210510 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 363223 Page 1 of 1
ONE CIVIC SQUARE PRACTISING LAW INSTITUTE
CARMEL, INDIANA 46032 810 SEVENTH AVENUE CHECK AMOUNT: $3,495.00
NEW YORK NY 10019
CHECK NUMBER: 210510
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 3,495.00 ORGANIZATION MEMBER
n INDIANA RETAIL TAX EXEMPT PAGE
�C s ane I' CERTIFICATE NO. 003120155 002 0 1L PURCHASE ORDER NUMBER
FEDERAL 35-60000972 1 EXEMPT n
1 ONE,CII/VIC'S"QUARE 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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
0 TO
/00/9
CONFIRMATION BLANKET ONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION l UNIT PRICE EXTENSION
Send Invoice To:
Douglas C. Haney
Carmel City Attorney
One Civic Square
Carmel, Indiana 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
�7 �Lgv y30 �5,�'3DD� PAYMENT
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 HERELLURTIFY THATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
HIS APPROPRIA FFICIENT 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. 6 516 VENDOR COPY
Practising Law Institute INVOICE NO. REP
810 Seventh Avenue Proforma JEFF
25` FI Attn: Jeff
New York, NY 10019
Phone:212 -824 -5747 PAGE NO. CUSTOMER NO.
Fax: 800-477-0300
1 873092
INVOICE DATE TOTAL AMOUNT DUE
6/22/12 $3495.00
SOLD TO: SHIP TO:
Douglas Haney Douglas Haney
City of Carmel Dept of Law City of Carmel Dept of Law
1 Civic Sq, 1 Civic Sq,
Carmel, Indiana 46032 -2584 Carmel, Indiana 46032 -2584
DATE SHIPPED DATE DUE TAX ID
N/A N/A 13 -556 -2321
SALESPERSON SHIP VIA
JEFF UPS
ORD UNIT
B/O DISC
SHP EXT
PLI's INDIVIDUAL PRIVILEGED MEMBERSHIP RENEWAL
PURCHASE $3495.00
B/O
CHECK ENCLOSED. (Payable to Practising Law Institute plus appropriate CA, IL or PA sales tax.)
PLEASE CHARGE TO: VISA MASTERCARD AMERICAN EXPRESS
CREDIT CARD NO.: EXP. DATE:
SIGNATURE REQUIRED: PHONE:
GROSS DISCOUNT Tax
$3495.00 $00.00 $00.00
FREIGHT PRIORITY CODE AMOUNT DUE
$00.00 $3495.00
C Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
`i
35- 60000972 P(
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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. tVENDOR NO. DESCRIPTION
tv
VENDOR SHIP
TO
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7&',.., r-1, 1, A/1 I I/ vet
CONFIRMATION BLANKET 'CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
7 y�s�
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Y-4 PAYMENT s •f�C�
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
Y 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. /fJ�
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. y
q CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 518 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
r /_o__0_!_9_____
60
ON C A U F AP YRT�IN FO R
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
S� do materials or services itemized thereon for
which charge is made were ordered and
received
5 20/
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund