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Home My WebLink About219374 04/24/2013 CITY OF CARMEL, INDIANA VENDOR 164103 Page 1 of 1 • ` ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATION CARMEL, INDIANA 46032 7910 WOO DMONT AVE SUITE 1440 CHECK AMOUNT: $975.00 a.p BETHESDA MD 20814 CHECK NUMBER: 219374 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 18182290 975 . 00 EXTERNAL INSTRUCT FEE IMLA'S 2013 ANNUAL CONFERENCE AND SEMINAR SAN FRANCISCO, CALIFORNIA — SEPT. 29-OCT.2, 2013 WASHINGTON, DC - APRIL 1416, 2013 BUNDLE DISCOUNT REGISTRATION FOR 2013 CONFERENCE & SEMINAR ATTENDEES! ACT NOW AND SAVE PAY BY JAN. 31 , 2013 FORM MUST BE POSTMARKED, FAXED OR E-MAILED WITH PAYMENT NO LATER THAN 1 .31 .13 REGISTRATION INFORMATION ±'$975.00 First Registrant _$800 Second Registrant*, _S550 3 or More*, _$200.00 Spouse/Guest I� Name: DOUGLAS C. HANEY ^l� Badge Name: Douglas Haney, Carmel City Attorney Title: City Attorney, Carmel, Indiana Local Government Entity: City of Carmel. Indiana Address/City/State/Zip: One Civic Square, Carmel, Indiana 46032 Phone: 317-571-2472 Fax: 317-571-2484 CLE Credits, please specify each state(s): INDIANA Bar No: 11207-49 O Guest: (only if registering) Payment Information Purchase Order No. 26728 xx Bill Me _dfi$& Enclosed Visa —MasterCard AmountS?B',00 Name(oncard) conAccount Number: Exp. Signature: 3 Digit Code: Registration Fee Includes: Admission to all sessions,"event materials," luncheons,social event and all coffee breaks. *Full participation required to qualify for discounted rates. Guest Fee Includes: Attendance at social events and Hospitality program. Registration Prices are based on attendee staying in Conference Hotel. Hard Copy of Materials: Seminar$250 D Conference$350 D State/Province Breakfast$10each DConf. !WONK Breakfast$10each DConf.DSem. Cancellation/Refund Policv: Cancellations must be received in writing by March 1,2013 to qualify for a refund. All cancellations are subject to a$50 ($25 Guest)administrative processing fee per event. All refunds will be remitted within 90 days of the event. After March 1,2013 those not attending will receive the event materials in full consideration for registration fees paid. Replacements are always welcomed. Send all cancellations in writing to IM LA Events Depart- ment. International Municipal Lawyers Association 7910 Woodmont Avenue,Suite 1440,Bethesda,Maryland 20814 Phone: 202-466-5424 Fax: 202-785-0152 Email: info(a)imla.or Web site:www.imia.or Bass, Elaine A From: Trina Shropshire-Paschal <Trina @imla.org> Sent: Friday, April 05, 2013 12:52 PM To: Haney, Douglas C Cc: 'elaine.bass @carmel.in.gov' Subject: Purchase Confirmation No. 18182290 (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 Intemational 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 trina(a),imla.ore ; and BRANDI TEEL: MEMBERSHIP bteelna imla.orQ . Forward Check Payments to: Intemational Municipal Lawyers Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814 Date/Time: 4/5/2013 12:57 PM Purchased By: Mr. Douglas C. Haney, Esq. Customer ID: 00025501 (Organization: Carmel, Indiana) (317) 571-2472 dhaney(a),carmel.in.¢ov Your confirmation number is: 18182290 Please keep this number for any references. Shopping Cart Items Amount Quantity Total 2013 Annual Conference Main Registration-Badge Name Douglas $600.00 1 $60000 Event 2013 Mid-Year Seminar Main Registration-Badge Name:Douglas $375.00 1 $375.00 Event Subtotal $975.00 Taxes $0.00 Shipping $000 Invoice Total $975.00 Grand Total $975.00 t Payment $0.00 Order Balance $975.00 Shipping& Billing Information Billing Address: Douglas C. Haney One Civic Square Carmel IN 46032 United States (317) 571-2472 dhanev ncarmel.in.gov Payment Information Payment Amount: $0.00 Payment Method: Bill Me 2 Bass, Elaine A From: Trina Shropshire-Paschal <Trina @imla.org> Sent: Friday, April 05, 2013 12:53 PM To: Haney, Douglas C Cc: 'elaine.bass @carmel.in.gov' Subject: Confirmation of Registration go International Municipal Lawyers Association DouglasHaney, This is your invoice/receipt and a confirmation of your registration for the 2013 Annual Conference. All outstanding