189852 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1
ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI2N
O 7910 WOODMONT AVE SUITE 1440 CHECK AMOUNT: $625.00
CARMEL, INDIANA 46032
BETHESDAMD 20814 CHECK NUMBER: 189852
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 17598300 625.00 ORGANIZATION MEMBER
I,;ternational Municipal 09/01/2010
Lawyers Association
J
Invoice Customer Number: 000255
Invoice Number: 17598300
Invoice Date: 09/01/2010
Notes: Renewal invoice
Please remit payment to:
Mr. Douglas C. Haney, Esq. International Municipal Lawyers
Carmel, Indiana Association
One Civic Square 7910 Woodmont Ave
Carmel, IN 46032 Suite 1440
Bethesda, MD 20814
Credit Card Payment Information Balance Due $625.00
Credit Card Number: Donation /Contribution
Card Type: CVV Total Payment Amount
Name On Card:
Expiration Date:
Mr. Douglas C. Haney, Esq. Customer Number: 000255
Carmel, Indiana
One Civic Square Invoice Number: 17598300
Carmel, IN 46032 Invoice Date: 09/01/2010
Notes: Renewal invoice
IMLA Membership renewal for 11/01/2010 to 10/31/2011.
THANK YOU FOR RENEWING MEMBERSHIP IN IMLA.
Payments can be paid online at www.imla.org by Visa or Master Card only.
Item Misc Product Notes Unit Price Quantity Amount
Municipal Members $625.00 1.00 $625.00
Subtotal $625.00
Invoice Total $625.00
Balance Due $625.00
Email address for confirmation:
Please contact IMLA's Membership Department with any questions on your renewal. Phone: 202 -466-
5424. Fax: 202- 785 -0152.
Carmel INDIANA RETAIL TAX EXEMPT PAGE
O r f ,Jlr CERTIFICATE NO. 0031201 55 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT (z'-)
1 1 O 35- 60000972 6 le
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
f
VENDOR SHIP
TO
lop 'd
t,
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE f EXTENSION
A•°
z
T e
Send Invoice Yo: M
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT 9 co
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
111.� F] ,ft 1 i NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
i`/ 44 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED 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 j
SHIPPING LABELS. r /�j
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE .2
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 9 6 6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.p WARRANT NO,
ALLOWED 20
2!G IN THE SUM OF
O ACI4UNT I AI IATI4
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
f 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
2Q
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund