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207359 03/26/2012 o CITY OF CARMEL, INDIANA VENDOR: 00350847 Page 1 of 1 ONE CIVIC SQUARE ALI -ABA COMM ON CONT PROF EDUCA �p CARMEL, INDIANA 46032 4025 CHESTNUT STREET HECK AMOUNT: $1,014.00 PHILADELHIA PA 19104 CHECK NUMBER: 207359 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 26433 640630 1,014.00 REGISTRATION -HANEY Bass, Elaine A From: myALI -ABA [webmaster @ali- aba.org] Sent: Friday, March 23, 2012 1:38 PM To: Bass, Elaine A Subject: ALI -ABA Invoice for Order #640630 A 640630 BA ALI Date: Shipping Information Douglas C. Haney 1 Civic Sq Carmel, IN 46032 -2584 USA (317) 571 -2472 (work) (317) 571 -2484 (fax) Email: dhaney @ci.carmel.in.us Billing Information Douglas C. Haney 1 Civic Sq Carmel, IN 46032 -2584 USA (317) 571 -2472 (work) (317) 571 -2484 (fax) Email: dhaney @ci.carmel.in.us Order Summary Qty Product Description Price 1 Advanced Employment Law and Litigation -2012 $1,014.00 Subtotal $1,014.00 Tax $0.00 Shipping $0.00 Total $1,014.00 Amount Due $1,014.00 ALI A�� Pro Ass American Law Institute American Bar Educati Continuing Leadership in Professional Please register me for the following ALI -ABA Course of Study /Webcast/Telephone Seminar: r Z Live COURSE /Program Title Advanced Employment Law and Litigation 2012 0 Washingto D. (Washington Plaza) 0 o Live Course Location z 0 Live Course /Program No. CT033GOV Date(s) March 22 -24, 2012 Tuition$ 1,014.00 Live WEBCAST (on your computer) Program Title m Live Webcast Program No. Date(s) Tuition I would like to register for only a segment(s) of this program: A B C D E F G H Please check the Webcast FAQs and Webcast Test Page for important information. For group viewing of the live webcast, please contact ciroupregistration@ali- aba.org For the group registration form, click here F C' Z Live TELEPHONE SEMINAR Program Title w� Live Telephone Seminar Program No. Date(s) Tuition Registrant's Name Douglas C. Haney Firm /Organization City Attorney, Carmel, Indiana Street Address (no P.O. boxes) One C Square, Department of Law City Carmel State Indiana Zip +4 46032 Phone( 317 571 -2472 Fax( 317 571 -2484 E -mail Address: (required for webcast and telephone seminar registrants) dhaney@carmel.in.gov Your e-mail address is required for webcast registrations. All communications (instructions, confirmation, etc.) will be sent to the e-mail address you provide. In addition, your e-mail address will serve as your username for webcast log in and study materials download. If your Internet provider filters incoming e-mail, please add ali- aba.org to your list of approved senders to ensure your receipt of future e- mails. Payment must accompany registration Amount enclosed Check made payable to ALI -ABA AMEX Mastercard Visa Discover Card No. Exp. Date Signature Name on card (ifdifferent than registrant) How did you learn about this program? Please check all that apply: E -mail promotion Printed publication Web search Colleague Advertisement of related course Facebook Twitter Other Complete this form and send with payment to: ALI -ABA Customer Service Dept., 4025 Chestnut Street, Philadelphia, PA 19104 -3099. Registrations charged to credit cards may be faxed to (215) 243 -1664 or telephoned to (800) CLE -NEWS (253 -6397) or (215) 243 -1600. You may also register online for any ALI -ABA program. Go to www.aii- aba.org and navigate to the applicable course information page. 4025 Chestnut Street Philadelphia PA 19104-3099 1 (215) 243 -1600 1 vvwwali- aba.org INDIANA RETAIL TAX EXEMPT PAGE C b CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER EXCISE TAX FEDERAL 35-60000972 EXEMPT 33 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,'/VP 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 REQUISITION NO. VENDOR NO. DESCRIPTION 1 /!(.�JT..�� VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION h u 61,1 J U x 3b I Send Invoice To:��� i PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT r4w 8d J 39 5 '700"'1 PAYMENT de 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON A OUNT OF APPROPAfATION FOR Board Members PO# or INVOICE NO. ACCT #ITITLE AMOUNT I hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the y0C0 materials or services itemized thereon for which charge is made were ordered and received except L/— f 20 -1, Sign Title- Cost distribution ledger classification if claim paid motor vehicle highway fund