balances are due upon receipt, the Discounted Registration Fees EXPIRE 15 DAYS after rate ends date, if payment is NOT received, the nest rate will apply. There is a $50 cancellation/administrative processing fee (S25 for Guest), after August 24, 2013 event materials will be provided in full consideration of fees paid. All refunds will be remitted 90 days after event. Please call 202-466-5424 with questions. The financial purchase confirmation number for this registration is: 18182290. It was sent to you under separate cover. The Event Registration Confirmation below confirms the details of your registration. Event Information: Event: 2013 Annual Conference Start Date/Time: Sep 29, 2013 - 8:00am End Date/Time: Oct 02, 2013 - 11:45am Main Registrant Information: Registration Date: Apr 05, 2013 Registrant: Mr. Douglas C. Haney, Esq. Badge First Name: Douglas Badge Last Name: Haney Badge Name: Douglas Badge Organization: Carmel, Indiana Badge Title: City Attorney Badge City: Carmel Badge State: IN Badge Country: United States Special Instructions: t Registrant Type: First Time Attendee: No NOT Attending Luncheon?: No Vegetarian Meal: No BAR Number: Guest Name (If Applicable):: Mobility Impairment: Additional Attendee(s):: 2 Bass, Elaine A From: Trina Shropshire-Paschal <Trina @imla.org> Sent: Friday, April 05, 2013 12:52 PM To: Haney, Douglas C Cc: 'elaine.bass @carmel.i n.gov' Subject: Confirmation of Registration soInternational Municipal Lawyers Association DouglasHaney, This is your invoice/receipt and a confirmation of your registration for the 2013 Mid-Year Seminar. All outstanding balances are due upon receipt. There is a $50 cancellation/administrative processing fee, after March 1, 2013 event materials will be provided in full consideration of fees paid. All refunds will be processed within 90 days after the event. Please call 202-466-5424 with questions. The financial purchase confirmation number for this registration is: 18182290. It was sent to you under separate cover. The Event Registration Confirmation below confirms the details of your registration. Event Information: Event: 2013 Mid-Year Seminar Start Date/Time: Apr 14, 2013 - 8:00am End Date/Time: Apr 16, 2013 - 11:45am Main Registrant Information: Registration Date: Apr 05, 2013 Registrant: Mr. Douglas C. Haney, Esq. Badge First Name: Douglas Badge Last Name: Haney Badge Name: Douglas Badge Organization: Carmel, Indiana Badge Title: City Attorney Badge City: Carmel Badge State: IN Badge Country: United States Special Instructions: Registrant Type: r City O 11n11 ty ®f Carmel INDIANA RETAIL TAX EXEMPT PAGE �\�/ f'�/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26728 DEPARTMENT OF LAW 35.60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.A/P CARMEL, INDIANA 46032-2584 - VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED - REQUISITION NO VENDOR NO. DESCRIPTION L1 VENDOR SHIP International Municipal Lawyers Association TO 7910 Woodmont Avenue, Suite 1440 Bethesda, Maryland 20814 ;CMRR�Tl� BLANKET CONTRACT PAVMENT TERMS FREIGHT ANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Registration for Carmel City Attorney Douglas C. Haney to $975.00 attend IMLA's Mid-Year Seminar and 2013 Annual Conference bundled discount per the attached r A Send Invoice To: 0� �OQ PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT /gd '%30 -S�ooy PAYMENT NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO .�Lw C///le fi",•T. La// �,(Q/ 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 UNOBLOATED BALANCE IN SHIP REPAID THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •c.0 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 l / y l ti'V`�//// !O / AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO r� /vim- n CLERK-TREASURER DOCUMENT CONTROL NO. 26728 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF $ g��S• D � O�.ah-t� O ACCOUNT OF PROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DFf?LY I hereby certify that the attached invoice(s), or 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 203 i Title Cost distribution ledger classification if claim paid motor vehicle highway fund