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217197 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 139800 Page 1 of 1 ONE CIVIC SQUARE INDIANA ASSOC OF CHIEFS OF POLIC s' o CARMEL, INDIANA 46032 10293 N MERIDIAN ST STE 175 HECK AMOUNT: $425.00 INDIANAPOLIS IN 46290 CHECK NUMBER: 217197 CHECK DATE: 2113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 425 . 00 ORGANIZATION & MEMBER 1 2013 Membership Dues Invoice n Membership year is January 1 through December 31. Membership information will appear in online directory as shown below. 1 ' ' ormq icin Chief Timothy Green Main Phone: 317.571.2500 Carmel P.D. Main Fax: 317.571.2512 3 Civic Square County: Hamilton Carmel, IN 46032- Municipal Population: 60000 Dues Structure The lACP dues structure is based on the number of sworn officers. Each agency is entitled to two memberships. Number of Includes 2 For Each Additional For Each Additional Optional Sworn Officers Memberships Command Member Administrative Member Pre-Paid Legal 1-10 $210 $180 $90 2 hours=$200/ ear 11-25 $245 $180 $90 2 hours=$200/year 26-75 $300 $180 $90 3 hours=$300/year >75 $425 $180 $90 . 3 hours=$300/ ear Town Marshal $125 -Includes one NA NA 2 hours=$200/year <4 Sworn Officers membership only Law Enforcement $320 $175 NA NA Training Academy Proprietary Security $390 $215 NA NA Retired $20 per person NA NA NA Life $0 NA NA NA Please verify the information below,making changes where appropriate. Chief Timothy Green E-mail: tgreen @carmel.in.gov Membership Category: Commandl Direct Phone:317.571.2519 Direct Fax: 317.571.2512 Assistant Chief James Barlow E-mail: jbarlow @carmel.in.gov Membership Category: Command2 Direct Phone:317.571.2527 Direct Fax: 317.571.2512 2013 IACP Dues: $425 based on 110 Sworn Officers. 2013 Optional Pre-Paid Legal: $300 based on 110 Sworn Officers. Payment Type: ❑Check ❑Visa ❑MasterCard ❑Payment Amount: Account No. Exp.Date: Signature: Please enclose a copy of this invoice with your payment. Indiana Association of Chiefs of Police,Inc. 10293 N. Meridian Street,Suite 175 • Indianapolis,IN 46290 Phone: 317.816.1619 •Toll-free 877.824.4086 •Fax: 317.816.1633 •E-mail: info @iacop.org •Tax I.D.#23-7326896 - OVER - • d d New Member(s) If the individual listed below is the second member for your agency's two memberships, please check the appropriate membership category: ❑ Command(no additional charge) ❑ Administrative(no additional charge) Rank: First Name: Last Name: Direct Phone: Direct Fax: E-mail: Please check the appropriate Membership Category for the member(s) listed below and adjust your membership dues: ❑ Additional Command ❑ Additional Administrative Rank: First Name: Last Name: Direct Phone: Direct Fax: E-mail: Command: Chief, Marshal, Sheriff, Director, Assistant Chief, Deputy Chief, Major Administrative: All other ranks Please note: 1. Membership year is from January 1 to December 31. 2. Pursuant to the Revenue Act of 1987, we are required to advise you that your dues payments remain deductible as business expenses to the same extent as permitted under prior law. Your Association dues, however, are not deductible as charitable contributions for Federal Income Tax purposes. 3. Tax I.D. # 23-7326896. • The National Police Officer Selection tests (POST) are quality written exams for new hires developed by Stanard &Associates, Inc. and offered by the IACP Foundation. National First & Second Line Supervisor and Dispatcher Selection Tests are also available. Call 317.816.1619 for more information. • For all your medical and fitness testing needs, Public Safety Medical Services has been endorsed by the IACP Foundation. They can be reached at 877.972.1180. RENEW TODAY! THANK YOU FOR YOUR SUPPORT OF THE IACP! VISIT US AT WWW.IACOP.ORG Indiana Association of Chiefs of Police, Inc. 10293 N. Meridian Street, Suite 175 • Indianapolis, IN 46290 Phone: 317.816.1619 • Toll-free: 877.824.4086 Fax: 317.816.1633 • E-mail: info@iacop.org • Tax[D#23-7326896 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)) 02/11/13 membership dues $425.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Association of Chiefs of Police, Inc. IN SUM OF $ 10293 N. Meridian Street, Suite 175 Indianapolis, IN 46290 $425.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-553.00 $425.00 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 Friday, February 08, 2013 r Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund