HomeMy WebLinkAbout227653 1/8/2014 s CITY OF CARMEL, INDIANA VENDOR: 010530 Page 1 of 1
ONE CIVIC SQUARE AMERICAN POLYGRAPH ASSOC CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 PO BOX 8037
o� CHATTANOOGA TN 37414-0037 CHECK NUMBER: 227653
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 DUES 150 . 00 ORGANIZATION & MEMBER
AMERICAN POLYGRAPH ASSOCIATION
CHAD RUSSELL,Treasurer
P.O.BOX 8037
CHATTANOOGA,TN. 37414
(800)272-8037
Fed LD.52-1035722
November 14, 2013
BRETT A. KEITH #5548
4304 WORCHESTER CT
CARMEL, IN 46033
ANNUAL MEMBERSHIP DUES (January 1 —December 31, 2014)U.S. FUNDS .................$150.00
It is that time of year again; time to renew your commitment to continuing education, further research, a
unified voice, professional improvement, insightful publications, and all the other benefits that come -- - -- --
along with being a member of the American Polygraph Association.
The deadline for the payment of dues is March 31'x, 2014. Payment of dues after this date will be
assessed a $25 handling fee. This is simply an attempt to recoup costs associated with reinstating the
member and their publications. Please be sure that any third-parties paying for your membership or
subscription are aware of this change.
Receipts will be mailed directly to the member at the address above. Please be sure to provide the receipt
to any third-party, should they require it.
Retain the above portion for your records
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))
01/01/14 membership dues/Brett Keith $150.00
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
American Polygraph Association
IN SUM OF $
P.O. Box 8037
Chattanooga, TN 37414
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-553.00 $150.00
I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
i materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 03, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund