223370 08/27/2013 a CITY OF CARMEL, INDIANA VENDOR: 00350847 Page 1 of 1
0 `• ONE CIVIC SQUARE ALI-ABA COMM ON CONT PROF EDUCAT�Q
CARMEL, INDIANA 46032 4025 CHESTNUT STREET CHECK AMOUNT: $979.00
PHILADELHIA PA 19104
CHECK NUMBER: 223370
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 25324 841392 979 . 00 TRAINING FEE
American Law Institute -:Invoice No. 841392
4025 Chestnut Street INVOICE
Philadelphia, PA 19104-3099
Telephone: (800) 253-6397
Sold Douglas C. Haney Ship Douglas C. Haney
To: City of Carmel, Indiana To: City of Carmel, Indiana
1 Civic Sq 1 Civic Sq
Carmel, IN 46032-2584 Carmel, IN 46032-2584
USA USA
Account No. Purchase Order No. Order Date Order Number Terms Invoice Date
181343 PO`25324' 06/06/2013 709093 Net 30 days 06/06/2013
Qty Item Code Description Unit Price Extended
Shipped Price
Land Use Institute
08/14/2013 - 08/16/2013
San Francisco, CA
1 CV003/FULL Full Registration 979.00 979.00
PAST DUE
I
Line Item Total Freight Handling Other Tax Subtotal Amount Received Amount Due
979.00 979.00 979':00
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THE AMERICAN LAW INSTITUTE
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Continuing Legal Education '
Please register me for the following ALI CLE Course of Study/Webcast/Telep hone Seminar:
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Z Live COURSE/Program Title Land Use Institute CV003
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BD Live Course Location San Francisco California
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Live Course/Program No. CV003 Date(s) August 14-16, 2013 Tuition$ 979.00
.............................................................
Live WEBCAST(on your computer)Program Title
m
Live Webcast Program No. Date(s) Tuition$
I would like to register for only a segment(s)of this program: ❑A ❑B ❑C ❑D ❑E ❑F ❑G ❑H
Please check the Webcast FAQs and Webcast Test Page for important information.
For group viewing of the live webcast,please contact groupregistration@ali-cle.org. For the group registration form,click here.
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o¢ Live TELEPHONE SEMINAR Program Title
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Live Telephone Seminar Program No. Date(s) Tuition$
Registrant's Name D0lJGT,A S C:- NANEY
Firm/Organization CITY OF CARMEL INDIANA
Street Address(no P.O.boxes) One Civic Square
City Carmel State Indiana Zip+4 46032-2584
Phone( 17 ) 571-2472 Fax( 317 ) 571-2484
E-mail Address:(required for webcast and telephone seminar registrants)dhaney @carmel.in.gov
Your e-mail address is required for webcast registrations.All communications(instructions,confirmation,etc.)will be sent to the e-mail
address you provide.In addition,your e-mail address will serve as your username for webcast log in and study materials download.
If your Internet provider filters incoming e-mail,please add ali-cle.org to your list of approved senders to ensure your receipt of future e-mails.
Payment must accompany registration
PURCHASE ORDER NO. 25324
Fkrrotf*enclosed$ ® Check made payable to ALI CLE ❑AMEX ❑ Mastercard ❑Visa ❑ Discover
Card No. Exp.Date Signature
Name on card(ifdifferent than registrant)
How did you learn about this program?Please check all that apply:
❑E-mail promotion ❑Printed publication ❑Web search ❑Colleague ❑Advertisement of related course
❑Facebook ❑Twitter ❑Other
Complete this form and send with payment to:ALI CLE Customer Service Dept.,4025 Chestnut Street,Philadelphia,PA 19104-3099.
Registrations charged to credit cards may be faxed to(215)243-1664 or telephoned to(800)CLE-NEWS(253-6397)or(215)243-1600.
You may also register online for any ALI CLE program.Go to www.aii-cle.org and navigate to the applicable course information page.
4025 Chestnut Street Philadelphia,PA 19104-3099 1 (215)243-1600 1 www.aii-cle.org
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INDIANA RETAIL TAX EXEMPT City (? C°,�anal CERTIFICATE NO.003120155 002 0- 1i \��///CVs 1► PURCHASE ORDER NUMBER
j� ���,y FEDERAL EXCISE TAX EXEMPT
[,/6F/49 1�1� r- . 1.!1 o 35-60000972 Q Ci 7
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
Y7 ( 'r��-• L SHIP
VENDOR
��C�r.���j'i�l�C1rG�Lfu� f✓7,P-C/+ TO
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CONFIRMATION BLANKET CONTRACT • PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE -7 DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
) //30 y�o 5/JCd y 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 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.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING ORDEABELS. fs
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .-( _/ I III/��.t���7.�f��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT T.��HERETO. t
011k[7 L° J J 2 4 CLERK-TREASURER �J
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.--_WARRANT NO..,.--__.-_--__
ALLOWED 20
'C4 IN THE SUM OF$
91D�FF
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O ACCOUNT OF APIOROPRIATION FOR
Board Members'
PO#or INVOICE NO, ACCT#/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
dd D� bill(s) is (are) true and correct and that the
EMU materials or services itemized thereon for
which charge is made were ordered and
received except......_..........__-_-..--__-_
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