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192851 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 156000 Page 1 of 1 ONE CIVIC SQUARE INDIANAPOLIS BAR ASSOCIATION CARMEL, INDIANA 46032 135 N PENNSYLVANIA ST, SUITE 1500 CHECK AMOUNT: $60.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 192851 CHECK DATE: 12/15/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4355200 5143 60.00 SUBSCRIPTIONS TndgtDor Indianapolis Bar Association 2011 MEMBERSHIP RENEWAL J 135 N Pennsylvania Street, Suite 1500 Indianapolis, IN 46204 (January 1, 2011 December 31, 2011) Phone: (317) 269 -2000 Fax (317) 269 -1915 Email: iba @indybar.org Please help us maintain accurate contact information Web Site: www.indybar.org by updating your data on this form. Email: NHECK @CARMEL.IN.GOV Phone: (317) 571 -2494 Fax: (317) 844 -3498 Date October 29, 2010 MS. NANCY S. HECK Let the Lawyer Referral Service be your marketing tool CITY OF CARMEL more than 15,000 referrals collectively made panelists 1 CIVIC SQUARE over $2 million in revenue last year! Check the box to CARMEL IN 46032 Membership Dues Contact ID: 5143 gyp Current Membership Category: Government Member Adjustments if Needed. A portion of your dues includes a subscription to the Indiana Lawyer thru March 31, 2011. Group Affiliations $25.00 ADR Section ($25.00) Appellate Practice Section ($25.00) Business Law Section ($25.00) Adjustments if Needed: Commercial and Bankruptcy Law Criminal Justice Section (525.00) Environmental Law Section ($25.00) Section ($25.00) Estate Planning and Administration Family Law Section ($25.00) Government Practice Section (515.0) Section ($25.00) Health Care Section ($25.00) Intellectual Property Section ($15.00) Labor and Employment Law Section (525.00) Litigation Section ($25.00) Real Estate and Land Use Section Senior Counsel Division ($25.00) ($25.00) Sole Practitioner/Small Firm Practice Sports and Entertainment Law Tax Section ($25,00) Section ($25.00) Section (525.00) Women and the Law Division ($15.00) Young Lawyers Division ($25.00) Options JEPAC is a political action committee of bar members to conduct and publicize non- partisan surveys of Marion County Judicial candidates. The $10 contribution listed is voluntary and not tax deductible. judiciary are not expected to contribute to JEPAC. (See Canon 7, IN Code of Judicial Conduct) Contribution to the Indianapolis Bar Foundation deductible as a charitable contribution. PLEASE RETURN THIS STATEMENT WITH REMITTANCE. Adjustme is if Needed: Make Checks Payable To: Indianapolis Bar Association IBA Tax ID# 35 -0412670 5. o� or Charge To: _Visa _MC Am Ex ,Discover T %J t cx Card# Exp Date Signature X45 W06 4) d% 11 a 3- X1)1 L L But- VI ovD VOUCHER NO. WARRANT NO. ALLOWED 20 Indianapolis Bar Association IN SUM OF 135 N. Pennsylvania Street, Suite 1500 Indianapolis, IN 46204 $60.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT #frITLE AMOUNT Board Members 1160 5143 43- 552.00 $60.00 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 i Friday, December 10, 2010 Ma or 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)) 10/29/10 5143 $60.00 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