HomeMy WebLinkAbout256459 03/15/16 CITY OF CARMEL, INDIANA VENDOR: 219460
ONE CIVIC SQUARE NATIONAL LAWYERS ASSOCIATION CHECK AMOUNT: S*.....*195.95*
9 ,?� CARMEL, INDIANA 46032 C/O MEMBERSHIP SERVICES CHECK NUMBER: 256459
M�9oN moo. 5830 N SPRUCE AVENUE CHECK DATE: 03/15/16
KANSAS CITY MO 64119
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 031116 195.95 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. .
ALLOWED 20
NATIONAL LAWYERS ASSOC
PO BOX 26005 IN SUM OF$
KANSASCITY, MO 64196
$195.95
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
Board Member:
I hereby certify that the attached invoice(s), or
1'Yl-C,l.l, - dr� bill(s) is (are)true and correct and that the
materials or services itemized thereon for
JI�V
which charge is made were ordered and
M _ � � � � received except
Wednesday, March 09, 2016
O
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice.(s)or bill(s)) .
03/09/16 0 $195.95
1180 I 101'
i
�f
I
I
I 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
20
Clerk-Treasurer
® National Lawyers Association
MEMBERSHIP APPLICATION
Check If: e`rr New Member ❑Renewal (Please enter Membership#if known )
Ms./Mrs./Mr./Hon.Name: Haney Douglas
Last First M.I.
Name of Organization or Firm: City of Carmel, Indiana
Business Address: One Civic Square
City: Carmel State: IN Zip: .46032
Work Number: ( )_317-571-2472 Fax Number:
Mailing Address: Ona Civic Sginare
City: Carmel. State: IN Zip: 46032 Telephone Number:( )317-571-2472
E-mail(REQUIRED):_ dhaney@carmel.in.goy Send mail to: m Business ❑Mailing Address
Please note,your E-mail Address will be used for your Member/User ID
Law School: University of Wisconsin Year Graduated: 1981
Original Admission to Bar: WI 1991 Date of Birth: 5.1g.1 1 956
State Month Day Year
jq
The membership yearfor NEW members is twelve months from_the date loured
MEMBERSHIP TYPE
9 Regular Membership(Licensed and Lawyers not yet admitted to the Bar) $195.95
....................................................................
❑ Student Membership&First Year Law School Graduates ............ FREE
...................................................................................
❑ Retired Attorney Membership ................ $49.95
............................................................................................................................
PAYMENT TYPE
®Check/Morley Order (Please enclose payment with return of this application)
❑Crei3it Card (If paying by credit card,.you must create an account and pay your dues online at http//www nla orgJmembers/loin the nla%)
All Checks should-be made payable to theNational.Lawyers.Association
Please mail payment to Director ofiViembdrshlp,National Lawyers Association;5830 N.Spruce:Ave.,Kansas City,M0,64119 -
If you have questions regarding this application,please call(844)917-1787 or you can reach us by email at memberservices@nla.org.
For Office Use Only:
Date Rec Date Entered: By:
Revised 1/16