HomeMy WebLinkAbout257933 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 367291
ONE CIVIC SQUARE I. M. L.A CHECK AMOUNT: $*******100.00*
CARMEL, INDIANA 46032 7910 WOODMONT AVENUE CHECK NUMBER: 257933
9,,,._....: SUITE 1440 CHECK DATE: 04/26/16
«o"° BETHESDA MD 20814
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 041816 100.00 ORGANIZATION & MEMBER
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
,hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
ivoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
04/13/16 I 0 I I $100.00
1180 101
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
I. M. L. A
7910 WOODMONT AVENUE
IN SUM OF$
SUITE 1440
BETHESDA, MD 20814
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
1180 0 I 43-553.00 I $100.00 1 hereby certify that the attached invoice(s), or
101
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
Wednesda 1 2016
YN 00
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�� SCan�ecl .
D, Substantial Involvement ` tl nGI vel
X I represent that I have been substantially involvec
government law as defined in Rule 2-1.3(b) of the IMLA 1
==_=— =Gertification_7S.tandards-andvhave_attested-to-such_involvF
attached to this application.
E. Continuing Legal Education
Pursuant to the Local Government Fellows Certification Standards, I represent that I have
completed fifteen (15) hours of continuing legal education in the area of local government
law since the date of my certification as a Local Government Fellow, i.e., within the five
(5) year period preceding this application. I have also attended not less than one (1)
IMLA Seminar or Annual Conference during the two (2) year period preceding this
application. (Complete and attach Exhibit B.)
F. Fees
M, check g�ayable to IT in the amount of t00 is enclosed. I understand that this fee
is non-refundable, regardless of the disposition of my application.
G. Release
By this application, I release IMLA and all persons involved in any respect with this
- certi ication process from-all-liability.
I specifically authorize the Committee to consult with any persons who may have
information relating to my professional qualifications, credentials, character, mental or
emotional stability, ethics, behavior or any other matter reasonably bearing on the criteria
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