HomeMy WebLinkAbout203038 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE BAR ASSOC
CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530 CHECK AMOUNT: $165.00
INDIANAPOLIS IN 46204 -2199
„p� a CHECK NUMBER: 203038
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 2634 165.00 EXTERNAL INSTRUCT FEE
Indiana State Bar Association Invoice No. 2634
Indiana Bar Center INVOICE
One Indiana Square
Ste. 530
Indianapolis,IN 46204
(317) 639 -5465
Sold Douglas C. Haney Ship Douglas C. Haney
To: City of Carmel To: City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
Account No. Purchase Order No. Order Date Order Number Terms Invoice Date
23811 06/24/2011 41572 06/24/2011
Qt y Item Code Description Unit Price Extended
Shipped Price
2011 Annual Meeting
06/24/2011 10/21/2011
1 AM2011/ 25 Year Members 125.00 125.00
25YEARS
1 AM2011/ Thursday Awards Luncheon (10/20/11)
LUNCH _1
1 AM2011 /RECP_1 President's Reception Talent Show
1 AM2011 /REG_9 ISBA Member Single Program Only Fee 40.00 40.00
Line Item Total Freight Handling Other Tax Subtotal Amount Received Amount Due
165.00 165.00 165.00
0 /f� INDIANA RETAIL TAX EXEMPT PAGE
u1 %C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT j
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED _J__ fEQUISITION NO. I DOR NO. DESCRIPTION
VENDOR
t ��f,��ti �,-1 �r�G�jjf� SHIP
53 D TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION /J UNIT PRICE EXTENSION
4p
Send Invoice To:�
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT )Ale, S o
VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NU
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.
TH P_IOP IATION 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-278 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.__ WARRANT NO.
ALLOWED 20
IN THE SUM OF
P G� l 8o C<f
'ON OrAPPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
P& I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
a materials or services itemized thereon for
which charge is made were ordered and
received except
l� 20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund