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HomeMy WebLinkAbout216134 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00351320 Page 1 of 1 ONE CIVIC SQUARE NATIONAL TACTICAL OFFICERS ASSO CARMEL, INDIANA 46032 PO BOX 797 HECK AMOUNT: $150.00 + ? DOYLESTOWNPA 18901 CHECK NUMBER: 216134 fOH O CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 12763 150 . 00 ORGANIZATION & MEMBER T A • O , NATIONAL TACTICAL OFFICERS ASSOCIATION PO Box 797, Doylestown, PA 18901 • 800.279.9127 • Fax 215.230.7552 FEDERAL TAX ID:85-0402507 FIRST RENEWAL INVOICE - TACTICAL EDGE TEAM MEMBERSHIP MAJOR JAMES BARLOW CARMEL(IN) P D-SWAT 3 CIVIC SQ CARMEL, IN 46032 Upon Receipt Date Sent: December 17, 2012 Team Membership ID Number: 12763 Expiration Date:2/8/2013 Quantity Description Unit Price Extension 1 TE Team Annual Membership Renewal $150.00 USD $150.00 USD Total $150.00 USD Amount Paid 0 (US FUNDS)Total Due $150.00 USD Complete form below and include if you are mailing payment FIRST RENEWAL INVOICE—TACTICAL EDGE TEAM MEMBERSHIP Sent:12/17/2012 CARMEL(IN)P D-SWAT For An Immediate or MAJOR JAMES BARLOW Member ID#:12763 Credit Card Receipt SEND CHECKS TO: 3 CIVIC SQ Expires:218/2013 Renew Online CARMEL,IN 46032 go to our website www.ntoa.org NTOA Due:$150.00 USD NTOA Store P.O.Box 797 . VISA/AMEX/MC Number Membership Renewals Doylestown,PA 18901 Card Codes Expiration Date Renewal Payment $150.00 USD VISA&MC: Amount Enclosed $ _ 3 digits near signature line on back ' CARD HOLDER NAME: AMEX: 4 digits on card front CARD HOLDER PHONE M CHANGE OF AGENCY A I DDRESS, POINT OF CONTACT,OR UPDATING TEAM INFORMATION? PLEASE FILL OUT THIS SECTION or go to Update Address/Contact under Member Resources @ www.ntoa.org Point Of Rank/ Agency Stats: #Sworn Officers: Pop of Jurisdiction Served Contact Name St.or Team Stats: Team Status ❑Part-time ❑Full-time PO Box MultiJurisdictional Population of Multi-Jurisdiction Served Agency City State ❑Yes ❑No Address Country Zip/Postal Multi-Juris Name: Code P.O.C. E-mail #Tactical #Negotiators #TEMS Area Code #Bomb Phone Number Fax #Sworn TEMS #Breathers Techs VOUCHER NO. WARRANT NO. ALLOWED 20 National Tactical Officers Association IN SUM OF $ P.O. Box 797 Doylestown, PA 18901 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Fear I hereby certify that the attached invoice(s), or 1110 12763 43-553.00 I $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 Thursday, January 03, 2013 Chief of Police 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)) 12/31/12 12763 membership dues $150.00 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