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HomeMy WebLinkAbout189558 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364664 Page 1 of 1 -r ONE CIVIC SQUARE VERMONT LAW SCHOOL CHECK AMOUNT: $250.00 CARMEL, INDIANA 46032 164 CHELSEA STREET PO BOX 96 CHECK NUMBER: 189558 SOUTH ROYALTON VT 05068 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION 1180 4357004 250.00 EXTERNAL INSTRUCT FEE i_• R gistratao -n Payment must accompany registration. I Price: $500 Regular )4$250 Government/ Nonprofit i Name: DOUGLAS C. HANEY 1 (as you would like it to appear on your name badge) Email: dhaney @carmel.in.gov (please print clearly) Firm /Organization: City of Carmel, Indiana Department of Law Address: One Civic Square City: Carmel State: IN Zip: 46032 Phone: 3 17 -571 -2472 Fax: 317- 571 -2484 PURCHASE ORDER NO. 26962 ATTACHED ..1.11.1 .1 ....1111...................._.. 4 Ways to Register Online www.vermontlaw.edu /Takings20l 0 (credit card registrations only) Fax 802 -831 -1043 (credit card registrations only) E Phone 802 -999 -1824 (credit card registrations only) H Mail Check or purchase order payable to Vermont Law School to: 2010 Takings Conference Environmental Law Center Vermont Law School 164 Chelsea Street, PO Box 96 South Royalton, VT 05068 INDIANA RETAIL TAX EXEMPT PAGE C o f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER D r#g•y� 4 p, FEDERAL EXCISE TAX EXEMPT l 07 l C/I- 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION j y VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ez IF II z T �a t f rq l c) Send Invoice To: r��:�, PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT ,o•� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.! NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. I APPROP91 TION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.O. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 6 9 6 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. NO._. ALLOWED 20 6 49 IN THE SUM OF yr �S ©•moo O NACCOUNT APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT Ian I hereby certify that the attached invoice(s), or �b 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 cv to ure. Title Cost distribution ledger classification if claim paid motor vehicle highway fund