240920 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 00350349
ONE CIVIC SQUARE AMERICAN BAR ASSOCIATION CHECK AMOUNT: $*******650.00*
ATTN:CASH RECEIPTS CHECK NUMBER: 240920
CARMEL, INDIANA 46032 321 N CLARK ST CHECK DATE: 01/13/15
*o* CHICAGO IL 60654
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4357004 32379 90825692 650.00 CONFERENCE-ULBRIGHT
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b 321 N CLPrk St,Chicago,IL,60654, USA
Phone:800-28i-222 i
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1'1•IN:36.072315;)
INVOICE
Date: 17-Dec-2014
Bill-To: 01225201-0 Order Number: 9000817875
Ashley Ulbricht Order Date: 17-Dec-2014
City of Carmel Invoice Number: 0090825692
1 Civic Sq Terms: NFT30
Cannel,.IN 46032-2584 - .Purchase Order:.
Unit
--Peoduct -- — -'Fu1T1-Status- Statas-J—Qty—UnitiPrice- Discount
JA 1503-Traffic Court Seminar Active Active l 650:00 0.00 0.00, 0.00 650-iss
Customer: 01225201 Ashley Ulbricht
Shipping:. 0.00
Tax: 0.00
Order Total : 650.00
Paid to Date: 0.00
Current Amount Due: 650.00
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Please detach the lower portion and return it with your payment."Thank you. �.
Customer: 01225201-0 Ashley Cllbricht
Order No.: 9000817875 Invoice No: 0090825692 Balance Due(USD): 650.00
Credit Card# Exp.Date: _ /_ Amount:
Credit Cards Accepted-(Amex,Discover,Mastercard,ABA Visa,Visa)
Send payments to: American Bar Association
FEIN:36-072315
Attn:Cash Receipts
321 N CIark St
Chicago,IL 60654
Page I c' f
Carmd
INDIANA RETAIL TAX EXEMPT PAGE
C t "" ® CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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I"� / 6 1,, FEDERAL EXCISE TAX EXEMPT 30 3 _� 9
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
- 70 D�/ PAYMENT ./�/ Cr )U CC
// A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
! /�,J fY✓t %�C ! (� .� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPBQE$IAT.1_ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32379 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. __...WARRANT NO.—..
ALLOWED 20
4= ` oe"a-�on IN THE SUM OF$
1,126 10 6�L—
$ O C) D
ON ACCOUNT OF APPROPRIATION FOR
A/36-7004 1�64- -cam s
Board Members
PO#or INVOICE NO. ACCTf/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
��� �d materials or services itemized thereon for
which charge is made were ordered and
received
20j
Signature
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Cost distribution ledger classification if
claim paid motor vehicle highway fund