176841 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 192000 Page 1 of 1
ONE CIVIC SQUARE MAGLOCLEN "LAW ENF COMMITEE" CHECK AMOUNT: $400.00
z CARMEL, INDIANA 46032 140 TERRY DR, SUITE 106
o NEWTOWN PA 18940 CHECK NUMBER: 176841
CHECK DATE: 912/2009
DEPART ACCOUNT PO NUMBE INV NUMBER A MO UN T D
1110 4355300 29 -0254 400.00 ORGANIZATION MEMBER
4
800) 345 -1322
Toll•FCee 4.4910
Local, 215) 50 215) 504.4926
�r-
Or Middle
Atlantic Great Lakes Organized Crime Law Enforcement Network®
140 Terry Drive, Suite 100
Newtown, Pennsylvania 18940
INVOIC 8/6/2009
CARMEL METRO POLICE DEPT.
3 CIVIC SQUARE
CARMEL IN 46032
PO# Invoi(j 29 -0254
ANNUAL USER FE
JULY 1, 2009 to JUNE 30,110
$400.00 (US Dolt
1
PAYMENT.DUE: SEPTEMBER 3�
09
MAKE CHECK PAYABLE TO: MAGL,
SEND CHECK T0:
MAGLOCLEN
ATTN: Fiscal Department
140 Terry Drive Suite 100
Newtown, Pennsylvania, 13940
FID# 23- 2160277
MAGLOCLEN is now able to take credit card payments for your User Fee
card, you can log onto Official Payments.com, click onto STATE PAYM
7517 under the JURISDICTION CODE. Then select "MEMBERSHIP [edit
Payment Type. You can also pay by credit card by calling us at 1- 800 -341
the operator to forward you to someone who can take your payment in
Attention New Jersey Agencies: Due to the fact that we are a government entity,,
required to apply for a Business Registration Certificate with the State of New';
1"s "DEDICATED TO COMMUNICATION, COOPERATION COORDINATION"
Regional Information
Sharing Systems® 77rA Bureau of Justice Assi s t ance
iA r OHir, of JuOce Pmgrems U.S. D°pea —I of J,slloa
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
1 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
MAGLOCLEN Purchase Order No.
ATTN: Fiscal Department
140 TerryDrive, Suite 100 Terms
Newtown, PA
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/6/09 29 -0254 annual payment 400.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
MAGLOCLEN
ATTN: Fiscal Department IN SUM OF
140 Terry Drive, Suite 100
Newtown, PA 18940
400.00
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 29 -0254 553 400.00 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
August 25 20 09
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund