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Home My WebLink About221093 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366007 Page 1 of 1 ONE CIVIC SQUARE IN SCHOOL RESOURCE OFFICER ASSOC ` a CARMEL, INDIANA 46032 PO BOX 1692 CHECK AMOUNT: $120.00 SOUTH BEND IN 46634 CHECK NUMBER: 221093 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 120 . 00 ORGANIZATION & MEMBER INVOICE June 14, 2013 City of Carmel Police Department 3 Civic Square Carmel, IN 46032 2013 INSROA Membership Dues Sgt. Phil Hobson $30.00 Officer Wendy Bodenhorn $30.00 Officer Greg Dewald $30.00 Officer DJ Schoeff $30.00 TOTAL AMOUNT DUE: $120.00 Please make check payable to: Indiana School Resource Officer Association P.O. Box 1692 South Bend, IN 46634 INSROA membership Form I e e e o 0 Indiana School Resource Officers Association P.O Box 9692 South Bond, IN 46634 www.inaroa.org Full Name,- Tide: 1,A Prereff ed'M Addr�• ►e cftr- see/Prow hwe:-:L�Zlp/mot erode: Email: membership lte#Mrabon Fee is$w � PLtIISE OrEOC APPROPRiA7E I� STAR DARE OFFICER SRC)� SCHOOL SAFETY GREAT OFFICER- Administrator OTHE3t 04apnent of DMROA dip Dams: Adiwe$30 RETIRED$30 NOW. Dues will be used for training purposes only mated to hotel rental l'ee's and travel expenses for our presenters! Pkwe iist any ADA Spedai Needs: TOM®aa,osaD: PAYMENT METHOD Check or Money Order must be in U.S.funds payable to: Indiana Sc`ool Resource Officer Association(INSROA).There will be a$25.00 fee charged on checks returned by the bank due to insufficient fiords. Membership confumationtreceipt and further information will be emailed.Please mail completed registration forms to: Indiana School Resource Officer Association (INSROA) P.O Box 1692 South Bend,IN 46634 INSROA Membership Form 188 0 e E O Indiana School Resource Officers Association P.O Box 1692 South Bend, IN 46634 www.irwroa.org Full Title: Department/Organization 0 ► Preferred Dili Aildressy i Cft r• Stabe/PnWinoe.• Zlp/Postai Coale: Country: US adephone: 3!7 a 0j ' Fax: L-9 7 51 X547) Email: 1 . Membership Registration Fee is$W PLEASE CH=AJPRDRMTE REGISTRAIM STATUS DARE OFRCBt SRO V SCHOOL SAFETY_ GREAT OFFICER- Administrator OTHB2 O Payment of 2 DISAMA Member"rDues: Acbm$30 1 RETIRED$30 Note: Dues will be used for training purposes only related to hotel rental f'lee's and travel expemm for our presenters! rorALMOUOS n: wease W arry nDn speoiat Needs: PAYMENT METHOD Check or Money Order must be in U.S.funds payable to: Indiana School Resource OWicer Association(INSROA).There will be a$25.00 fee Charged on Checks returned by the bank due to insufficient fiords. Membership confumationtreceipt and further information will be emailed.Please mail completed registration forms to: Indiana School Resource Officer Association (INSROA) P.O Bog 1692 South Bend,IN 46634 INSROA Membership Form fib 0 0 Indiana School Resource Officers /association P.O Box 1692 South Bond, IN 46634 www.irwroa.org Full I I Id rte: F Department/organization CP19(4 Preferred Maignak ) us rye: c 3! �s57/ Fax: (A-1-7 L ?/- , Email: , I Memberwhip ReqlsbWJon Fee is$W PLEASE CHECK APPROPRIATE REGETRAWN sTATM DARE OFFICER SRO_(,'SQf M SAFETY_ GREAT OFFICER— AdminWatnr OTHER O Payment of DtSRGA Mendmwddp Dues: Active$30 RETIRED$30 Nabs: Dues will be used for training purposes only related to hotel rental Bee's and travel expenses for our ! TOTAL EIHCOS®: Please fit any AtM Special Needs: Lr PAYMENT MEBMOD Check or Money Order must be in U.S.funds payable to: Wiana School Resource Officer Association(INSROA).There will be a$25.00 fee charged on checks refiuned by the bank due to insufficient fimds. Membership confirmation/receipt and further information will be emailed.Please mail completed registration forms to: Indiana School Resource Officer Association (INSROA) P.O Box 1692 South Bend,IN 46634 INSROA Membership Form j I a 0 .s w I Indiana School Resource Officers Association P.O Box 1692 South Bend, IN 46634 www.insroa.org Full Title:Name, Department/organization Pr+eterred PRailin Add C City: State/Province:-Z3p/Postal Code: Country: us elephone: C I , l- �OV Fax: ca l Email• Membership Registration Fee is$30 P1"W OINX"MOMAW WMSTRAION STATM DARE OFFICER SRO SCHOOL SAFETY_ GREAT OFFICER_ Administrator OTHER I O Payment of X812 INSROA Membership Dues: Active$30 ,/ RETIRED$30 Probe: Dues will be used for training purposes only related to hots rental fee's and travel expenses for our presenters! �j mrAC � v; Please list any"Special Needs: PAYA NT AIETHOD Check or Money Order must be in U.S.funds payable to:Indiana School Resource Officer Association(INSROA).There will be a$25.00 fee charged on checks returned by the bank due to insufficient fiords. Membership confirmation/receipt and further information will be emailed.Please mail completed registration forges to: Indiana School Resource Officer Association (INSROA) P.O Bog 1692 South Bend,IN 46634 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)) 06/14/13 membership dues $120.00 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 Indiana School Resource Officer Association IN SUM OF $ P.O., Box 1692 South Bend, IN 46634 $120.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-553.00 $120.00 I hereby certify that the attached invoice(s), or I 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, June 14, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund