184656 04/26/2010 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1
f ONE CIVIC SQUARE INDIANA STATE BAR ASSOC CHECK AMOUNT: $23.75
s f� CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530
INDIANAPOLIS IN 46264 -2199 CHECK NUMBER: 184656
CHECK DATE: 4/2612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 179 23.75 ORGANIZATION MEMBER
f t
Indiana State Bar Association INVOICE
One Indiana Square
Suite 530 DATE INVOICE NO.
Indianapolis, IN 46204
(317) 639 -5465 or FAX (317) 266 -2588 3/26/2010 179
BILLTO SHIP TO
Douglas C. haney
Carmel City Attorney
One Civic Square
Carmel, IN 46032
AD PAGE
DESCRIPTION
Pro Rata Dues forThomas D. Perkins (April '10 to June '10 23.75
i
i
METHOD OF PAYMENT (CHECK ONE BOXY TO AV
❑MASTER CARD AMERICAN EXPRESS DISCOVER $23.75
CARD
NUMBER
$1GNATURE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
EXP.
CHECK payable to: Indiana State Bar Association DATE Verification Code
i
Received
03- 25- 10P03:17 RCVD
City of Carmel
Department of Law L.,,
Pre,cribetl b�SIate Board of Account6 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
ndiana State Bar Association
Purchase Order No. Of 0
One Indiana Square, Suite 530
Terms
Indianapolis, Indiana 46204
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -26 -10 179 Pro Rata Dues for Thomas D. Perkins per the $23.75
attached invoice
Total
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana State Bar Association
IN SUM OF
One Indiana Square, Suit 530
Indianapolis, IN 46204
$23.75
ON ACCOUNT OF APPROPRIATION FOR
Department of Law #1180
430 -55300 Dues
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
21608 179 $23.75 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 ld
i
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund