HomeMy WebLinkAbout230545 03/26/14 .cep
*F CITY OF CARMEL, INDIANA VENDOR: 219460
d i! ONE CIVIC SQUARE NATIONAL LAWYERS ASSOC CHECK AMOUNT: $*******200.00*
CARMEL, INDIANA 46032 PO Box 26005 CHECK NUMBER: 230545
KANSASCITY MO 64196 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 200.00 ORGANIZATION & MEMBER
2014 NLA MEMBERSHIP DUES
Name:
Douglas C. Haney
Company:
City of Carmel, Indiana
Address: Telephone:
One Civic Square 317-571-2472
Address Fax:
317-571-2484
City, State, Zip: Email:
Carmel, IN 46032 dhaney@carmel.in.gov
I`m interested in being on this committee: ❑ Amicus Brief, ❑ CLE, ❑ Religious Liberty,
❑ Defense of Marriage, ❑ Pro Life, N Legal Education &Outreach, ❑ Advocacy Coordinator.
✓ Member Type Amount
Law Student/ 1st year Lawyer/ Retired/ Part-Time Practice Member $25.00
(circle member type)
xx Regular Membership $200.00
Board Membership $250.00
✓� Payment TXpe Pay online at www.nla.org- Check payable to National Lawyers Association y
Check Enclosed $ 200.00
Amount$
Visa
Mastercard Card#
Expiration
Mail form with Name on Card
payment to address
below Billing Zip Code
Signature
3801 E Florida Avenue• Suite 400 •Denver, Colorado 80210
Telephone(800)471-2994•www.NLA.org
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
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
National Lawyers Association
Purchase Order No.
3801 E Florida Avenue, Suite 400
Terms
Denver, CO 80210 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/20/14 National Lawyers Association membershi dues for $200.00
Douglas C. Haney per the attached
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
3801 E Florida Ave, Suite 400
Denver, CO 80210
$ $200.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law - 1180
435-5300 Organization & Membership
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 200.00 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
(Yl�rah a o 20
gnature
I
Cost distribution ledger classification if TitYe
claim paid motor vehicle highway fund