HomeMy WebLinkAbout209202 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE BAR ASSOC
CARMEL, INDIANA 46032 ONE INDIANA SQUARE, SUITE 530 CHECK AMOUNT: $295.00
INDIANAPOLIS IN 46204 -2199
no„ w CHECK NUMBER: 209202
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 23811 295.00 ORGANIZATION MEMBER
INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT (CHECK ONE BOX)
DUES NOTICE: VISA MASTERCARD DISCOVER
July 1, 2012 June 30, 2013
CARD NUMBER
ONE INDIANA SQUARE, SUITE 530 1:1❑ ❑1:11:1El DEl El ❑❑1:1❑❑11 El
INDIANAPOLIS, IN 46204 -2199 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
317 639 -5465 800 266 -2581 Fax: 317-266-2588
EXP. DATE
e -mail: isbaadmin @inbar.org El El El El
MAY PAY DUES ONLINE UNTIL 9 -30 -12 SIGNATURE
UPDATE YOUR MEMBERSHIP Verification Code
INFORMATION: www.inbar.or g ❑CHECK
payable to: Indiana State Bar Association
Automatic Credit Card Renewal Option: By initialing here, your
23811 dues will automatically be charged to your credit card July 1 st of each year
at the appropriate dues rate in existence for the ISBA at the time of renewal.
Douglas C. Haney To cancel your automatic renewal, members must notify the ISBA 10 days
City of Carmel prior to the renewal date.
One Civic Square
Carmel, IN 46032
Regular Dues (6 yrs or over) 280.00
Governmental Practice Section 15.00
ADDRESS, E -MAIL, PHONE FAX CORRECTIONS REQUESTED ON BACK Voluntary IBF Contribution
CHANGES IN SECTION ENROLLMENTS: Please Voluntary Barpac Contribution
indicate with an X any section you wish to add.
AGRICULTURAL LAW $20 Total
345.00
ALTERNATIVE DISPUTE RESOLUTION $20
ANIMAL LAW $15
APPELLATE PRACTICE $20
BANKRUPTCY CREDITORS' RIGHTS $30
BUSINESS LAW $10 Amount Paid:
CONSTRUCTION SURETY $20
CORPORATE COUNSEL $10
CRIMINAL JUSTICE $20
ELDER LAW $20
EMPLOYMENT LABOR LAW $25
ENVIRONMENTAL LAW $25
FAMILY JUVENILE LAW $15
GENERAL PRACTICE, SOLO SMALL FIRM $25
GOVERNMENTAL PRACTICE $15
HEALTH LAW $15
INTELLECTUAL PROPERTY $10
INTERNATIONAL LAW $15
LAND USE ZONING $15
LITIGATION $15
PLEADS (Prof. Legal Ed., Admissions Development) $20
PROBATE, TRUST REAL PROPERTY $20
SENIOR LAWYERS $15
TAXATION $25
UTILITY LAW $20
YOUNG LAWYERS $10 INCLUDE THIS PORTION INiTH REMITTANCE.
See reverse side for important information regarding tax deductions.
23811
g Douglas C. Haney g
City of Carmel
One Civic Square Total
Carmel, IN 46032 -_345
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City Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
6 PW 7 V e_ _P_ FEDERAL EXCISE TAX EXEMPT
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35- 60000972 5 c.� r
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
9W u
VENDOR f f SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
f g ADO `�i PAYMENT UO
04) UMBER IS CA BE
PART OF THE O 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. v
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 5 0 7 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF AFrfiROPRIATION FOR
O
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
T I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
D 5 materials or services itemized thereon for
which charge is made were ordered and
received except
i nature
Vile
Cost distribution ledger classification if
claim paid motor vehicle highway fund