250292 10/07/15 "f• CITY OF CARMEL, INDIANA VENDOR: 164103
® ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI@NECK AMOUNT: $*******625.00*
CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440 CHECK NUMBER: 250292
BETHESDA MD 20814 CHECK DATE: 10107115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 19848830 625.00 ORGANIZATION & MEMBER
International Municipal
Lawyers Association
Invoice Customer ID: 000255
Invoice Number: 19848830
Invoice Date: 9/1/2015
Notes: Renewal invoice
Order Tracking #23126510 - 000255 Please remit payment to:
Mr. Douglas C. Haney, Esq. International Municipal Lawyers
Carmel, Indiana Association
One Civic Square 7910 Woodmont Ave
Carmel, IN 46032 Suite 1440
Bethesda, MD 20814
United States
(P) (202) 466-5424
(F) (202) 785-0152
- - - - - - - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - -- -
Credit Card Payment Information Balance Due $625.00
Credit Card Number: Donation/Contribution $ -
Card Type: CVV#: Total Payment Amount $ a5. Do
Name On Card:
Expiration Date:
Mr. Douglas C. Haney, Esq. Customer ID: 000255
Carmel, Indiana
One Civic Square Invoice Number: 19848830
Carmel, IN 46032 Invoice Date: 9/1/2015
Notes: Renewal invoice
IMLA Membership renewal 11/01/2015 to 10/31/2016. THANK YOU FOR RENEWING YOUR IMLA
MEMBERSHIP.
Payments can also be paid online through MyIMLA at www.imla.org, or above, by Visa or MasterCard
ONLY.
If you would prefer a different membership renewal date, please list it here and the Membership
Department will contact you.
Item Misc Product Notes Unit Price Quantity Amount
Municipal Members $625.00 1 $625.00
Term: 11/1/2015 - 10/31/2016
Subtotal $625.00
Discount $0.00
Invoice Total $625.00
Balance Due $625.00
Email address for confirmation:
Please contact IMLA's Membership Department with any questions about your renewal. Phone: 202-466-5424 x7106. Fax:
202-785-0152.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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
International Municipal Lawyers Association
Purchase Order No.
7910 Woodmont Ave, Suite 1440
Terms
Bethesda, MD 20814
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/29/15 IMLA Membership renewal 11/1/15-10/31/16
ri.
if '•.
Total
$625.00
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
International Municipal Lawyers As
IN SUM OF $
7910 Woodmont Ave, Suite 1440
Bethesda, MD 20814
$ $625.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
435-5300 - Org. & Membership Dues
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 4355300 $625.00 , 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
( c-3C) 20 1'5
ign ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund