173879 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE BAR ASSOC CHECK AMOUNT: $240.00
s, to CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530
INDIANAPOLIS IN 46204 -2199
�o CHECK NUMBER: 173879
CHECK DATE: 6/24/2009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1160 4355300 240.00 HECK BAR DUES
S�
♦y INDIANA STATE BAR ASSOCIATION
,t METHOD OF PAYMENT (CHECK ONE BOX)
41 :7t* DUES NOTICE
July 1, 2009 June 30 2010 VISA MASTERCARD AMERICAN EXPRESS DISCOVER
ONE INDIANA SQUARE, SUITE 530 CARD NUMBER
INDIANAPOLIS, IN 46204 -2199
317 639 -5465 800 266 -2581 Fax: 317-266-2588 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
e -mail: isbaadmin @inbar.org EXP. DATE
YOU MAY PAY DUES ONLINE UPDATE El El
1:1 YOUR MEMBERSHIP INFORMATION SIGNATURE Verification Code
www.inbar.or CHECK
Q payable to: Indiana State Bar Association
29235 Automatic Credit Card Renewal Option: By initialing here, your
Nancy S. Heck a dues will automatically be charged to your credit card May 1st of each year
i,' of Carmel u 2 at the appropriate dues rate in existence for the ISBA at the time of renewal.
Ci ty j�I To cancel your automatic renewal, members must notify the ISBA 10 days
One Civic Square prior to the renewal date.
Carmel, IN 46032
Regular Dues (6 yrs or over) 230.00
Governmental Practice Section 10.00
Vn� f...., ToC r •F, f• �atrirr�.
ADDRESS; E -MAIL, PHONE& FAX ON
CHANGES IN SECTION ENROLLMENTS: Please o untary l3arpac Con rl
indicate with an X any section you wish to add. Add new dues Total J
below.
AGRICULTURAL LAW $20
ALTERNATIVE DISPUTE RESOLUTION $20
APPELLATE PRACTICE $20 /J O Q
BANKRUPTCY CREDITORS' RIGHTS $30 Amount Paid: G
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
PLEADS Prof. Legal Ed., Admissions Development) $15
PROBATE, TRUST REAL PROPERTY $20
SENIOR LAWYERS $15
TAXATION $25
UTILITY LAW $20
YOUNG LAWYERS Tin INCLUDE THIS PORTION WITH REMITTANCE.
See reverse side for important information regarding tax deductions.
29235
Nancy_S. Heck r
City of Ca m'el C'1 i r, 11'f ,j 1 n c
One Civic Square Total 29b.00
Carmel, IN 46032
See reverse side for important information regarding tax deductions.
f
Please complete ONLY of the
front has changed!
PLEASE UPDATE YOUR E -MAIL ADDRESS, PHONE AND FAX.
E -MAIL ADDRESS
PHONE NUMBER FAX NUMBER
HOME
OFFICE
Membership Dues and Section Dues are not tax deductible as charitable
contributions, but a portion may be tax deductible under other provisions
CITY STATE ZIP of the Internal Revenue Code. This year, $3.00 of your dues were used
for lobbying expenses and may not be tax deductible.
The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed
FIRM, EMPLOYER NAME OR PUBLIC OFFICE is a charitable contribution.
BARPAC is a political action committee. The $10.00 contribution listed is
voluntary and not tax deductible. Members of the judiciary are not
AREA OF PRACTICE expected to contribute to BARPAC. (See Canon 4, Indiana Code of
Judicial Conduct.)
$5.00 is allocated from your dues payment for your Res Gestae
PLEASE CHECK THE APPROPRIATE BOXES. subscription.
a. FEMALE b. MALE
1. AFRICAN AMERICAN 2. AMERICAN INDIAN VD ASIAN
4. CAUCASIAN 5. HISPANIC 6.0 OTHER
Membership Dues and Section Dues are not tax deductible as charitable INDIANA STATE BAR ASSOCIATION
contributions, but a portion may be tax deductible under other provisions DUES NOTICE
of the Internal Revenue Code. This year, $3.00 of your dues were used
for lobbying expenses and may not be tax deductible. JUIy 1, 2009 June 30, 2010
The Indiana Bar Foundation is a 501(c)(3) organization. The $40.00 listed ONE INDIANA SQUARE, SUITE 530
is a charitable contribution. INDIANAPOLIS, IN 46204 -2199
317 639 -5465 800- 266 -2581 Fax: 317-266-2588
BARPAC is a political action committee. The $10.00 contribution listed is e-mail: isbaadmin @inbar.org
voluntary and not tax deductible. Members of the judiciary are not YOU MAY PAY DUES ONLINE &UPDATE
expected to contribute to BARPAC. (See Canon 4, Indiana Code of
Judicial Conduct.) YOUR MEMBERSHIP INFORMATION:
$5.00 is allocated from your dues payment for your Res Gestae www.inbar.org
subscription.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
6/22/09 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
In diana State Bar Asso. Purchase Order No.
0�7ie Indiana Ste 530 Terms
I ndianapolis IN 46204 -2199 Date Due
Invoice Invoice Description Amount
Date Number (or note attached Invoice(s) or bill(s))
Stmt Dues 7/1/09 thru 6/30/10 for Nancy Heck $240.00
Total $240.00
1 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
VOUCHER NO. WARRANT NO.
6/22/09
ALLOWED 20
.Indiana State Bar Asso IN SUM OF
One Indiana Sguare, Ste 530
Indianapolis IN 46204 -2199
240.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355300
Organization membership dues
Board Members
Pp# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Stmt 4355300 $240.00 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
20
J
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund