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±.f CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 ONE CIVIC SQUARE NANCY HECK 4 CHECK AMOUNT: $291.10 CARMEL, INDIANA 46032 CHECK NUMBER: 223507 CHECK DATE: 8127/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 291 . 10 EXTERNAL TRAINING TRA rage I ot'3 HIJID NANO(! I Log Out I My Account I Feedback Lustonw,Supporu.1166,207.1488 UPGRADE TO ECONOMY COMFORT'°-, z FOR AS LOW AS$9. 1% W, "Pail T'o Deals i,.t it"xi; P Your trip details Allow fintorli YOU GO Print thill 0IT00 and keep for vow recorob Read the policie ro Contact us immediately it any issues arise will)your reservation before or during your trip Note We sent a confirmation message to The email address you movicieu(nheclt@carmei.in.gov) Your Travelocity Trip ID is:3322 5804 2759 Need to change of cancel you Your onone mother for this trip 317 431 5393 live will display all Aces and fees heroin Von de'.0. "fro This is an e-ticket,so no paper ticket will be mailed to you.Viftrill is an la-lucko Please note:Your original neffl rMas could not be accomoaawo.Also.note that seat requests are not quill,frileed and may be changed by the airline Please note:four seat numbers will be ass, at check-jn and printed oil your boarding pass You may return to M qn.0 anu eLK- VSt at a later time and cner.x In. any updates to your seating assignment, in addition,flight schedules may be changed by me amine. This Booking Quallibits for$20 Cull,Badd Click Hw*f Itin'.-Tary Primary Coniac•NANCY SLIE HECK Travel Tools: For auestions about this ilinerai y,call 1 888,8728356 Online Embi check-in I Flight 2 Round-Trip Tickets Change/Cancel Ffirihi All flight times ate local to each civ, Ob CV III For Your Warring pass use referenceue GPKTHZ Tor online or airport crec1i Suit,Sep 29,2013 Indianapolis(IND)to San Francisco International Airport(SFO) �`s1 `^ J�,/•� v�,Y j ^C-� Depart:07 00am Indianapolis IN(IND.I I I,, &Dolt.Air Lin.. ,\mve 08,35am LOS Angeles,CA I LAX) Flight 877 Economy Class Ion A;rbtiS A320 10012001 Confirmation# GPKTHZ Requested Seats.9A.ga 1 Stop-cnange Planes it,I.or,Angeles,GA tLAX) I h,2. Connection I ime: I Snnns Deparrt:110.00arr' Los Angeles.CA(LAX]to —Ar Delta Air Luies Asoc- Arrive 1.23a. San Francisco,CA(SFCn j:11ght 5836 op 7 elated by COMPASS USA DEL'I A CONNECTION Economy Class Ion Embitter EMB*175 Jet) ,onfumanor,Is GPK I H? Rectuested Seats:17B.17A i mal.1 ravel lime 7 hrs23dims ;-'Of Your Warding Pass,use reference code GPKTHZ Tor online of airport check-in Thu,Oct 3,2013 San Francisco International Airport(SFO)to Indianapolis(IND) Depart 01 15pn, San F,ancrw CA 61701 1, Delta Air Lines 111104 Olmn, Salt I ann Gov.t/'1 ISLC) 1`1111111:1375 Ec.nrvtIa- mil AI�0A320.1=200) 11 C.., C.PKTIL' Requested Seats:9A,98 1 Stop nge manes In Sal Lake City.ti I fSt CI it Connechon*r,m. 52 mm, Depart 05 00ont Salt LaKe City,Of ISI-C',is 46 Delta Air Lines _ze.10 131),n Indianapolis IN(IND) Flight 1228 Economy Claw Ion A320-100/200) Conti ma lion it GPK I H? Requested Seats:14B.14A ',,at 1,oyel Time 5 his SHmms https://travel.travelocity.com%mystuff/MyStuffRetrieve,rrip.do?recordLocator=MJXNDF&... 8/13/2013 Page 2 of 3 3aggage taus,in most cases.file applicable baggage tees and allowances inn file entire Trip will 1.Those of j The first carrier listed on you,Itinerary,Della Air Lines However ill A limited nudmel of multiple carrier mneranes[or International travel,the first carner may apply the fees and allowances of another r-arner fisted oo your itinerary.Click here for more information,including detailed baggage allowances and tees by r-artier It ' you need additional information regarding baggage allowanCa and tees please contact the first carner Oster. on your Itinerary Passenger Name Frequent Flyer Information ;Icket Number NANCY SUE HECK You ran add your frequent flyer number at the arppri 006,7299-148001 Ticket Number ASHLEY You can;,do you,nequeni fiver number of the airport 006720914600;, MARIE ULBRICHT TSA Travel Information he fSA has(lelerminuo Thal liquids,aerosol,and geie ui unneo rldaouti- ill,sah:to unng ahhat(1 an i aircraft Willi)picking,Please follow these guideline- - a All lioums,gels and aerosols must lie in 34( fice.1 1 fIDmg or solarat nonles a All containers nlgsl lit In one mart-sued,cleat,WasllC. ip-Inn nag e Each passenger its allowed oniv one oa9 - o Each nag must be oraced m its own screening hit,ano X-ravel sepanatety C it You ate carrying on larger amounts of prescriptions Ilowo memcauons naov mtmniq,anu;ol raaneu(. glucose treatments,you must deciare these at the socunly,checkeoml Arrive at the airport early.Enhanced security measures may mean longer ones at seruoiv crla umoint5 This new security policy applies to all domestic and international flights departing train U.S. atrpons.We always recommend chackdng Ina TSA.Wen sate(www.tsa.gov)for the most up-m-date I Information about security procLaures If YOU are departing from a non-ll S aanori,he sure To r.nack that airport's sdeupty pohcaes and pack accordingly. I Pricing 2 Adults i;49n o0 6247 sr Total r+:,"I:,.I,II Taxes+Airline Fees: 507.11D Total: $582.20 WO charged a Total of S582.20 In Vow r,mercin E u)ols�' Card XRXX-XXXX-;;xX T,avelocry Fees aria amine charges will be snows as separate lute items on vour:'lean raid statements .n Your credo Caro stalenimt may show separate airline charges air each nassrnptu,A�ksrad Delow NANCY SUE HECK 5291'1D ASHLFY MARIE Lil-brIC111 5291 10 Travel Checklist a Printed itmemi-y—ru,you will stilt ruceive,a ballet Iiekel.evt:-t1gesi you print this page w;axe aaxut win; you on Your inn a Photo ID--Every passenger must have a valid go—iornool Issued onto ID ;such a:A ua-is aceuse u• Passpmll ulease Ir)IL•Ih2[the name all the phola IC,nis"I roalch the bi)sSCUgrt naive Ili the,r-;sc!ryarnu e t-SA Secure Flight Information—+lily ntnrmauon you provided has peen aodoh to vow u:senvaaoa a Special Servrces/Meal Requests—lease control'yaw seeaal loquasl or meai Iequesl with Ihr airline I ermulallgale mrormation—Check with the airline air updated lennrtalrgatn,ntonnarur life day of your travel Also please note,you can vestry the flight status online Pee u,mcreasen security-luau e-s You mints plan to arnvn at ate araort two nouns Pilot m depanure o What to expect at the airport—The airline will Issue Your ooandmg mi-unun check-n Sunle:amne<allow You to pre print your Waffling pass"In all online check-In lemofe a Schedule Changes--the airline may rifer]A your flight ameraiv at any m+fe 1;wu au:ndaaaa or an itinerary change,we wit Contact yell by email and/or phone it lie airline nas not oloviderl yell wilh Ali acceptable alternative Itinerary,our agents will Try ip n+.acrudtnoriale Vail ac,cohmrr to Ilia amines Doll, and availability i o Baggage guidelines--he sure 10Ievnew your i line's haggagu allowance g,auuhnes Anhna rules au checked baggage allowances vary Manv carriers allow passengers Two(:necke(1/lags antl one capv-11 wine some Only permit Iwo cieckeO hags All carry-on baggage will be sublecl to dewcll.Review the Transportation Security Administration's gurdeimes for naggage Instructions and Policies • Tickets Ca n)of by ,,1.odeu uI tans.