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Home My WebLink About208948 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1 ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI2N ECK AMOUNT: $750.00 CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440 CH BETHESDAMD 20814 CHECK NUMBER: 208948 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 750.00 EXTERNAL INSTRUCT FEE o- -o o 00 For program, program updates and to register online go to. http: /Iwww.imia.org R IMLA!s Code Enforcement Program Registration Form October 20 -21 7 2012 Hilton Austin Hotel f a oloao� REGISTRATION INFORMATION Name A4 1..Q'( 1 1 Ull i f l ck+ Title b n .e Badge Name 5 I t Local Government Entity t Address 5 10 'e il V I S G l� G re City 0_ ra (M -e A State tj zi p y LP D 3 2 Phone ��i�c�47a Fax 317 671-a4M E -mail Q,()16CIL�)tLO) oaf()' if1•�d� Please indicate your registration type and options listed below (check all that apply) NEW- Mobile Land Use Tour requires registration: By checking box $25 per seat, please sign me up for seat(s) D( CLE Credits $25 each state, please specify state(s) Your Bar No's. d (.P 9 3 0 `off O Registration Fees include: Admission to Code sessions, electronic documents and welcome reception. Cancellation Refund Policy. Cancellations must be received in writing by September 24, 2012 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After September 24, 2012 those not attending will receive the event electronic documents in full consideration of registration fees paid. Replacements are always welcomed. All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Attrition Fees: To help defray attrition expenses from the contracted hotel, an additional $100 will be added to your registration fees if you do not stay at the Code meeting hotel (daily /drive in registrations excluded). Register online at www.imla.org MyIMLA HARD COPY POLICY: Registration fees include electronic documents. These materials will be available for registrants from IMLA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional $120 to your registration fee and check here. FOUR EASY WAYS TO REGISTERI MAIL: IMLA 7910 Woodmont Avenue Suite 1440 Bethesda, MD 20814 PHONE: 202 -466 -5424 FAX: 202 785 -0152 E -MAIL: info @imla.org Super Early Saver Bird Until Until After REGISTRATION PAYMENT INFORMATION Registration Type 7!16/12 8/15/12 8/15/12 f7 a� ys,� Code Enforcement Program Only Oct. 20' and Oct. 21° $250 $300 $350 g Bill Me -Ghesk Enclosed Visa Master Card Code Enforcement Program Make all checks payable to IMLA; U.S. currency only. IMLA Annual Conference (register for IMLA conference Amount$ separately) $1 50 $200 $250 Name C I T QF M E Oct 20' Saturday Only Code Enforcement Program $150 $200 $250 CardNo. Oct. 21" Sunday Only Exp.Date Code Enforcement Prooram $125 $175 $225 (M) CLE Processing Fee Signature (per state) 25 25 25 Mobile Land UseTonr $25 $25 $25 r_ t For program updates to register online Save the Date! visit our web site: http: /www.imia.org #lultrp .O th WLA's 77 Annua� Conference Austin Hilton Hotel October 21 -24, 2012 REGISTRATION INFORMATION Name ASHLEY M. ULBRICHT Title Assistant City Attorney Badge Name Ashley Local Government Entity City of Carmel, Dept. of Law Address One Civic Square City Carmel State Indiana Zip 46032 Phone 317 571 2472 Fax 317 571 2484 E mail aulbricht @carmel. in. gov Guest Name Guest Badge Name (Complete only if registering Guest) Badges are required for all functions. Please indicate your registration type and options listed below (check all that apply) Guest Registrant (see below) Luncheon Ticket(s) $75.00 each, No. of ticket(s) (only guest need to purchase) XCLE Credits, please specify state(s) ZI✓J Al Your Bar No's. �(o Q3� eLt7 INSTITUTE FOR LOCAL GOVERNMENT LAWYERS (ILGL) $100 to register. For more information visit www.imla.org Registration Fees include: Admission to all sessions, conference materials, IMLA social functions, Monday and Tuesday luncheons and all coffee breaks (not applicable to guest). Guest Fees include: Attendance at the events selected below. Cancellation Refund Policy: Cancellations must be received in writing by September 24, 2012 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After September 24, 2012 those not attending will receive the event materials in full consideration of registration fees paid. Replacements are always welcomed. Guest Cancellations are subject to a $25.00 administrative processing fee. All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Discounted Registration Fees Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate Will Apply The discounted registration fees below are available for those staying in IMLA Conference Hotel, otherwise $100 will be added to your registration fee to help defray IMLA Conference expenses (local attendees exempt from $100). Conference payment must be received within 15 days. HARD COPY POLICY: Registration fees include speaker's materials, available electronically. These materials will also be available for registrants from IMLA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional $250 to your registration fee and check here. FIVE EASY WAYS TO REGISTER! MAIL: IMLA, 7910 Woodmont Avenue Suite 1440 Bethesda, MD 20814 PHONE: 202-466-54241 FAX: 202 785 -0152 MyIMLA Online: www.imla.org I E -MAIL: info @imla.org Super Early REGISTRATION PAYMENT INFORMATION R Saver Rate Bird Rate Regular Rate I` 0- 2 6 y.S7 Registration Ends Ends Rate Ends After Bill Me Giieelt Enclosed Visa Master Card Type 6/01/12 8/15/12 10/01/12 10/01/12 Make all checks payable to IMLA; U.S. currency only. First Member $600 $650 $700 $800 Addt'l. Member $550 $575 $600 $650 Amount ,T5 ,0 0 d 3 or More From Name C �Y C Same Office Each person $450 $475 $500 $550 Card No. N. Judicial $355 $355 $355 $355 Nonmember $1,322 $1374 $1,500 $1,600 Exp.Date Full Guest Registration $125.00 includes the below Guest of Event o Reception Only $75.00 Signature Registrant Hospitality Suite $25.00 each ❑Monday's ❑Tuesday's Check only if purchasing 6 is 7 K City INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 4 35- 60000972 i �Ct O 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 VENDORS /(�7 ill GE�3L�.✓ SHIP 910 TO CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION WY Send Invoice To: 0 M T 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1E:2to 1 eo �3v'.S�DO PAYMENT 1 76 0 0z /J 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 ;HIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. ;.O.D. SHIPMENTS CANNOT BE ACCEPTED. 'URCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY HIPPING LABELS. f f I HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE i _rt' TTT l_ ND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER y iCUMENT COKTRO� �`��it A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._ WARRANT NO. ALLOWED 20 IN THE SUM OF A'�TA P RIATION FOR 8l 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 except E Signatu itle Cost distribution ledger classification if claim paid motor vehicle highway fund