185124 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 00350847 Page 1 of 1
ONE CIVIC SQUARE ALI -ABA COMM ON CONT PROF EDUCAT CHECK AMOUNT: $649.50
CARMEL, INDIANA 46032 4025 CHESTNUT STREET
4. PHILADELHIAPA 19104 CHECK NUMBER: 185124
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 649.50 EXTERNAL INSTRUCT FEE
ALI -ABA WEB REGISTRATIONIORDER FORM
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cards may be faxed to (215) 243 -1664 or telephoned to (800) CLE (253 -6397) or (215) 243 -1600.
Please register me for the Course of Study (title:) �(�A1 7 k X1
Course No. C_,�,� Date(s) rm Tuition y .Sd
Please register me for the Video Law Review Program (title:)
I plan to attend Viewing Site No. City State Program No. VF Tuition
I plan to view the live webcast on my office or home computer. Program No. VC Tuition
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Please enter my order for the following products (e.g.: books, tapes, course materials):
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Name Douglas C. Haney
Carmel City Attorney
Firm One Civic Square
Street a Carmel, Indiana 46032 ns.)
City State Zip +4
Ay8V olh aney ECarmel 4d d
Telephone Fax E -mail
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Pa. residents ONLY add 7% sales tax, excluding registrations and subscriptions.
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INDIANA RETAIL TAX EXEMPT PAGE
Ci I' Carmel CERTIFICATE NO. 003120155 002 0 �.1' 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
d 1 35- 60000972
ONE CIVIC'SOUARE 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
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VENDOR!
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT
FJP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
r VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 7
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK- TREASURER
DOCUMENT CONTROL NO. AT COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #ITITLE AMOUNT
I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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20
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Cost distribution ledger classification if
claim paid motor vehicle highway fund