—all unless uinwwrsa fluted Nano:rnangue a,nut pennmea • Vaud.oovernmenl-Issued ID Is mandatory'or you it,flat urougll sorunly Alta doano Your inghT I initial anew subject to change before tmat Oavnlenl Posl-peer;lase increases or guvemnlont- loosen adzes or tees may apply I i+,Ices dh not Include ally applicable baggage fees r inle—alional Itimits may be Imafed wllh.osecuclaus Deills .)the1 ivies.Ind resdiraa)s may apply to airs faro Ro. tare rule:. Please,evsLw imoonam terms&conditions of travel wrrcn nlav limn void Ieuai oglus Help Online:SupporuSeirch or browse our FA(.s I Send us an email tlmase tee,to Too ID"3;121?rlahrl 2759 wnah cairnq f,a velocity r.C.u,lume.n Salv�ce:;,:Iliel f Mali: i fiefa nlav be a henaily andinr charges Inn Idsi:ly a—crlan(m, In the i)5 1 the,207 14AY, ,;.1 l'puts a nay 7 navy,a week Eo Esoary I dr>Ei Y27S:553; "00aw-10 flnum CS' I'DDI,-wimoo imuarrd 1 0110 5F5 75135 7 00am-17 Doom CST Outside lh(J Dti ?'10::'"I Sd71 [.)oars a emv l 7 flays awl: https://travel.traveioci ty.com/mystuff/MyStufiRetrieve'Drip.do?rccordl,ocator—MjXNI)F&... 8/13/2013 Page 3 of 3 Everything about your booking will be RIGHT.or we ti work weh our partners Io make n rerr,era, right,right away. beam Mora v"a+ad�F i i Complete Your Travel Plans for San Francisco! Add an Activity m 3�} mm ihinns to do il f Alcatraz&Double Decker Gray Line's Deluxe City Taste of San Francisco City Tour Tour f,om 60 rrom 80 nom$44 Adtl a Hotel ! _ Book Vonr hotel now and reservo a room that's lus; a; q�,.���,,,��� '� � JOtlt SlYle,In IU57 InP,nghl Sent find a hotel 1 Add it Car i Compact Car tcom$75lweowno ouv more car deals _ I Economy Car from 74 iweekenn day Intermediate Car lrom 78 tweexentl day ntful I N r:r5..ftn tin,; 4f3':nCV 41}r!:, •rmaancav tot6s. ,anon"i•,u:nkin I iiiRw I riou:rs I;ar.I i.trrr,,,I ri,.uvui,as 1 I! : r Ivlelrn,uums 1 Irywidrn 1,4,.r;,ran.ee I subs<ulir Inrerira in nut so- 'ilk^J'owl Mann i. loath ;,ina,r kin;.rin�r. i raveronty mnuinanun. .n„m,a uulntn I hu,:ol r,tvrr,nla 1 I'..:!+�'I^:,'.,•s I nnws u,r,nq 1'' �nor,..n wnlr,nc I Ir,rvcn„nr,eu:nu•.,I+nc wt.ln I u,u+I:4 nrl�. I1?ir,tn,r_!t' r,WP ,tl,I...,rl:: .,:r,r:I;..Kf„r,.loin„i,,,:t,,.Ire..:Y,r,.r..:,.l;ir.rlr•I!n„rr lt.r„Clncit/„nr,:” Ir"n,;.:I lni•,'N..f,.rir:;Ii:•.rnitr,�,..li,at.t;r:,,::r! r 1„�;I,r::iv 5!5•.r,',�I, rne•n:.in,f 1':ty<�t`l i'i rl:,.', =.1-:US„i;�'',. Screen reader users:Please switch to forms mode for this link. Feedback Click here to rate this page https:H travel.travelocity.com/mystuf`f/MyStuffRetrieve,r rip.do?recordLocator=MJXNDF&... 8/13/2013 Manage My Trips Page 1 of 2 02013 Delta Air Lines,Inc. For best print results,use the print icon within the page(ti)instead of your browser print function. Indianapolis, IN to San Francisco,CA'r Sun, 29 Sep 2013 -FLIGHT CONFIRMATION#:GPKTHZ Round Trip, 2 passengers FLIGHT INFORMATION There has been a change affecting your trip. If you are not satisfied with this updated itinerary,you may be eligible to change your flight(s)at no extra cost.(Conditions Apply) If we are unable to accommodate a previously purchased Economy Comfort seat,Trip Extras or other trip purchases please select the'Cancel' button to see eligibility. Contact Us I Track Checked Bags o mmmmmm®mcommmmoammmmomcaommmmmm OmmmpmOO�r_eg_clmoomm®mm®mmmomgm Sun, 29 Sep 2013 41 days from departure UPGRADE TO IND LAX DL 877 ° ECONOMY COMFORT FLIGHT STATUS:ON TIME Est 5 Enjoy more legroom and Depart: 7:00 AM Arrive: 8:35 AM a; - Priority Boarding for as low Economy(X) i 09A, 09B i View as s9. Seats ----............... ----------- ........... .---..........................._.....-- Layover in Los Angeles, CA 1 h 2 5 m Sun, 29 Sep 2013 41 days from departure -= UPGRADE TO LAX ► SFO : DL 5836, ECONOMY COMFORT FLIGHT STATUS: ON TIME Enjoy more legroom and „I4' c ;' Priority Boarding for as low Depart: 10:00 AM Arrive: 11:23 AM Economy(X) i 1 7B, 17A I View as$9. Seats Operated by:Compass DBA Delta Connection m®0--m m m m m m®i m ®®-m m m m 0 E?Y k"-®®as Thu, 03 Oct 2013 4S days from departure UPGRADE TO SFO SLC DL 2375 , ECONOMY = `3 COMFORT Enjoy more legroom and FLIGHT STATUS: ON TIME = -,". t Priority Boarding for as low Depart: 1:10 PM Arrive: 3:58 PM Economy(V) i 09A, 09B i View as Y9' Seats ------------- ------------------------------------- ------------------------------------------------------------------------------- Layover in Salt Lake City, UT 1 h 9m Thu, 03 Oct 2013 45 days from departure UPGRADE TO SLC ► IND : DL 1228 it ECONOMY r, COMFORT - FLIGHT STATUS: ON TIME Enjoy more legroom and '�.