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215056 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 154002 Page 1 of 1 ONE CIVIC SQUARE INDIANA MUNICIPAL LAWYERS ASSOC CHECK AMOUNT: $175.00 to CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340 INDIANAPOLIS IN 46225 CHECK NUMBER: 215056 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 175 . 00 ORGANIZATION & MEMBER Indiana Municipal Lawyers Association 200 S. Meridian St.,Suite 340, Indianapolis, IN 46225 Invoice Nr: 2392 Phone: 317-237-6200 Fax: 317-237-6206 jwoods @citiesandtowns.org Pro Forma Invoice 2013 Membership is open to any Indiana attorney with an interest in local governmental law. [ED] Membership Type Contact Information $100: Individual Membership Douglas Haney $100: First "participating attorney" City Attorney of a government entity Carmel _-One-Civic-Square x'$75:-�ecorid-Vaarticipating attorney" Third Floor 0 $50: Additional "participating attorney(s)" Carmel, IN 40632 Phone: 317571-2472 Fax: Email: dhaney @carmel.in.gov Attorney Nr: 11207-49 Member Dues For 2013: $100.00 Positions Many attorneys hold Client Title positions with more than one entity. Please Carmel City Attorney add additional client and job titles here if needed: AREAS OF PRACTICE -check all that apply Cities ®Council ❑ Counties � Schools IN Sewer � Solid Waste Districts ❑Towns ❑Townships N Utilities *1 Zoning I hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing all just credits, and that no part of the same has been paid. JoAngela Woods IMLA Secretary-Treasurer TACT General Council Ondiana Municipa9 Lawyers Association 200 S. Meridian St.,Suite 340, Indianapolis, IN 46225 Invoice Nr: 2540 Phone: 317-237-6200 Fax: 317-237-6206 jwoods @citiesandtowns.org Pro Forma Invoice 2013 Membership is open to any Indiana attorney with an interest in local governmental law. Membership Type Contact Information ❑ $100: Individual Membership Ashley Ulbricht ❑ $100: First"participating attorney" Carmel of a government entity One Civic Square __ -- - - - Carmel, IN 46032 $75: Second "participating attorney" ❑ $50: Additional "participating attorney(s)" Phone: 317-571-2472 Fax: 317-571-2484 Email: aulbricht @carmel.in.gov Attorney Nr: 26930-20 Member Dues For 2093: $75.00 Positions Many attorneys hold Client I Title positions with more than one entity. Please add additional client and job titles here if needed: AREAS OF PRACTICE -check all that apply Y.Cities ❑ Council ❑ Counties ❑ Schools 'Sewer ❑ Solid Waste Districts ❑Towns ❑Townships Utilities Zoning I hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing all just credits, and that no part of the same has been paid. JoAngela Woods IM LA Secretary-Treasurer IACT General Council Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Indiana Municipal Lawyers Association Purchase Order No. 200 South Meridian Street, Suite 340 Terms Indianapolis, Indiana 46225 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11-29-12 IMLA 2013 membership dues per the attached Invoices: City Attorney Douglas C. Haney $100.00 Assistant Attorney Ashley M. Ulbricht $75.00 Total $175.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ 200 South Meridian St., Suite 340 Indianapolis, Indiana 46225 $ $175.00 ON ACCOUNT OF APPROPRIATION FOR DEPARTMENT OF LAW 430-55300 Membership Dues Board Members of INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1180 $175.00 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 tore Title Cost distribution ledger classification if claim paid motor vehicle highway fund