HomeMy WebLinkAbout248885 08/26/15 ,Coq .
�'� "'�' CITY OF CARMEL, INDIANA VENDOR: 155400
® ONE CIVIC SQUARE INDIANA STATE BAR ASSOC CHECK AMOUNT: $ ....*295.00'
?� CARMEL, INDIANA 46032 ONE INDIANA SQUARE,SUITE 530 CHECK NUMBER: 248885
+MtsoN�, INDIANAPOLIS IN 46204-2199 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4355300 HECK 295.00 ORGANIZATION & MEMBER
INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT(CHECK ONE BOX)
DUES NOTICE ❑ VISA ❑ MASTERCARD El DISCOVER
July 1, 2015 - June 30, 2016
ATA
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
Pay dues on tine at: www.inbar.org EXP.DATE
SIGNATURE El❑F-1 El
❑ CHECK Verification Code
payable to:Indiana State Bar Association
Nancy Heck
City of Carmel
One Civic Square INCLUDE TH93 PORI 800 W97M REMYTTANCE.
Carmel, IN 46032
Resident Member,admitted more than 6 years 280
ADDRESS,E-MAIL,PHONE&FAX CORRECTIONS REQUESTED ON BACK Governmental Practice 15
CHANGES IN_SECTION ENROLLMENTS: Please ota! 295
indicate with an X any section you wish to add.
AGRICULTURAL LAW $20
ALTERNATIVE DISPUTE RESOLUTION $20
ANIMAL LAW $15
APPELLATE PRACTICE $20
BANKRUPTCY&CREDITORS'RIGHTS $30
BUSINESS LAW $20
CONSTRUCTION&SURETY $20
CORPORATE COUNSEL $10
CRIMINAL JUSTICE $20
ELDER LAW $25
EMPLOYMENT LABOR&BENEFITS LAW $25
ENVIRONMENTAL LAW $25
FAMILY&JUVENILE LAW $25
GENERAL PRACTICE,SOLO&SMALL FIRM $25
GOVERNMENTAL PRACTICE $15
HEALTH LAW $15 'SUSTAINING MEMBERSHIP $200
INTELLECTUAL PROPERTY $10 'See reverse side
INTERNATIONAL LAW $15 Indiana Bar Foundation
LAND USE&ZONING $15 BARPAC
LITIGATION $15
PLEADS(Prof.Legal Ed.,Admissions&Development) $20
PROBATE,TRUST&REAL PROPERTY $20
SENIOR LAWYERS $15
SOCIAL SECURITY DISABILITY $20 Amount Paid:
TAXATION $25
UTILITY LAW $20
YOUNG LAWYERS $15 9MCLUDE 11`N#5 PORTOOM W#TH REMITTANCE.
See reverse side for important information regarding tax deductions.
Nancy Heck
City of Carmel
One Civic Square
Carmel, IN 46032 Total 295
Z-13 65300
See reverse side for important information regarding tax deductions.
PLEASE UPDATE YOUR E-MAILADDRESS, 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. Sustaining Membership is available to any member who is willing to
show an additional commitment to support the mission and work of the
a.❑FEMALE b.❑ MALE Association. Visit www.inbar.org to view the additional benefits conferred
1.❑AFRICAN AMERICAN 2.❑AMERICAN INDIAN 3.❑ASIAN to sustaining members.
4.❑CAUCASIAN 5.[--] HISPANIC 6.❑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, 2015 - June 30, 2016
The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed ATA 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 Pay dues on line at: www.inbar.org
voluntary and not tax deductible.
$5.00 is allocated from your dues payment for your Res Gestae
subscription.
Sustaining Membership is available to any member who is willing to
show an additional commitment to support the mission and work of the
Association. Visit www.inbar.org to view the additional benefits conferred
to sustaining members.
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))
08/21415 Invoice $295.00
1 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
120-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Indiana State Bar Association ALLOWED 20
IN SUM OF $
One Indiana Square, Suite 530
Indianapolis, IN 46204-2199
$295.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Invoice 43-553.00 $295.00
I hereby certify that the attached invoice(s), or
I I
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
Monday, August 24,2015
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund