178225 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1
ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI2N
CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440 CHECK AMOUNT: $625.00
BETHESDA MD 20814
CHECK NUMBER: 178225
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 8303880 625.00 ORGANIZATION MEMBER
Mr. Douglas C. Haney, Esq. Customer Number: 000255
Carmel, Indiana Invoice Number: 8303880
One Civic Square
Carmel, IN 46032 Invoice Date: 09/02/2009
Notes: Renewal invoice
IMLA Membership renewal for 11/01/09 to 10/31/10.
THANK YOU FOR RENEWING MEMBERSHIP IN IMLA.
Payments can be paid online at www.imla.org by Visa or Master Card.
Item Vllisc P roduct No te, Amount
Municipal Members $625.00 1.00 $6
Subtotal $62
Invoice Total I $625.00
Balance Due $625.00
Please contact Mary Vlach with any questions on your renewal.
Email: mvlach @imla.org. Phone: 202 466 -5424 ext. 7106.
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INDIANA RETAIL TAX EXEMPT PAGE
C i t y o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
,C� FEDERAL EXCISE TAX EXEMPT 1 t
""TT(( 35- 60000972 1
ONE CIVIC SQUARE 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
VENDOR�?2,%°i�' SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
J 111.4 00
C21 0
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1 1 30 g—!5:3 0 0 PAYMENT
/gyp 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 l..l rt��_ r?_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. t
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CLERK TREASURER
DOCUMENT CONTROL NO A. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUC; HER NO._ WARRANT
ALLOWED 20
=�I��INa� C IN THE SUM OF
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0 /A COUNT OF APFtBrC) RI TI OR
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
materials or services itemized thereon for
which charge is made were ordered and
received
Title 20
to
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund