252739 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 359064
® 'I ONE CIVIC SQUARE OGLETREE DEAKINS CHECK AMOUNT: $"""'1,090.00"
CARMEL, INDIANA 46032 PO BOX 89 CHECK NUMBER: 252739
COLUMBIA SC 29202 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 SEMINAR 295.00 EXTERNAL INSTRUCT FEE
1180 4357004 32902 SEMINAR 795.00 HANEY REGISTRATION
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Invoice
Reference Number 15463623
Date Registered Tuesday, December 1, 2015
Statement Date Tuesday, December 1, 2015
Event Employee Benefits and Executive Compensation Symposium
Event Details Chicago Marriott Downtown Magnificent Mile
541 North Rush Street
Chicago Illinois 60611
United States
Event Date Tuesday, May 3-Wednesday,May 4, 2016
The following individuals are registered
Name Category Total
Douglas Haney Employee Benefits Symposium and Workplace Strategies $295.00
Total $295.00
Billed To
Billing Company City of Carmel, IN
Name Douglas Haney
Address Line 1 One Civic Square
City Carmel
US State IN
Billing Zip/Postal Code 46032
Country United States
Email Address dhaney@carmel.in.gov
Date Transaction Type
Tuesday, December 1,2015 Transaction Amount $295.00
Balance $295.00
Cancellation Policy
Cancellations received at least one week prior to the seminar are subject to a$50 handling fee. Cancellations made less than five working
days prior to the seminar are not refundable; however,you may send a substitute.
INDIANA RETAIL TAX EXEMPT PAGE
city".... of
C�irmel
k CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT O '1
35-60000972 �/ p(
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL", INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1� 1 � 71� 5
OSI
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
!"A"
Send Invoice To: �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
1-44 ?0 70 aq PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP,AIA TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. C ��
• PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY
SHIPPING LABELS. !`
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
i
CLERK-TREASURER
DOCUMENT CONTROL NO. 32902 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER WARRANT
ALLOWED 20
INTHE SUM OF$
I PP a St E+_5�, d8D0
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
`q,§.06 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_--__._--.._--- .-.- .-.-------- —-----------
------ -------------------------------------------------------
20
.......................... ....... .................................................
4fb jqature
..........
....................
title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Ogletree, Deakins, Nash, Smoak & Stewart, P.C.
Purchase Order No.
191 Peachtree St., NE, Ste. 4800
Terms
Atlanta, GA 30303 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
and Workplace Strategies Seminar per the attached $295.00
z
P
r
rI .
Total }
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same1i ac o accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
n„letFee Deakins, Mach Cmna . IN SUM OF $
191 Peachtree St., NE, Ste. 4800
Atlanta, GA 30303
$ $1,090.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law 1180
430-40000 Legal Fees
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
,j?qn? 4357004 $79 p or bill(s) is (are) true and correct and that
lian 4357004 295.00 the materials or services itemized thereon
for which charge is made were ordered and
received except
20
i nature
r1le-�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund