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Home My WebLink About202175 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1 ONE CIVIC SQUARE I INTL MUNICIPAL LAWYERS ASSOCIATI2N CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440 CHECK AMOUNT: $625.00 BETHESDA MO 20814 CHECK NUMBER: 202175 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 19718200 625.00 ORGANIZATION MEMBER Larryeianaa '.IaUVII Invoice Customer Number: 000255 Invoice Number: 19718200 Invoice Date: 09/02/2011 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: Exp Date: CVV Total Payment Amount Name On Card: Order Tracking #23008070 000255 Signature: Mr. Douglas C. Haney, Esq. Customer Number: 000255 Carmel, Indiana One Civic Square Invoice Number: 19718200 Carmel, IN 46032 Invoice Date: 09/02/2011 Notes: Renewal invoice IMLA Membership renewal 11/01/2011 to 10/31/2012. THANK YOU FOR RENEWING IMLA MEMBERSHIP. Payments can also be paid by credit card, online at www.imla.org, or above, by Visa or Master Card ONLY. If you would prefer a different embership renewal date, please list it here and the Membership Department will contact you. Item Misc Product Notes Unit Price Quantity Amount Municipal Members $625.00 1.00 $625.00 Term: 11/01/2010 10/31/2011 Subtotal $625.00 Invoice Total $625.00 Balance Due $625.00 Email address for confirmation: 'j eco'l 10jed Q Please contact IMLA's Membershi Department with any questions on your renewal. Phone: 202 -466- 5424 x7106. Fax: 202- 785 -0152. Ci ty ®lJlr Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER D cpAgl wwr FEDERAL EXCISE TAX EXEMPT 0'p A' 35- 60000972 I 9 7() ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, I SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED'BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VEN N O. DESCRIPTION VENDOR cs��fiU.sUj'(J�d TOIP CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ol C Z Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT /go 7'- SSA J PAYMENT BA aD 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. 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 SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A J i AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO 7 8 9 0 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 Av �9� IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 7� g� p1' materials or services itemized thereon for which charge is made were ordered and received except 20 11 i nature Title Cost distribution ledger classification if claim paid motor vehicle highway fund