221160 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 219700 Page 1 of 1
ONE CIVIC SQUARE NATIONAL RIFLE ASSOCIATION
s 4 � CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 11250 WAPLES MILL ROAD
o� FAIRFAX VA 22030 CHECK NUMBER: 221160
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 35 . 00 ORGANIZATION & MEMBER
NRA11250 4";APL_5 MILL ROAD
FA(RFAX.VIRGINIA 22030
1-377-NRA-2GOC•vpww.NRA.G.q STATEMENT DATE: May 20,2013
AMOUNT DUE: $35 (1-Yr Membership)
NRA Member ID' 000009790837 OR,UPGRADE OPTION: $60 (2-Yr Membership)
VOLUNTARY DONATION: $
Mr.James C Barlow
3 Civic Sq AMOUNT ENCLOSED: $ _--f
Carmel,IN 46032-2584 MAGAZINE SUBSCRIPTION: American Rifleman
Choose delivery method: ❑ PRINT 0 DIGITAL
YOUR E-MAIL
(REQUIRED FOR DIGITAL SUBSCRIPTION)
07901RROD097908378 R3A5NKORO METHOD OF PAYMENT:
❑ CHECKENCLOSED,PAYABLETO'NRA'
13 CNARGE MY: 13-vi [3• 13 ❑,` � AMOUNT:S
Contributions,gifts or membership dues made or paid to the
National Rifle Association of America are not refundable or CARD n
transferable and are not deductible as charitable contributions
for Federal income tax purposes- EXP.DATE:-I- SIGNATURE:
MO. YR.
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ELMM11250 WAPLES MILL ROAD
FAIRFAX,VIRGINIA 22030
1-877-NAPLE000•wwwNR
A.org RENEWAL STAT E M E N T
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Mr.James C Barlow Gun Banners are not
3 Civic Sq Backing Down...
Carmel,IN 46032-2584
And Neither are We...
Stand and Fight with NRA!
RenewToday!
Dear Friend, Mr. James C Barlow
Your NRA membership will soon be up for renewal and I need NRA MEMBER IN GOOD STANDING
to confirm the spelling of your name that will appear on your
new NRA member card. Here is what I have on file for you:
Name: Mr. lames C Barlow ��� C�� �E��w IN ONE ®�
Member ID#: 000009790837 THREE EASY WAYS...
Please note any necessary corrections on the reply below and Mit .NRA.org/RenewNow
renew your NRA membership today. You can also make ®.
corrections by visiting www.NRA.org/RenewNow. o
Remember, our strength to fight for our Second Amendment. �� 1-811-HRA-200®
freedoms comes from NRA members like YOU. And with our
biggest battles just ahead,we need your help more than ever Return the reply below with
before. your payment
Thank you for your commitment to our firearms freedom!
-- Vayne LaPiem,Executive Vice President 97Qlzh,
PLEASE DETACH AND ENCLOSE THIS COUPON WITH YOUR PAYMENT YOU MAY ALSO PAY BY PHONE OR ONLINE(SEE ABOVE) THANK YOU
On behalf of The National Rifle Association of America,Inc. (NRA), 11250 Waples Mill RD, Fairfax, VA, 22030, this
charitable solicitation is being made by the NRA. Contributions raised will be used to advance the mission of the NRA. A
current financial statement of the NRA will be provided upon request. Submit requests to NRA at the above address, attention
Office of the Treasurer, or call(800)672-3888. NRA will receive 100% of the gross revenue generated by this solicitation.
Contributions,gifts, or membership dues made or paid to the National Rifle Association ofAmerica are not refundable or
transferable and are not deductible as charitable contributions for federal income tax purposes. In addition to the foregoing
the following applies to these individual states: CALIFORNIA:An audited financial statement of fundraising expenses may be
obtained by contacting NRA at the address listed above. COLORADO: Colorado residents may obtain copies ofregistration
and financial documents from the office of the Secretary of State, (303)894-2680, http:Ilwww.sos.state.co.us/re.•Reg. No.
20113034626 FLORIDA:A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMA TION MA Y BE
OBTAINED FROM THE FLORIDA DIVISION OF CONSUMER SER VICES BY CALLING TOLL-FREE WITHIN THE STATE
(800)HELP-FLA. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATIONBY THE
STATE. The registration number of the NRA is CH35584. 100%of the contributions, as defined under Florida law, will go to
NRA. GEORGIA:A hull curd fair description of the grog rams and activities of NRA and its financial statement are available
upon request at the address indicated above. ILLINOIS: Contracts and reports regarding NRA are on file with the Illinois
Attorney General's office. KANSAS:NRA's annual report for the preceding fiscal year is on file with the Kansas Secretary of
State. Kansas registration#432-725-0. MAR YLAND:A copy of the current financial statement of NRA is available on a
request submitted to NRA's address or telephone number as listed above. For the cost of copies and postage, documents and
information submitted under the Mary/and Charitable Solicitations Act are available from the Maryland Secretary ofState,
State House,Annapolis,MD 21401, (410)974-5534. MISSISSIPPI: The official registration and financial information of NRA
may be obtained from the Mississippi Secretary of State's office by calling 1-888-236-6167. Registration by the Secretary of
State does not imply endorsement by the Secretary of State. NEW JERSEY:"INFORMATION FILED WITH THE
ATTORNEY GENERAL CONCERNING THIS CHARITABLE SOLICITATION AND THE PERCENTAGE OF
CONTRIBUTIONS RECEIVED BY THE CHARITY DURING THE LAST REPORTING PERIOD THAT WERE
DEDICATED TO THE CHARITABLE PURPOSE MAY BE OBTAINED FROM THE ATTORNEY GENERAL OF THE
STATE OF NEW JERSEY BY CALLING (973) 504-6215 AND IS AVAILABLE ON THE INTERNET AT
www.njconsumeraffairs.gov/ocp.htm#charity. REGISTRATION WITH THE ATTORNEY GENERAL DOES NOT IMPLY
ENDORSEMENT."NEW YORK: Upon request, a copy of the latest annual report can be obtained from NRA, at the address
listed above, or from the Office of the Attorney General by writing to Charities Bureau, 120 Broadway,New York,NY,
10271. NORTH CAROLINA:Financial information about this ot- anization and a copy of its license are available from the
State Solicitation Licensin;Branch at 1-888-830-4989. The license is not an endorsement by the State. PENNSYLVANIA:
The official registration and financial information ofNRA may be obtained from the Pennsylvania Department of State by
calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement. VIRGINIA:A financial
statement is available upon request from the State Office of Consumer Affairs in the Department ofAgriculture and Consumer
Services. WASHINGTON: The notice ofsolicitation required by the Washington Charitable Solicitation Act is on file with the
Secretary of State's Office. The potential donor can obtain additional financial disclosure information by calling the
Washington Secretary of State's Office at 1-800-332-4483. WEST VIRGINIA: West Virginia residents may obtain a summary
of the registration and financial documents from the Secretary of State, State Capitol, Charleston, West Virginia 25305.
Registration does not imply endorsement. WV Reg. No. 53-0116130.
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))
05/20/13 annual payment $35.00
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
National Rifle Association
IN SUM OF $
11250 Waples Mill Road
Fairfax, VA 22030
$35.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-553.00 $35.00
I hereby certify that the attached invoice(s), or
I I 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