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: $950.00
CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440
BETHESDA MD 20814 CHECK NUMBER: 208754
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 950.00 EXTERNAL INSTRUCT FEE
For program, program updates and to register t
online go to: http:iiwww.imia.org
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IMLA's Code Enforcement Program
Registration Form October 20 -21, 2012
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REGISTRATION INFORMATION
Name ��l t1` aS 4c n g Title &A L
Badge Name J�C) Local Government Entity 1 fu i
Address D Q o t d i G 5(.' i fr (,P f
City ;G `al-e- t State tV Zip ''t 1P L 30
Phone 31 6 /l'a14 7a Fax �LL,571 0 40 E -mail AONV 0 (6191 10 r� 01/
Please indicate your registration type and options listed below (check all that apply)
NEW- Mobile Land Use Tour requires registration: By checking box f$ $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 $750.00
Shipping R Billing Information
Billing Address:
Douglas C. Raney
One Civic Square
Carmel IN 46032
United States
(317) 571 -2472
dhaney@carmel. i n. gov
Payment Information
Payment Amount: 50.00
Payment Method: Dill Me
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City INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT �J
35- 60000972 r�l4
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDORAzw ,�Z� SHIP
TO
CONFIRMATION BLANKET CONTRACT Y -PAYMENTTERMS FREIGHT
QUANTITY UNIT OF ESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
11$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
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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_._
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund