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Home My WebLink About232825 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 155400 ® ONE CIVIC SQUARE INDIANA STATE BAR ASSOC CHECK AMOUNT: $*******720.00* o CARMEL, INDIANA 46032 ONE INDIANA SQUARE,SUITE 530 CHECK NUMBER: 232825 °6„�roN.�:r INDIANAPOLIS IN 46204-2199 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 23811 295.00 ORGANIZATION & MEMBER 1180 4355300 37795 130.00 ORGANIZATION & MEMBER 1203 4355300 RENEWAL 295.00 ORGANIZATION & MEMBER 1:44:11:210113NER191 IM 23811 C ry otf�Carm 11 [H � U F- �tJ R� L�J �� J i n =`�� LROB One Civic Square Total n Carmel,IN 46032 -'aQS-� - 1:1=121:20PIne NMI See reverse side for important information regarding tax deductions. Membership Dues and Section Dues are not tax deductible as charitable * *** INDIANA STATE BAR ASSOCIATION contributions, but a portion may be tax deductible under other provisions DUES NOTICE of the Internal Revenue Code.This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. ® July 1, 2014 - June 30, 2015 The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed . . ONE INDIANA SQUARE, SUITE 530 is a voluntary charitable contribution. INDIANAPOLIS, IN 46204-2199 317-639-5465 800-266-2581 Fax:317-266-2588 BARPAC is a political action committee.The$10.00 contribution listed is e-mail: isbaadmin@inbar.org voluntary and not tax deductible. YOU MAY PAY DUES ONLINE & UPDATE $5.00 is allocated from your dues payment for your Res Gestae YOUR MEMBERSHIP INFORMATION subscription. UNTIL 9-30-14: www.inbar.org 37795 C ty of CarmAshleyzMarie-Ulbricht�3 LF— el O ,7�- ��1M FOU 11 V O�� R M E M�`�-J[R ID S �u�ul {(�)a ' Ir One Civic Square Total Carmel, IN 46032 See reverse side for important information regarding tax deductions. Membership Dues and Section Dues are not tax deductible as charitable * *** INDIANA STATE BAR ASSOCIATION contributions, but a portion may be tax deductible under other provisions DUES NOTICE of the Internal Revenue Code.This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. July 1, 2014 - June 30, 2015 The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed tLT ONE INDIANA SQUARE, SUITE 530 is a voluntary charitable contribution. INDIANAPOLIS, IN 46204-2199 317-639-5465 800-266-2581 Fax:317-266-2588 BARPAC is a political action committee.The$10.00 contribution listed is e-mail: isbaadmin@inbar.org voluntary and not tax deductible. YOU MAY PAY DUES ONLINE& UPDATE $5.00 is allocated from your dues payment for your Res Gestae YOUR MEMBERSHIP INFORMATION subscription. UNTIL 9-30-14: www.inbar.org INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT(CHECK ONE BOX) DUES NOTICE El VISA ❑ MASTERCARD ❑ DISCOVER July 1, 2014 - June 30, 2015 CARD NUMBER ONE INDIANA SQUARE, SUITE 530 ❑❑❑❑❑�❑❑❑❑❑❑❑❑❑ INDIANAPOLIS, IN 46204-2199 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 317-639-5465 800-266-2581 Fax: 317-266-2588 e-mail: isbaadmin@inbar.org EXP.DATE YOU MAY PAY DUES ONLINE & UPDATE SIGNATURE ❑ YOUR MEMBERSHIP INFORMATION Verification Code, UNTIL 9-30-14: www.inbar.or CHECK g payable to:Indiana State Bar Association Automatic Credit Card Renewal Option: . By initialing here, your dues will automatically be charged to your credit card July 1st of each year 29235 at the appropriate dues rate in existence for the ISBA at the time of renewal. Nan S. Heck To cancel your automatic renewal, members must notify the ISBA 10 days prior to the renewal date. City of Carmel INCLUDE THIS PORTION WITH REMITTANCE. One Civic Square Carmel, IN 46032 Regular Dues(6 yrs or over) 280.00 Governmental Practice Section 15.00 ADDRESS,E-MAIL,PHONE&FAX CORRECTIONS REQUESTED ON BACK Voluntary IBF Contribution -CHANGES IN-SECTION ENROLLMENTS: Please Voluntary Barpac Contribution _-ke-e6— indicate with an X any section you wish to add. AGRICULTURAL LAW $20 Total s ALTERNATIVE DISPUTE RESOLUTION $20 345.00 ANIMAL LAW $15 5000 APPELLATE PRACTICE $20 BANKRUPTCY&CREDITORS'RIGHTS $30 GG BUSINESS LAW $20 Amount Paid: Z CONSTRUCTION&SURETY $20 CORPORATE COUNSEL $10 CRIMINAL JUSTICE $20 ELDER LAW $20 EMPLOYMENT LABOR&BENEFITS LAW $25 ENVIRONMENTAL LAW $25 FAMILY&JUVENILE LAW $25 GENERAL PRACTICE,SOLO&SMALL FIRM $25 , GOVERNMENTAL PRACTICE $15 Q a(�1 ZGC'� Kfrvt�pr UiAeC HEALTH LAW $15 5 53 O 0 INTELLECTUAL PROPERTY $10 �%1-'� INTERNATIONAL LAW $15 LAND USE&ZONING $15 LITIGATION $15 Nag, PLEADS(Prof.Legal Ed.,Admissions&Development) $20 PROBATE,TRUST&REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG LAWYERS $15 INCLUDE THIS PORTION WITH REMITTANCE. See reverse side for important information regarding tax deductions. 29235 Nancy-S.Heck r_; "\ ( i ; ' ffv. : ->_ Ctyof'Carmel ❑ S f 'C�/ �� E [1S��ti; i��11-�, f �t I� ,� ; (� One Civic Square Totalb-�; Carmel,IN 46032 ------------------ q 5 See reverse side for important information regarding tax deductions. F_ PLEASE UPDATE YOUR E-MAIL ADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION E-MAIL ADDRESS PHONE NUMBER FAX NUMBER ❑HOME ❑OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code.This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed FIRM,EMPLOYER NAME OR PUBLIC OFFICE is a voluntary charitable contribution. BARPAC is a political action committee.The$10.00 contribution listed is voluntary and not tax deductible. AREA OF PRACTICE $5.00 is allocated from your dues payment for your Res Gestae subscription. PLEASE CHECK THE APPROPRIATE BOXES. a.❑FEMALE b.❑ MALE 1.❑AFRICAN AMERICAN 2.❑AMERICAN INDIAN 311ASIAN 4.❑CAUCASIAN 5.❑ HISPANIC 6.0 OTHER Membership Dues and Section Dues are not tax deductible as charitable * INDIANA STATE BAR ASSOCIATION contributions, but a portion may be tax deductible under other provisions DUES NOTICE of the Internal Revenue Code.This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. JUIy 1, 2014 - June 30, 2015 The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed At ONE INDIANA SQUARE, SUITE 530 is a voluntary charitable contribution. INDIANAPOLIS, IN 46204-2199 317-639-5465 800-266-2581 Fax:317-266-2588 BARPAC is a political action committee.The$10.00 contribution listed is e-mail:isbaadmin@inbar.org voluntary and not tax deductible. YOU MAY PAY DUES ONLINE & UPDATE $5.00 is allocated from your dues payment for your Res Gestae YOUR MEMBERSHIP INFORMATION subscription. UNTIL 9-30-14: www.inbar.org NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED -20 ACCOUNTS PAYABLE VOUCHER ite Bar Association IN SUM OF $ CITY OF CARMEL a Square, Suite 530 An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by S, IN 46204-2199 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $295.00 Payee Purchase Order No. LINT OF APPROPRIATION FOR Terms ommunity Relations Date Due