320 Page 1 of 1
-ONE CIVIC SQUARE NATIONAL TACTICAL OFFICERS ASSOC
CARMEL, INDIANA 46032 PO Box 797 GHECK AMOUNT: $150.00
DOYLESTOWN PA 18901
CHECK NUMBER: 167665
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NU MBER INV NUMBER AMOUNT DES CRIPTION
1110 4355300 150.00 ORGANIZATION MEMBER
e
T A
NATIONAL TACTICAL OFFICERS ASSOCIATION
PO Box 797, Doylestown, PA 18901 800.279.9127 Fax 215.230.7552
FEDERAL TAX ID: 85- 0402507
7 M� M"'Kg�i
��A�JR JAMES !,B ARLOW CARMEL (IN) P TACTIAL
3 CIVIC SQ
CARMEL, IN 46032
Terms Due Upon Receipt Date Sent: December 16, 2008
Team Membership ID Number: 12763 Expiration Date: 2/9/2009
Quantity Description Unit Price Extension
1 TE Team Membership Renewal $150.00 $150.00
Total $150.00
Amount Paid 0
(US FUNDS) Total Due $150.00
Complete the form below and mail with your payment to NTOA.
o 0 1 o s
Member ID 12763 Date Sent: 1 211 612 0 0 8
Expire Date 219/2009
CARMEL (IN) P D TACTIAL Amount Due $150.00
MAJOR JAMES BARLOW PLEASE SEND PAYMENT TO
3 CIVIC SQ
GARMEL !N- 46032-- —NTOA_ OR.
P.O. Box 797 Renew online at:
Doylestown, PA 18901 www.ntoa.org
Check Number
VISA/AMEX/MC Number Renewal Payment $150.00
Card Code Expiration
VISA MC: last 3 digits in Date:
signature line Total Amount Enclosed I
AMEX: 4 digits in small print
on card front
ADD' e 0'
e
Point Of I Rank/ Agency Slats:
Sworn Officers: Pop of Jurisdiction Served
Contact Name
St. or Team Status �1 Part-time Full -time
PO Box
Agency City State Multi- Jurisdictional 4 Population of Multi- Jurisdiction Served
Address Yes No
Country Zip /Postal Multi -Juris
Code Team Name:
P.O.C.
E -mail #Tactical #Ne otiators:
Area Code Fax
Phone Number
TEMS #Sworn TEMS Breachers #Bomb Techs
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
14 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
National Tactical Officers Association Purchase Order No.
P.O. Box 797 Terms
Doylestown, PA 18901 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/16/08 membership renewal 150.00
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
VOW HER NO. WARRANT NO.
ALLOWED 20
N atio.al Tactical Officers Association IN SUM OF
P.O. Box 797
Doylestown, PA 18901
150.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
553 150.00 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
January 2 20 09
14 A
Signature
(:hi of of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund