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247331 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 155400 ONE CIVIC SQUAME INDIANA STATE BAR ASSOC CHECK AMOUNT: $ ******295.00* CARMEL, INDIANA 46032 ONE INDIANA SQUARE,SUITE 530 CHECK NUMBER: 247331 INDIANAPOLIS IN 46204-2199 CHECK DATE: 07/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 300009133 295.00 ORGANIZATION & MEMBER i ,t * One Indiana Square, Suite 530 INDIANA STATE BAR ASSOCIATION Indianapolis, IN 46204 - –• Serving the legal proj6siojr and thepublic —_. ___ ____ Phone: 800.266.2581--: www.inbar.org - -- Indiana State Bar Association Invoice Date Invoice# 6/29/2015 300009133 Bill To Member Information Douglas Haney Mr. Douglas C. Haney City of Carmel City of Carmel 1 Civic Square 1 Civic Square City Hall City Hall Carmel, IN 46032 Carmel, IN 46032 United States United States PO Terms Due Date Due on receipt 6/29/2015 Description Amount Resident Member, admitted more than 6 years $280.00 Sections: Governmental Practice $15.00 Total $295.00 Balance Due $295.00 Prescribed by State Board of Account 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, n lumber 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 lnvoicel Description Amount Date e Number or note attached invoices or bill(s)) I 6/29/15 4355300 2015-2016 Membership Dues per attached (Haney) $295, 0 I _ i I Total $295.00 I hereby certify thalt 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 'nd:an State Ba=n seemu+u,rren IN SUM OF $ One Indiana Square, Suite 530 Indianapolis, IN 46204-2199 $ $295.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law 4355300 - Organization & Member Dues i Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 1180 30000913 435-5300 $295.00 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 r -To L 20 n _ i Cost distribution ledger classification if � Title claim paid motor vehicle highway fund