Invoice Invoice Description Amount INVOICE NO. ACCT#!TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) hereby certify that the attached invoice(s), or 05/19/14 Renewal $295.00 Renewal 43-553.00 $295.00 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 r Monday, May 19,2014 I ' Director, Commu4ity Relations/Economic Development Title stribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance aid motor vehicle highway fund with IC 5-11-10-1.6 i� u 20 i Clerk-Treasurer *�`** INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT(CHECK ONE BOX) DUES NOTICE [1 VISA ❑ MASTERCARD ❑ DISCOVER ® July 1, 2014 - June 30, 2015 ER ONE INDIANA SQUARE, SUITE 530 ❑❑❑CARD B❑❑❑❑❑❑❑❑❑❑❑❑❑ INDIANAPOLIS, IN 46204-2199 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 317-639-5465 800-266-2581 Fax: 317-266-2588 e-mail: isbaadmin@inbar.org EXP.DATE YOU MAY PAY DUES ONLINE & UPDATE SIGNATURE ❑❑❑ YOUR MEMBERSHIP INFORMATION Verification Code UNTIL 9-30-14: www.inbar.org CHECK payable to:Indiana State Bar Association Automatic Credit Card Renewal Option: . By initialing here, your dues will automatically be charged to your credit card July 1 st of each year 23811 at the appropriate dues rate in existence for the ISBA at the time of renewal. Douglas C. Haney To cancel your automatic renewal, members must notify the ISBA 10 days prior to the renewal date. City of Carmel INCLUDE THIS PORTION WITH REMITTANCE. One Civic Square Carmel, IN 46032 Regular Dues(6 yrs or over) 280.00 ADDRESS,E-MAIL,PHONE&FAX CORRECTIONS REQUESTED ON BACK Governmental Practice Section 15.00 CHANGES-IN-SECTION ENROLLMENTS: Please indicate with an X any section you wish to add. AGRICULTURAL LAW $20 ALTERNATIVE DISPUTE RESOLUTION $20 Total ANIMAL LAW $15 33GA - APPELLATE PRACTICE $20 Z4S• BANKRUPTCY&CREDITORS'RIGHTS $30 BUSINESS LAW $20 CONSTRUCTION&SURETY $20 424 CORPORATE COUNSEL $10 Amount Paid: 2a CRIMINAL JUSTICE $20 ELDER LAW $20 EMPLOYMENT LABOR&BENEFITS LAW $25 ENVIRONMENTAL LAW $25 FAMILY&JUVENILE LAW $25 GENERAL PRACTICE,SOLO&SMALL FIRM $25 GOVERNMENTAL PRACTICE $15 HEALTH LAW $15 INTELLECTUAL PROPERTY $10 INTERNATIONAL LAW $15 LAND USE&ZONING $15 LITIGATION $15 PLEADS(Prof.Legal Ed.,Admissions&Development) $20 PROBATE,TRUST&REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG LAWYERS $15 INCLUDE THIS PORTION WITH REMITTANCE. See reverse side for important information regarding tax deductions. F PLEASE UPDATE YOUR E-MAIL ADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION E-MAIL ADDRESS PHONE NUMBER FAX NUMBER ❑HOME ❑OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code.This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed FIRM,EMPLOYER NAME OR PUBLIC OFFICE is a voluntary charitable contribution. BARPAC is a political action committee.The$10.00 contribution listed is voluntary and not tax deductible. AREA OF PRACTICE $5.00 is allocated from your dues payment for your Res Gestae subscription. PLEASE CHECK THE APPROPRIATE BOXES. a.❑FEMALE b.❑ MALE 1.❑AFRICAN AMERICAN 2.❑AMERICAN INDIAN 3.❑ASIAN 4.❑CAUCASIAN 5.❑ HISPANIC 6.❑OTHER *** INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT(CHECK ONE BOX) DUES NOTICE El VISA ❑ MASTERCARD ❑ DISCOVER ® ® July 1, 2014 - June 30, 2015 CARD NUMBER ONE INDIANA SQUARE, SUITE 530 ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ INDIANAPOLIS, IN 46204-2199 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 317-639-5465 800-266-2581 Fax: 317-266-2588 e-mail: isbaadmin@inbar.org EXP.DATE YOU MAY PAY DUES ONLINE & UPDATE SIGNATURE ❑ YOUR MEMBERSHIP INFORMATION Verification Code_ UNTIL 9-30-14: www.inbar.or9 CHECK payable to:Indiana State Bar Association Automatic Credit Card Renewal Option: . By initialing here, your dues will automatically be charged to your credit card July 1 st of each year 37795 at the appropriate dues rate in existence for the ISBA at the time of renewal. Ashley Marie Ulbricht To cancel your automatic renewal, members must notify the ISBA 10 days prior to the renewal date. City of Carmel INCLUDE THIS PORTION WITH REMITTANCE. One Civic Square Carmel, IN 46032 Government Rate more than 6 years 115.00 Governmental Practice Section 15.00 ADDRESS,E-MAIL,PHONE&FAX CORRECTIONS REQUESTED ON BACK - - CHANGES--IN-SECTION ENROLLMENTS: Please - indicate with an X any section you wish to add. AGRICULTURAL LAW $20 Total ALTERNATIVE DISPUTE RESOLUTION $20 ANIMAL LAW $15 APPELLATE PRACTICE $20 BANKRUPTCY&CREDITORS'RIGHTS $30 BUSINESS LAW $20 Amount Paid: ` D U CONSTRUCTION&SURETY $20 CORPORATE COUNSEL $10 CRIMINAL JUSTICE $20 ELDER LAW $20 EMPLOYMENT LABOR&BENEFITS LAW $25 ENVIRONMENTAL LAW $25 FAMILY&JUVENILE LAW $25 GENERAL PRACTICE,SOLO&SMALL FIRM $25 GOVERNMENTAL PRACTICE $15 HEALTH LAW $15 INTELLECTUAL PROPERTY $10 INTERNATIONAL LAW $15 LAND USE&ZONING $15 LITIGATION $15 PLEADS(Prof. Legal Ed.,Admissions&Development) $20 PROBATE,TRUST&REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG LAWYERS $15 INCLUDE THIS PORTION WITH REMITTANCE. See reverse side for important information regarding tax deductions. PLEASE UPDATE YOUR E-MAIL ADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION E-MAIL ADDRESS PHONE NUMBER FAX NUMBER ❑HOME ❑OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code. This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed FIRM,EMPLOYER NAME OR PUBLIC OFFICE is a voluntary charitable contribution. BARPAC is a political action committee.The$10.00 contribution listed is voluntary and not tax deductible. AREA OF PRACTICE $5.00 is allocated from your dues payment for your Res Gestae subscription. PLEASE CHECK THE APPROPRIATE BOXES. a.❑FEMALE b.❑ MALE 1.❑AFRICAN AMERICAN 2.❑AMERICAN INDIAN 3.❑ASIAN 4.❑CAUCASIAN 5.❑ HISPANIC 61:1 OTHER Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.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 Indiana State Bar Association Purchase Order No. One Indiana Square, Suite 530 Terms Indianapolis, Indiana 46204-2199 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/14/14 4355300 14/2015 Membership Dues per attached (Haney) 295.00 5/14/14 435530 2014/2015 Membership Dues per attached (Ulbricht) $130.00 Total $425.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ One Indiana Square, Suite 530 Indianapolis, IN 46204-2199 $ $425.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law 4355300 - Organization & Member Dues Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 1180 2381 435-5300 $295.00 or bill(s) is (are) true and correct and that 1180 3779 435-5300 130.00 the materials or services itemized thereon for which charge is made were ordered and received except 14 20 Signatu Titl Cost distribution ledger classification if claim paid motor vehicle highway fund