222451 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 363105 Page 1 of 1
ONE CIVIC SQUARE INTL POLICE MOUNTAIN BIKE ASSOC CHECK AMOUNT: $55.00
` CARMEL, INDIANA 46032 583 FREDERICK ROAD SUITE 5B
BALTIMORE MD 21228 CHECK NUMBER: 222451
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 55 . 00 ORGANIZATION & MEMBER
«M°m4�O
Pouct. 6^�W INVOICE
® ® A
2 ON NIICtS F
Enclosed are my$55.00 membership renewal dues or
' INTERNATIONAL POLICE MOUNTAIN BIKE ASSOCIATION
I P M B A TAX ID# 52-2 1 3778 1 ❑ Charge my O Visa O MasterCard
Setting the stcrnLtards JOr 17"blic Saftty cycling Since 1991
Expiration date: / Signature:
PHONE O Home O Dept. O Cell ( )
DUE DATE: August 31, 2013 EMAIL (for credit card receipt)
❑ I support IPMBA's efforts to keep the cost of world-class public safety
20090760 08/13 R10713 cyclist training affordable. My tax-deductible contribution is enclosed.
Michael Pitman O $100 O $75 O $50 O$25 O $
150 Springs Ct.
Carmel IN 46033 Call 410-744-2400 or Fax 410-744-5504
Or mail this form to
IPMBA, 583 Frederick Road, Suite 5B,Baltimore MD 21228
Address correct? Please indicate changes.
VOUCHER NO. WARRANT NO.
ALLOWED 20
International Police Mountain Bike Association
IN SUM OF $
583 Frederick Road, Suite 5B
Baltimore, MD 21228
$55.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-553.00 $55.00 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
Wednesday, J ly 24, 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))
07/24/13 membership renewal $55.00
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