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Home My WebLink About220199 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1 ONE CIVIC SQUARE INDIANA STATE BAR ASSOC o CARMEL, INDIANA 46032 ONE INDIANA SQUARE,SUITE 530 CHECK AMOUNT: $295.00 INDIANAPOLIS IN 46204-2199 CHECK NUMBER: 220199 CHECK DATE: 5/2112013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4355300 DUES—HECK 295 . 00 ORGANIZATION & MEMBER INDIANA STATE BAR ASSOCIATION METHOD OF PAYMENT(CHECK ONE BOX) DUES NOTICE El VISA ❑ MASTERCARD ❑ DISCOVER ® ® July 1; 2013 - June 30, 2014 CARD NUMBER ONE INDIANA SQUARE, SUITE 530 ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ 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 e-mail: isbaadmin @inbar.org EXP.DATE YOU MAY PAY DUES ONLINE& UPDATE SIGNATURE ❑❑❑❑ YOUR MEMBERSHIP INFORMATION Verification Code UNTIL 9-30-13: www.inbar.or E] CHECK g payable to:Indiana State Bar Association Automatic Credit Card Renewal Option: . By initialing here, your 29235 dues will automatically be charged to your credit card July 1st of each year Nancy S. Heck at the appropriate dues rate in existence for the ISBA at the time of renewal. 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 ee- - indicate with an X any section you wish to add. AGRICULTURAL LAW $20 Total ALTERNATIVE DISPUTE RESOLUTION $20 _ ANIMAL LAW $15 APPELLATE PRACTICE $20 BANKRUPTCY&CREDITORS'RIGHTS $30 G f� BUSINESS LAW $10 Amount Paid: I 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 t LAND USE&ZONING $15 lJ Y'gC(n12Q-h� C.� yuj Vl�oln'v�Y �-4 LITIGATION $15 V' �L PLEADS(Prof.Legal Ed.,Admissions&Development) $20il PROBATE,TRUST&REAL PROPERTY $20 SENIOR LAWYERS $15 `- TAXATION $25 / UTILITY LAW $20 YOUNG LAWYERS $15 See reverse side for important information regarding tax deductions. INCLUDE THIS PORTION WITH REMITTANCE. PLEASE UPDATE YOUR E-MAIL ADDRESS, PHONE, FAX AND OTHER DEMOGRAPHIC INFORMATION E-MAIL ADDRESS PHONE NUMBER FAX NUMBER ❑HOME ❑OFFICE Membership Dues and Section Dues are not tax deductible as charitable contributions, but a portion may be tax deductible under other provisions CITY STATE ZIP of the Internal Revenue Code.This year, 5%of your dues were used for lobbying expenses and may not be tax deductible. The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed FIRM,EMPLOYER NAME OR PUBLIC OFFICE is a voluntary charitable contribution. BARPAC is a political action committee.The$10.00 contribution listed is voluntary and not tax deductible. AREA OF PRACTICE $5.00 is allocated from your dues payment for your Res Gestae subscription. PLEASE CHECK THE APPROPRIATE BOXES. a.❑FEMALE b.❑MALE 1.0 AFRICAN AMERICAN 2.0 AMERICAN INDIAN 3.❑ASIAN 4.❑CAUCASIAN 5.El HISPANIC 6.E]OTHER Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Dues Notice $295.00 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 Indiana State Bar Association IN SUM OF $ One Indiana Square, Suite 530 Indianapolis, IN 46204-2199 $295.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 Dues Notice 43-553.00 $295.00 I hereby certify that the attached invoice(s), or I I 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 Friday, May 17, 2013 Gt�GtG�, �`--- Director, Cqmmunity Relations/Economic Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund