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HomeMy WebLinkAbout208754 05/10/2012 F CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1 1 ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI AMOUNT: $950.00 CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440 BETHESDA MD 20814 CHECK NUMBER: 208754 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 950.00 EXTERNAL INSTRUCT FEE For program, program updates and to register t online go to: http:iiwww.imia.org e IMLA's Code Enforcement Program Registration Form October 20 -21, 2012 l0000l Hilton Austin Hotel rt,� oioloolo A; Y J UL QIO pro IOIOt) 00 REGISTRATION INFORMATION Name ��l t1` aS 4c n g Title &A L Badge Name J�C) Local Government Entity 1 fu i Address D Q o t d i G 5(.' i fr (,P f City ;G `al-e- t State tV Zip ''t 1P L 30 Phone 31 6 /l'a14 7a Fax �LL,571 0 40 E -mail AONV 0 (6191 10 r� 01/ Please indicate your registration type and options listed below (check all that apply) NEW- Mobile Land Use Tour requires registration: By checking box f$ $25 per seat, please sign me up for I seat(s) tOCLE Credits $25 each state, please specify state(s) 1 Your Bar No's. 11.90 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.imia.org MyIMLA HARD COPY POLICY: Registration fees include electronic documents. These materials will be available for registrants from (MLA'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 Reg istration Type 7/16/12 8/15/12 8/15112 Code Enforcement Program Only Oct 20' and Oct. 21" $250 $300 $350 1K Bill Me Check Enclosed Visa MasterCard Code Enforcement Program Make all checks payable to IMLA; U.S. currency only, IMLA Annual Conference (register for IMLA conference Amount$ separately) $150 $200 $250 Oct 20' Saturday Only Name Code Enforcement Program $150 $200 $250 CardNo. Oct. 21" Sunday Only Exp.Date Code Enforcement Proaram $125 $175 $225 (M) CLE Processing Fee Signature (per state) 25 25 25 Mobile Land Use Tour $25 $25 1 $25 Bass, Elaine A From: Trina Shropshire Paschal [Trina @imla.org] Sent: Friday, April 13, 2012 5:11 PM To: Bass, Elaine A Subject: FW: Purchase Confirmation No. 18151470 (Mr. Douglas C. Haney, Esq.) Here is the invoice for Mr. Haney for the 2012 Seminar and Conference (Bundle Discount). Have a great weekend. Trina Trina Shropshire Paschal I Associate Director for Events International Municipal Lawyers Association 7910 Woodmont Avenue, Suite 1440 1 Bethesda, Maryland 20814 T 202.466.5424 x 7102 1 F 202.785.0152 Future Events Teleconferences I visit www.imla.orR for listing 2012 Mid Year Seminar I Washington, DC I April 22 -24 2012 Annual Conference I Austin, TX I Oct. 21 -24 From: trina0)imla.org mailto:trina(abimla.org Sent: Friday, April 13, 2012 5:09 PM To: dhaney@carmel.in.gov Cc: Trina Shropshire Paschal Subject: Purchase Confirmation No. 18151470 (Mr. Douglas C. Haney, Esq.) Dear Mr. Douglas C. Haney, Esq., THANK YOU. This is your confirmation/invoice and receipt for your purchase. For your records, here is a summary of your purchase from The International Municipal Lawyers Association (Federal ID# 53- 0214 -280). Please contact Trina or Brandi directly if you have a question regarding membership or events. TRINA SHROPSHIRE- PASCHAL: EVENTS trinagimla.org and BRANDI TEEL: MEMBERSHIP bteel a,imla.org Forward Check Payments to: International Municipal Lawyers Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814 Date /Time: 4/13/2012 5:08 PM Purchased By: Mr. Douglas C. Haney, Esq. Customer ID: 00025501 (Organization: Carmel, Indiana) (317) 571 -2472 dhaneyAcarmel.in.gov Your confirmation number is: 18151470 Please keep this number for any references. S Cart Items Amount Quantity Total 2012 Annual Conference Main Registration Badge Name Douglas $500.00 1 $500.00 Event 2012 Mid -Year Seminar Main Registration Badge Name Douglas $250.00 1 $250.00 Event 1 r.w rs.nr'�!R!� i .vi (ins' f7 g ut i 1 Subtotal 750.00 Taxes $0.00 Shipping $0.00 Invoice Total $750:00 Grand Total 750.00 Payment $0.00 Order Balance $750.00 Shipping R Billing Information Billing Address: Douglas C. Raney One Civic Square Carmel IN 46032 United States (317) 571 -2472 dhaney@carmel. i n. gov Payment Information Payment Amount: 50.00 Payment Method: Dill Me [Printer Friendly Version] Z cp F City INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER n FEDERAL EXCISE TAX EXEMPT �J 35- 60000972 r�l4 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDORAzw ,�Z� SHIP TO CONFIRMATION BLANKET CONTRACT Y -PAYMENTTERMS FREIGHT QUANTITY UNIT OF ESCRIPTION UNIT PRICE EXTENSION �o 5a 00 TX Al 4� Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 11$o o I _yj(,' 5 70 4e l PAYMENT 0 4 �5� •O d 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 f .,f t AND ACTS AMENDATORY THEREOF AND SUPPLEMENT CLERK- TREASURER THERETO. r )OCUMENT CONTROL NO. 4 5 6 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF 7pto a O ACCOUNT OFPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the !8 materials or services itemized thereon for which charge is made were ordered and received except_._ ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund