214342 11/07/2012 CITY OF CARMEL, INDIANA VENDOR. 00353130 Page 1 of 1
ONE CIVIC SQUARE INTERNATIONAL ASSOC FOR IDENTIFI HECK AMOUNT $70.00
CARMEL, INDIANA 46032 2131 HOLLYWOOD BLVD SUITE 403
a� HOLLYWOOD FL 33020 CHECK NUMBER: 214342
CHECK DATE. 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 DUES 70 00 ORGANIZATION & MEMBER
* * * * 2013 Dues Invoice * * * *
INTERNATIONAL ASSOCIATION FOR IDENTIFICATION
II YUS/Non-US Members $70 00 USD
❑US/Non-US Student Members $35 00 USD(SEE NOTE BELOW)
For expedited service please renew online If you must pay with a check please return entire invoice with
payment. Checks payable to IAI Receipt sent with your new membership card Timely payment will ensure there
is no interruptions in your JFI and IDentification News.
Return Remittance to
TO ID Number 12344
John R. Elliott International Association for Identification
CARMEL METROPOLITAN POLICE DEPT 2131 Hollywood Boulevard, Suite 403
3 CIVIC SQ Hollywood, FL 33020
CARMEL IN 46032-2584 Fax(954)589-0657
IAI Federal Tax 1D 14-1431629
RENEW SECURELY ONLINE at www.theiai.org with any major credit card.
If not a current member, do not use this invoice, submit an application to the IAI office. Thank you!
ADDRESS/EMAIL CHANGES need to be submitted ONLINE at www theiai org/membership/
or written below and mailed to the IAI office.
Name Change. Previous Name Current Name
Home Address (complete)
Organization/Company/Dept Name
Work Title/Position
Work Address(complete)
Send IN mail/publications to- ❑ Home 0 Work List this address in the IN Directory- ❑ Home ® Work
Home Phone Work Phone Ext.
Cell Phone Fax Phone
E-Mail Address
If renewing by paper, fill in all the information below to authorize a credit card charge for the IAI membership dues.
Credit Card Number Exp Date (mm/yy) Security Code
Printed Name Signature
Billing Address ❑Home ❑Work ❑Other If other, complete address
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
STUDENT MEMBERS CANNOT RENEW ONLINE. Instructions. Mail or fax this invoice with payment and a letter
1 and/or transcript from your educational institution certifying you are currently taking at least 12 semester credit hours or the
equivalent in quarter hours for undergraduate study and at least 9 semester hours or the equivalent in quarter hours for graduate 1
study The letter/transcript must state the number of credits beinE taken. The words"full time student'will NOT suffice. 1
I— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —I
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))
11/05/12 membership renewal/Elliott $7000
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 Association for Identification
6W�-, 5uA:�,Ya3 IN SUM OF $
L __3a
IVF@'R�@j�-IV11 V JJ !L V I 1L�
$7000
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO ACCT#/TITLE AMOUNT Board Members
1110 43-55300 $7000 I 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, November 01, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund