178730 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 156000 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS BAR ASSOCIATION
i CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 135 N PENNSYLVANIA ST, SUITE 1500
INDIANAPOLIS IN 46204 CHECK NUMBER: 178730
CHECK DATE: 10/2812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355300 STMT 100.00 ORGANIZATION MEMBER
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I`1d9t:Dor— 135 N Pennsylvania Street, Suite 1500 `l3��3 2010 MEMBERSHIP RENEWAL
assr3mi on Indianapolis, IN 46204
Phone: (317) 269 -2000 Fax (317) 269 19 15
(January 1, 2010 December 31, 2010)
Email: iba @indybar.org
Web Site: www.indybar.org
NOTICE- October 14, 2009
E -mail: nheck @carmel.in.gov
Phone (317) 571 -2494
Fax (317) 844 -3498 Please help us maintain accurate contact information
MS. NANCY S. HECK by updating your data on this form.
CITY OF CARMEL
1 CIVIC SQUARE
CARMEL IN 46032 Demographic Info (circle): Caucasian African American Asian
Latino Multi- Ethnic GLBT Person with Disability
Membership [dues IBAMember 5143
$80.00-L
Current Membership Category: Government Member
Adjustments if Needed:
A portion of your dues includes a subscription to the Indiana Lawyer thru March 31, 2010-
Group Affiliations $2000
ADR Section ($20.00) Appellate Practice Section ($20.00) Business Lae Section ($20.00)
Commercial and Bankruptcy Law Criminal Justice Section ($211.011) Environmental Law Section (520.00) Adjustments if Needed.'
Section ($20.00)
Estate Planning and Administration Family Law Section ($20.00) Government Practice Section ($20.00)
Section ($20.00)
Health Care Section ($20.00) Intellectual Property Section ($20.00) International Law Section ($20.00)
Labor and Employment Law Section Land Use Section ($20.00) Litigation Section ($20.00)
($20.00)
Senior Counsel Division ($20.00) Sole Practitioner /Small Firm Practice Sports and Entertainment Law
Section ($20.00) Section (520.00)
Taxation Section (520.00) Women and the Law Division ($20.00) Young Lawyers Division ($20.00)
Options
JEPAC is a political action committee of bar members to conduct and publicize non partisan surveys of
Marion County Judicial candidates. The $10 contribution listed is voluntary and not tax deductible.
Members of the-judiciary are not expected to contribute to JEPAC. (See Canon 7, IN Code of Judicial
Contribution to the Indianapolis Bar Foundation deductible as a charitable contribution.
Lawyer Referral Service Renewal $150 annual dues for your office/zip code location, plus $50 per
additional geographic location. Interested in joining LRS? Call 317 -269 -2000 or visit www.indybar.org. $0.00
PLEASE RETURN THIS STATEMENT WITH REMITTANCE. s en t ee e
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Make Checks Payable To: Indianapolis Bar Association IBA Tax ID# 35- 0412670
or Charge To: _Visa _MC _Am Ex _Discover ota
Card# Exp Date Signature T?—
Automatic Credit Card Renewal Option:,By indicating here, your membership will automatically renew October 15 of each year at the regular dues
rates in existence for the IBA at the time of renewal, and Registrants authorize the IBA to charge the credit /debit card submitted by the Registrant upon
initial registration for all future renewals. To cancel membership, members must notify the IBA 10 days prior to the renewal date.
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Choices. Convenience. Leadership. Resources. Connections.
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The Indianapolis Bar Association offers dynamic opportunities for involvement proven to develop and
hone lifelong leadership skills while adding true value to your professional career.
Sections, Committees and Divisions
The IndyBar's more than 25 sections, committees and divisions offer cutting edge programming and resources
across a wide spectrum of topics and demographics. Leadership within a section, committee or division is a
meaningful way to contribute your skills and work toward the betterment of the legal community at large.
Connections to the Indianapolis Legal Community
Connect at social events and network with local judges and practitioners —these are opportunities that you cannot
afford to miss.
Continuing Legal Education
The IndyBar offers education that is timely, convenient and taught by experienced professionals. We offer more
than 200 CLE credit hours annually at discounted rates, free TV video replays and must -have legal resources.
Paths to Leadership
With numerous sections, committees and divisions, pro bono and mentoring programs, and the Bar Leader Series,
the IndyBar provides key involvement opportunities proven to sharpen your leadership skills.
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Prescribe(7 tate Board of Accounts City f=orm No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
10/26/09 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
Indy Bar Association Purchase Order No.
135 N. Pennsylvania Street, Ste 1500 Terms
Indianapolis IN 46204 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 0/14/09 Statt Membership due
Total $100.00
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.
ALLOWED 20
Indy Bar Asso.
IN SUM OF
135 N. Pennsylvania St, Ste 1500
Indianapolis IN 46204
100.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355300
Organization membership dues
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Stmt 4355300 $100.00 bili(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 0
Sign u e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund