HomeMy WebLinkAbout160918 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00350333 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOCIATION OF CITIES /TOW &ECK AMOUNT: $260.00
CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340
INDIANAPOLIS IN 46225 CHECK NUMBER: 160918
CHECK DATE: 6/25/2008
DEPARTMENT ACCOU PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTI
1180 4357004 260.00 EXTERNAL INSTRUCT FEE
0
Name: 7140/hp 5 D 1/ NS Name. for Badge:
Attorney Number (for CLE credits): 0 0 1 (.2 City own /County /Firm: lg�>L
Address: D N L� C L V G D U r P% B f�GJ
City/Town: CA kw State: Zip:
Phone: Email:
I plan to attend the luncheon on Thursday, June 19: Xes No I am an Indiana Attorney:)KVes No
Registration Fees
X IMLA Member with Binder... $260 Non member with Binder... $310
Receive all materials in printed binder Receive all materials in printed binder
IMLA Member without Binder... $220 Non member without Binder... $270
Full access to seminar materials online Full access to seminar materials online
Print and bring materials Print and bring materials
YES, I want to join IMLA and save $50 on my Late Fee... After June 6 add $25
registration fee. The registration deadline is June 6. Any registration
First municipal member individual... $75 received after June 6 will be treated as an on -site
Second municipal member.... $50 registration with an additional charge of $25.
All other municipal members... $25
Membership Fee:
Payment Information
Total Fees: 00
Method of Payment"(L•irL Check MasterCard Visa Discover
C Number: Ca N umber:
E xpiration Date: 3 -d igit V e r i fi cati on C ode:
Name of Cardholder: Authorized Signature:
Billing Address (if different from above):
City: State: Zip:
Three Easy Way's to .Register `:'Hotel, Information:
Ma registration form and payment to TACT at 200 S. Hyatt Regency IridianapoIis
Me radi St.,'Suite.340,,Indianapolis '.IN 46225 One South'Capitol,Avenue in:•Downfown Indianapolis
e, Fa x to IACT;at (317) 237 -6206 (Attn Municipal Law),
Online at www esandtownsrorg (keywords munici Room Rate`, $139:00+tax� per night
pal law 'Rese,rvations Contact the hotel at.'(800);233 1234 and
be sure to ask for thee Indiana Association• oft ities and
C8nCel.latl0rl POIICy Towns room, block."
Refunds will be'rnade, OnlyJif. IA T: a wr�ften can= D`eadlme: Reservations must be made by :Monday, June
cellation:three business days before the program fax 2 to receive the discounted rate After'June' .reserva=
email (Iheinzman Qcitiesandtowns or mail: All written tions :may n:ot be -available
cancellations received by June 16 will be refunded less a
$25 administrative fee Unless,attendees follow.th6 can- /ACT is not'resporis'Vl forhotel reservati6hs ot
bons.
cellation`policy', no shows will be billed
INDIANA RETAIL TAX EXEMPT PAGE
Cit' C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL
35- 0 EXC I SE
000972 EXEMPT
ONE j C I VIC i SQUARE C d THIS NUMB MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR �i/ SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE
4 1 0 EXTENSION
Send Invoice To: Wj
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
�a j/gt� /GY�� PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THISP-P-ROPRIATION.SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i f
i 3 2 A CLERK- TREASURER
DOCUMENT CONTROL NO COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
T IN THE SUM OF$
ON C APPROPRIATION FOR
PO# or Board Members
�PEP;R INVOICE NO.. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1 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
�Q 20Q
Si re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund