HomeMy WebLinkAbout162798 08/20/2008 f CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE BAR ASSOC CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530
INDIANAPOLIS IN 46204 -2199 CHECK NUMBER: 162798
CHECK DATE: 8/20/2008
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DEPARTME ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1 4355300 275.00 ORGANIZATION MEMBER
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INDIANA STATE BAR ASSOCIATION Include This Portion with Remittance
DUES NOTICE METHOD OF PAYMENT (CHECK ONE BOX)
July 1, 2008 June 30, 2009 1:1 1:1 El ONE INDIANA SQUARE, SUITE 530 VISA MASTERCARD AMERICAN EXPRESS DISCOVER
INDIANAPOLIS, IN 46204 -2199 CARD NUMBER
317 639 -5465 800- 266 -2581 Fax: 317-266-2588 1111 11 111111 1111
e -mail: isbaadmin @inbar.org 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
YOU MAY PAY DUES ONLINE UPDATE EXP. DATE
SIGNATURE
YOUR MEMBERSHIP INFORMATION:
www.inbar.org CHECK Verification Code
23811 payable to: Indiana State Bar Association
Douglas C Haney CHECK THIS BOX IF YOU DO NOT WANT /SBA TO
City of Carmel SHARE YOUR E -MAIL WITH OTHER MEMBERS OF
One Civic Square THEASSOCIATION.
Carmel, IN 46032
Regular Dues (6 yrs or over) 230.00
Governmental Practice Section 10.00
Voluntary IBF Contribution 4A L1D—
ADDRESS CORRECTION REQUESTED ON BACKSIDE Voluntary Barpac Contribution 14.09_
CHANGES IN SECTION ENROLLMENTS: Please Total
indicate with an X any section you wish to add. Add new dues 290.00
below.
AGRICULTURAL LAW $20
ALTERNATIVE DISPUTE RESOLUTION $20
APPELLATE PRACTICE $20 s— 0,:>
BANKRUPTCY CREDITORS' RIGHTS $30 Amount Paid:
BUSINESS LAW $10
CONSTRUCTION SURETY $20
CORPORATE COUNSEL $10
CRIMINAL JUSTICE $20
ELDER LAW $20
EMPLOYMENT LABOR LAW $20
ENVIRONMENTAL LAW $25
FAMILY JUVENILE LAW $15
GENERAL PRACTICE SOLO SMALL FIRM $15
GOVERNMENTAL PRACTICE $10
HEALTH LAW $15
INTELLECTUAL PROPERTY $10
INTERNATIONAL LAW $15
LAND USE ZONING $15
LITIGATION $15 INCLUDE THIS PORTION WITH REMITTANCE.
PLEADS Prof. Legal Ed. Admissions Development) $15 PLEASE UPDATE YOUR E -MAIL ADDRESS, PHONE AND FAX.
PROBATE TRUST REAL PROPERTY $20
SENIOR LAWYERS $15 E -MAIL ADDRESS
TAXATION $25 4 Vk QA. m h C QV
UTILITY LAW PHONE NUMBER FAX NUMBER
YOUNG LAWYERS $10 .J _7i
See reverse side for important information regarding tax deductions.
1 4 Ell 4 a &TOY 11: 11111; 1 Ill
23811
Douglas C. Haney
City of Carmel
One Civic Square Total T
Carmel, IN 46032 z' c
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INDIANA RETAIL TAX EXEMPT PAGE
f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
111111
FEDERAL EXCISE TAX EXEMPT f
35- 60000972
ONE CIVI SQUARE x 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
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
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PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
t� 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
THIS AP PROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. p
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 gj CLERK- TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.._.___..- WARRANT NO
ALLOWED 20
IN THE SUM OF
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NO AC "COUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO, 'ACCT #/TITLE AMOUNT
�r I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and xhat the
J�iDd materials or services itemized thereon for
which charge is made were ordered and
received except
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claim paid motor vehicle highway fund
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