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CITY OF CARMEL, INDIANA VENDOR: 367291 �;ONE CIVIC SQUARE I. M. L. A CHECK AMOUNT: S 625.00CARMEL, INDIANA 46032 Po Box 200016 CHECK NUMBER: 303419
PITTSBURGH PA 15251-0016 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 19880860 625.00 ORGANIZATION & MEMBER
VOUCHER NO WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
I. M. L. A
PO BOX 200016 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PITTSBURGH, PA 15251-0016 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$625.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
19880860 43-553.00 $625.00 1 hereby certify that the attached invoice(s),or 9/19/16 19880860 $625.00
.1180 101 1180 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
Monday, September 19,2016
Lo�ns�
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
NaInternational Municipal
LaviyersAssociation
Invoice Customer ID: 000255
Invoice Number: 19880860
Invoice Date: 9/1/2016
Notes: Renewal invoice
Order Tracking #23160200 - 000255 Please remit payment to:
Mr. Douglas C. Haney, Esq. International Municipal Lawyers
Carmel, Indiana Association
One Civic Square P.O. Box 200016
Carmel, IN 46032 Pittsburgh, PA 15251-0016
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: CW#: Total Payment Amount $ 6,95.
Name On Card:
Expiration Date:
Mr. Douglas C. Haney, Esq. Customer ID: 000255
Carmel, Indiana
One Civic Square Invoice Number: 19880860
Carmel, IN 46032 Invoice Date: 9/1/2016
Notes: Renewal invoice
IMLA Membership renewal 11/01/2016 to 10/31/2017. THANK YOU FOR RENEWING YOUR IMLA
MEMBERSHIP.
Payments can also be paid online through MyIMLA at www.imia.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(dotes Unit Price Quantity Amount
Municipal Members $625.00 1 $625.00
Term: 11/1/2016- 10/31/2017
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.