188392 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1
ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI2N
CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440 CHECK AMOUNT: $350.00
BETHESDA MD 20814
CHECK NUMBER: 188392
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 350.00 EXTERNAL INSTRUCT FEE
6
Haney, Douglas C
From: trina @imla.org
Sent: Wednesday, July 21, 2010 4:12 PM
To: Haney, Douglas C
Subject: Confirmation of Registration
International Municipal
Lawyers Association
DouglasHaney,
This is your invoice /receipt and a confirmation of your registration for the 2010 Annual Conference. All outstanding balances are due upon receipt.
There is a $50 cancellation administrative processing fee ($25 for Guest), after September 1, 2010 event materials will be provided in full consideration
of fees paid. Please call 202 -466 -5424 with questions.
The financial purchase confirmation number for this registration is: 15089570. It was sent to you under separate cover. The Event Registration
Confirmation below confirms the details of your registration.
Registration Information:
(Event Start Date End Date Registrant Registration J� Date _Badge Name
1 2010 Annual 10/10/2010 10/13/2010 Haney Douglas C. 07/21/2010 Douglas
Conference
Event Registration Fee Information:
Order•# Invoice Date Fee Type Q Amount
19339790 0712112010 Speak 1 $350.00
Event Reg Fee Total: $350.00
Registration Fee Total:
Grand Total Amount: 3 50. 00
Registration Information:
First Name: Douglas
Last Name: Haney
Badge Name: Douglas
Badge Organization: Carmel, Indiana
Badge Title: City Attorney
Badge City: Carmel
Badge State: IN
Badge Country: United States
Special Instructions:
Registrant Type: Speaker
1
First Time Attendee: No
NOT Attending Luncheon No
Vegetarian Meal: No
Bar Number:: 11207 -49
Guest Name (If Applicable)::
Mobility Impairment:
Additional Attendee(s)::
2
f INDIANA RETAIL TAX EXEMPT PAGE
y o C arm e, I CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ja
35- 60000972
ONE CIVIC SQUARE 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
7
VENDOR 11)k# SHIP TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Vi
d t'� r
r� rte
m°
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT 9-50 6
t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
y, ,r NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 44, ACTS 1945 TITLE l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
n CLERK- TREASURER
DOCUMENT CONTROL NO �A COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
//91
O A R
Board Members
PO# or INVOICE NO, ACCT #ITITLE AMOUNT
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
eDa materials or services itemized thereon for
which charge is made were ordered and
received except__
O 2Q/
nature
I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund