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185801 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1 ONE CIVIC SQUARE INDIANA STATE BAR ASSOC CHECK AMOUNT: $695.00 CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530 INDIANAPOLIS IN 46204 -2199 CHECK NUMBER: 185801 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 23811 290.00 HANEY 1180 4355300 28629 115.00 PERKINS 1160 4355300 29235 290.00 HECK D1(- 29235 1:611 Heckj 11' City of Carmel One Civic Square Total Carmel, IN 46032 L -)o See reverse side for important information regarding tax deductions. Membership Dues and Section Dues are not tax deductible as charitable INDIANA STATE BAR ASSOCIATION contributions, but a portion may be tax deductible under other provisions A DUES NOTICE of the Internal Revenue Code. This year, 5% of your dues were used for lobbying expenses and may not be tax deductible. JUIy 1, 2010 June 30, 2011 The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed A t T A ONE INDIANA SQUARE, SUITE 530 is a charitable contribution. INDIANAPOLIS, IN 46204 -2199 317 639 -5465 800 266 -2581 Fax: 317-266-2588 BARPAC is a political action committee. The $10.00 contribution listed is e-mail: isbaadmin @inbar.org voluntary and not tax deductible. Members of the judiciary are not YOU MAY PAY DUES ONLINE BY 9-30-10 expected to contribute to BARPAC. (See Canon 4, Indiana Code of Judicial Conduct.) UPDATE YOUR MEMBERSHIP $5.00 is allocated from your dues payment for your Res Gestae INFORMATION: www.inbar.org subscription. METHOD OF PAYMENT (CHECK ONE BOXY d DUES NOTICE July 1, 2010 Dune 30 2011 VISA MASTERCARD AMERICAN EXPRESS DISCOVER 7. t CARD NUMBER ONE INDIANA SQUARE, SUITE 530 INDIANAPOLIS, IN 46204 -2199 317 -639 -5465 800 266 -2581 Fax: 317- 266 -2588 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 e -mail: isbaadmin @inbar.org EXP. DATE YOU MAY PAY DUES ONLINE BY 9 -30 -10 UPDATE YOUR MEMBERSHIP SIGNATURE Verification Code_ INFORMATION: www.inbar.or CHECK g payable to: Indiana State Bar Association Automatic Credit Card Renewal Option: By initialing here, your 29235 dues will automatically be charged to your credit card May 1 st of each year Nancy S. Heck at the appropriate dues rate in existence for the ISBA at the time of renewal. y To cancel your automatic renewal, members must notify the ISBA 10 days City of Carmel prior to the renewal date. One Civic Square Carmel, IN 46032 Regular Dues (6 yrs or over) 280.00 ADDRESS, E-MAIL, PHONE &FAX CORRECTIONS REOUESTEQ ON BACK Governmental Practice Section 10.00 Jo!untary IBF Ccntribution CHANGES IN SECTION ENROLLMENTS: Tease voluntary Barpac Contribution indicate with an X any section you wish to add. Add new dues below, Total AGRICULTURAL LAW $20 340.00 ALTERNATIVE DISPUTE RESOLUTION $20 APPELLATE PRACTICE $20 Q O;D BANKRUPTCY CREDITORS' RIGHTS $30 BUSINESS LAW $10 Amount Paid: CONSTRUCTION SURETY $20 CORPORATE COUNSEL $10 CRIMINAL JUSTICE $20 ELDER LAW $20 EMPLOYMENT LABOR LAW $20 ENVIRONMENTAL LAW $25 FAMILY JUVENILE LAW $15 GENERAL PRACTICE, SOLO SMALL FIRM $15 GOVERNMENTAL PRACTICE $10 HEALTH LAW $15 INTELLECTUAL PROPERTY $10 INTERNATIONAL LAW $15 LAND USE ZONING $15 LITIGATION $15 PLEADS Prof. Legal Ed., Admissions Development) $15 PROBATE, TRUST REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG LAWYERS $10 Y6t'tCrLtt DE THIS RMTOOM MTN REAGITSPANCE. See reverse side for important information regarding tax deductions. WWI o ©m D1 Vd 29235 3 J Jb Nancy S. Heck City of Carmel t/ One Civic Square Total Carmel, IN 46032 9v. 00 See reverse side for important information regarding tax deductions. VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana State Bar Association IN SUM OF One Indiana Square, Suite 530 Indianapolis, IN 46204 -2199 $290.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1160 29235 43- 553.00 $290.00 1 hereby certify that the attached invoice(s), or 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 Thursday, May 20, 2010 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/20/10 29235 $290.00 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 INDIANA STATE BAR ASSOCIATION DUES NOTICE METHOD OF PAYMENT (CHECK ONE BOX) July 1, 2010 June 30 2011 VISA MASTERCARD AMERICAN EXPRESS DISCOVER ONE INDIANA SQUARE, SUITE 530 CARD NUMBER INDIANAPOLIS, IN 46204 -2199 ❑❑❑❑0❑❑❑❑❑❑ ❑11❑ ❑11 317 639 -5465 800- 266 -2581 Fax: 317-266-2588 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 e -mail: isbaadmin@inbar.org EXP. DATE YOU MAY PAY DUES ONLINE BY 9 -30 -10 SIGNATURE 1:11:1 L1 Ll UPDATE YOUR MEMBERSHIP CHECK Verification Code INFORMATION www .inbar.org payable to: Indiana State Bar Association Automatic Credit Card Renewal Option: By initialing here, your 23811 dues will automatically be charged to your credit card May list of each year at the appropriate dues rate in existence for the ISBA at the time of renewal. Douglas C. Haney To cancel your automatic renewal, members must notify the ISBA 10 days City of Carmel prior to the renewal date. One Civic Square Carmel, IN 46032 Regular Dues (6 yrs or over) 280.00 ADDRESS, E -M AIL, PHONE FAX CORRECTIONS REQUESTED ON B CHANGES IN SECTION ENROLLMENTS: Please Gov ientarFraCtic2 indicate with an X any section you wish to add. Add new dues below. AGRICULTURAL LAW $20 ALTERNATIVE DISPUTE RESOLUTION $20 APPELLATE PRACTICE $20 Total BANKRUPTCY CREDITORS' RIGHTS $30 375.00 BUSINESS LAW $10 CONSTRUCTION SURETY $20 CORPORATE COUNSEL $10 CRIMINAL JUSTICE $20 'LQ Q ELDER LAW $20 Amount Paid: 11 EMPLOYMENT LABOR LAW $20 ENVIRONMENTAL LAW $25 FAMILY JUVENILE LAW $15 GENERAL PRACTICE, SOLO SMALL FIRM $15 GOVERNMENTAL PRACTICE $10 HEALTH LAW $15 INTELLECTUAL PROPERTY $10 INTERNATIONAL LAW $15 LAND USE ZONING $15 LITIGATION $15 PLEADS Prof. Legal Ed. Admissions Development) $15 PROBATE TRUST REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG LAWYERS $10 INCLUDE THIS PORTION WITH REMITTANCE. See reverse side for important information regarding tax deductions. PLEASE UPDATE YOUR E -MAIL ADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION FE- MAIL PHONE NUMBER FAX NUMBER HOME OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code. This year, 5% of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed FIRM, EMPLOYER NAME OR PUBLIC OFFICE is a charitable contribution. BARPAC is a political action committee. The $10.00 contribution listed is voluntary and not tax deductible. Members of the judiciary are not AREA OF PRACTICE expected to contribute to BARPAC. (See Canon 4, Indiana Code of Judicial Conduct.) $5.00 is allocated from your dues payment for your Res Gestae PLEASE CHECK THE APPROPRIATE BOXES, subscription. a. FEMALE b. MALE 1. El AFRICAN AMERICAN 2. AMERICAN INDIAN 3.0 ASIAN 4.DCAUCASIAN 5. ❑HISPANIC 611 OTHER INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT (CHECK ONE BOX) DUES NOTICE July 1, 2010 June 30, 2011 VISA MASTERCARD AMERICAN EXPRESS DISCOVER ONE INDIANA SQUARE, SUITE 530 CARD NUMBER INDIANAPOLIS, IN 46204 -2199 ❑0L:11:]E]F—IEI01:]0❑00EI01:1 317- 639 -5465 800- 266 -2581 Fax: 317-266-2588 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 e -mail: isbaadmin@inbar.org EXP. DATE YOU MAY PAY DUES ONLINE BY 9 -30 -10 EI 0 F] UPDATE YOUR MEMBERSHIP SIGNATURE Verification Code F] CHECK INFORMATION: www.inbar.org payable to: Indiana State Bar Association Automatic Credit Card Renewal Option: By initialing here, your 28629 dues will automatically be charged to your credit card May 1 st of each year Thomas D. Perkins at the appropriate dues rate in existence for the ISBA at the time of renewal. To cancel your automatic renewal, members must notify the ISBA 10 days City of Carmel prior to the renewal date. One Civic Square Carmel, IN 46032 Government Rate more than 6 years 115.000 Voluntary IBF Contributionp'UU ADDRESS,. -MAIL, P HO NE FAX CORRECTIONS REQUESTED O BA CK Voluntary 13arpac contribution CHANGES IN SECTION ENROLLMENTS: Please Total indicate with an X any section you wish to add. Add new dues 165.00 below. AGRICULTURAL LAW $20 ALTERNATIVE DISPUTE RESOLUTION $20 �f APPELLATE PRACTICE $20 yV BANKRUPTCY CREDITORS' RIGHTS $30 Amount Paid: BUSINESS LAW $10 CONSTRUCTION SURETY $20 CORPORATE COUNSEL $10 CRIMINAL JUSTICE $20 ELDER LAW $20 EMPLOYMENT LABOR LAW $20 ENVIRONMENTAL LAW $25 FAMILY JUVENILE LAW $15 GENERAL PRACTICE, SOLO SMALL FIRM $15 GOVERNMENTAL PRACTICE $10 HEALTH LAW $15 INTELLECTUAL PROPERTY $10 INTERNATIONAL LAW $15 LAND USE ZONING $15 LITIGATION $15 PLEADS Prof. Le al Ed., Admissions Development) $15 PROBATE TRUST REAL PROPERTY $20 SENIOR LAWYERS $15 TAXATION $25 UTILITY LAW $20 YOUNG $10 INCLUDE THIS PORTION WITH REMITTANCE. See reverse side for imnortant information renardina tax deductions. PLEASE UPDATE YOUR E- MAILADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION E -MAIL ADDRESS PHONE NUMBER FAX NUMBER HOME ❑OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code. This year, 5% of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed FIRM, EMPLOYER NAME OR PUBLIC OFFICE is a charitable contribution. BARPAC is a political action committee. The $10.00 contribution listed is voluntary and not tax deductible. Members of the judiciary are not AREA OF PRACTICE expected to contribute to BARPAC. (See Canon 4, Indiana Code of Judicial Conduct.) $5.00 is allocated from your dues payment for your Res Gestae PLEASE CHECK THE APPROPRIATE BOXES. subscription. a. FEMALE b. MALE 1. AFRICAN AMERICAN 2. AMERICAN INDIAN 3. ASIAN 4. CAUCASIAN 5. HISPANIC 6. OTHER 28629 L U) -T-h'omas Perkins I U 1 P -1 6 Carmel One Civic Square Total Carmel, IN 46032 1 See reverse side for important information regarding tax deductions. Membership Dues and Section Dues are not tax deductible as charitable INDIANA STATE BAR ASSOCIATION contributions, but a portion may be tax deductible under other provisions ,A DUES NOTICE of the Internal Revenue Code. This year, 5% of your dues were used for lobbying expenses and may not be tax deductible. July 1, 2010 June 30, 2011 The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed ONE INDIANA SQUARE, SUITE 530 is a charitable contribution. INDIANAPOLIS, IN 46204 -2199 317- 639 -5465 800- 266 -2581 Fax: 317-266-2588 BARPAC is a political action committee. The $10.00 contribution listed is e-mail: isbaadmin @inbar.org voluntary and not tax deductible. Members of the judiciary are not YOU MAY PAY DUES ONLINE BY 9 -30 -10 expected to contribute to BARPAC. (See Canon 4, Indiana Code of Judicial Conduct.) UPDATE YOUR MEMBERSHIP $5.00 is allocated from your dues payment for your Res Gestae INFORMATION: www.inbar.org subscription. 23811 F- Fr P1,7 r cz' PQ-g L -�7 [0 Han'e Lr\\L 0C. City of Carmel One Civic Square Total Carmel, IN 46032 0 See reverse side for important information regarding tax deductions. Membership Dues and Section Dues are not tax deductible as charitable INDIANA STATE BAR ASSOCIATION contributions, but a portion may be tax deductible under other provisions 6 DUES NOTICE of the Internal Revenue Code. This year, 5% of your dues were used for lobbying expenses and may not be tax deductible. July 1, 2010 June 30, 2011 The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed ONE INDIANA SQUARE, SUITE 530 is a charitable contribution. INDIANAPOLIS, IN 46204 -2199 317- 639 -5465 800 266 -2581 Fax: 317-266-2588 BARPAC is a political action committee. The $10.00 contribution listed is e-mail: isbaadmin @inbar.org voluntary and not tax deductible. Members of the judiciary are not YOU MAY PAY DUES ONLINE BY 9 -30 -10 expected to contribute to BARPAC. (See Canon 4, Indiana Code of Judicial Conduct.) UPDATE YOUR MEMBERSHIP $5.00 is allocated from your dues payment for your Res Gestae INFORMATION: www.inbar.org subscription. VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana State Bar Association IN SUM OF One Indiana Square, Suite 530 Indianapolis, IN 46204 $455.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Law Department PO# 1 Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1180 28629 43- 553.00 1 .$7e DO I hereby certify that the attached invoice(s), or 1180 23811 43- 553.00 $290.00 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 Thursday, May 20, 2010 Law Department Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No, 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be property 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 Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05120/10 28629 $165.00 05/20/10 23811 $290.00 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