�'' Depart: 5:07 PM Arrive: 10:18 PM ''_. Priority Boarding for as low Economy(V). i 14B , 14A i View as s9. Seats m m®m m m m m m m o®m m rm m m m m o n o m®m m ea®®m m m ra m y®m m m m m m o m o m PASSENGERS NANCYSUE HECK Indianapolis, IN to Los Angeles, CA IND — LAX 09A Economy(X) Los Angeles, CA to San Francisco, CA LAX ► SFO 17B Economy(X) San Francisco, CA to Salt Lake City, UT SFO — SLC 09A Economy(V) Salt Lake City, UT to Indianapolis, IN SLC ► IND 14B Economy(V) ASHLEYMARIE ULBRICHT Indianapolis, IN to Los Angeles, CA Manage My Trips Page 2 of 2 IND ► LAX ©2013 Delta Air Lines, Inc. 09B Economy(X) Los Angeles, CA to San Francisco, CA LAX ► SFO 17A Economy(X) San Francisco, CA to Salt Lake City, LIT SFO ► SLC 09B Economy(V) Salt Lake City, LIT to Indianapolis, IN SLC ► IND 14A Economy(V) 11++,,�•//<.n:n., r1 o1+n nnm/rv<•rtri r<c•/f nrlpnr antinn Pw onni My Delta: Receipts Page 1 of 4 YOUR ITINERARY AND RECEIPT A. D E LTA Receipt Summary Passenger Information ASHLEY MARIE ULBRICHT Ticket Number: 0067299148005 SkyMiles Number: NANCY SUE HECK Ticket Number: 0067299148004 SkyMiles Number: Flight Information Date and Flight Status Class Meals/Others Seat/Cabin IND- LAX Sun OPEN X 29Sep201 3 DL 877 LAX- SFO Sun OPEN X 29Sep2013 CP5836 SFO - SLC Thu OPEN V 030ct2013 DL 2375 SLC - IND Thu OPEN V 030ct2013 DL 1228 Check your flight information online at delta.com or call the Delta Flightline at 800.325.1999. Baggage and check-in requirements vary by airport and airline, so please check with the operating carrier on your ticket. Please review Delta's check-in requirements and baggage guidelines for details. You must be checked in and at the gate at least 1 S minutes before your scheduled departure time for travel inside the United States. You must be checked in and at the gate at least 45 minutes before your scheduled departure time for international travel. For tips on flying safely with laptops, cell phones, and other battery-powered devices, please visit http://SafeTravel.dot.gov Do you have comments about service?Please email us to share them. Key of Terms #-Arrival date different than departure date ** - Check-in required ***- Multiple meals *S$ - Multiple seats AR-Arrives B- Breakfast C - Bagels / Beverages D- Dinner F- Food available for purchase 1'lttrNc-//xxnx xy R/14/x(11 2 My Delta: Receipts Page 3 of 4 Billing and Ticketing Information FARE DETAILS: IND DL X/LAX DL SFOI 24.65DL X/SLC DL INDI 05.58USD230.23END ZPINDLAXSFOSLC XFIND4.5LAX4.5SFO4.5SLC4.5 Fare: 230.23 USD Taxes/Carrier-Imposed Fees: 60.87 Total: 291.10 USD aid with s nding Detailed Tax Information AY 10.00 US 17.27 XF 18.00 ZP 15.60 Total: 60.87 NON-REFUNDABLE/CHANGE FEE When using certain vouchers to purchase tickets, remaining credits may not be refunded.Additional charges and/or credits may apply and are displayed in the sections below. This ticket is non-refundable unless issued at a fully refundable fare. Any change to your itinerary may require payment of a change fee and increased fare. Failure to appear for any flight without notice to Delta will result in cancellation of your remaining reservation. All Economy Comfort and Preferred seats are Nonrefundable. I,ttr.o•//.xnx.x rlPlto Pnm/mvrlPl to/1'PPPit\fT1PtA11CPA(TP R/�9/7n�� My Delta: Receipts Page 4 of 4 Terms&Conditions Air transportation on Delta and the Delta Connection® carriers is subject to Delta's conditions of carriage.They include terms governing for example: Limits on our liability for personal injury or death of passengers, and for loss,damage of delay of goods and baggage. Claim restrictions including time periods within which you must file a claim or bring action against us. Our right to change terms of the contract. Check-in requirements and other rules established when we may refuse carriage. Our rights and limits of our liability for delay of failure to perform service, including schedule change, substitution of alternative air carriers or aircraft, and rerouting. Our policy on overbooking flights, and your rights if we deny you boarding due to an oversold flight. These terms are incorporated by reference into our contract with you. You may view these conditions of carriage on delta.com, or by requesting a copy from Delta. You have received this email because you elected to receive your Electronic Ticket receipt sent to you via email. If you would like to take advantage of other Delta email programs featuring special fare, promotions, information and flight updates, please visit delta.com/emailprograms or delta.com/notifications. COPYRIGHT INFORMATION This email message and its contents are copyrighted and are proprietary products of Delta Air Lines, Inc. Delta Blvd. P.O. Box 20706 Atlanta,GA 30320-6001. Any unauthorized used, reproduction, or transfer of this message or its contents, in any medium, is strictly prohibited. ©2013 Delta Air Lines, Inc. All rights reserved. ©201 3 Delta Air Lines, Inc. 1++ . •!/<. ,, Jolt, rh <,lol+ / +Tlo+ ;1 U .o Q/1()/,)()l For hotel reservations,program updates&to register online visit our web site:hfto:/twww.imla.orn r Click on conference page to access hotel room block IML/4 9 s 78t' Annual Conference San-Franclsco Hllton Hotel"'1�September 29 - October 2, 2013 V Save the Date! REGISTRATION INFORMATION Name_ Ashley M. Ulbricht Title Carmel Assistant City Attorney Badge Name Ashley Ulbricht Local Government Entity City of Carmel Indiana Address One Civic Square City Carmel State Indiana Zip 46032 Phone 317-571-2472 Fax 317-571-2484 E-mail au lbrich0carmel in ov Guest Name Guest Badge Name (Complete only if registering Guest)Badges are required for all functions. Please indicate your registration type and options listed below(check all that apply) ❑ Guest Registrant(see below) ❑Luncheon Ticket(s)$75.00 each,No.of ticket(s) (only guest need to purchase) IN CLE Credits,please specify state(s) Indiana Your Bar No's 26430-20 ❑INSTITUTE FOR LOCAL GOVERNMENT LAWYERS(ILGL)$150 to register.For more information visit www.imia.org ❑FIRST TIME IMLA CONFERENCE ATTENDEE OR NEW ATTORNEY IN PRACTICE 1-5 YEARS: $300 to register STATE/PROVINCE Breakfast$10 Monday o I WONK Breakfast$10 Tuesday o **If you are from California contact IMLA at cle @imla.org for additional rate information. Registration Fees include: Admission to all sessions, conference materials, IMLA social functions, Monday and Tuesday luncheons and all coffee breaks(not applicable to guest).Guest Fees include:Attendance at the events selected below. Cancellation / Refund Policy: Cancellations must be received in writing by August 24, 2013 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After August 24, 2013 those not attending will receive the event materials in full consideration of registration fees paid.Replacements are always welcomed.Guest Cancellations are subject to a$25.00 administrative processing fee.All refunds will be remitted 90 days after the event.Send all cancellations in writing to the IMLA Events Department.*Full participation required to quality for discounted rates(see below) Discounted Registration Fees-Expire 15 Days After Rate Ends, If Payment Is Not Received Next Rate Will Apply. The discounted registration fees below are available for those staying in IMLA Conference Hotel, otherwise $100 will be added to your registration fee to help defray IMLA Conference expenses (local attendees exempt from $100).Conference payment must be received within 15 days. HARD COPY POLICY: Registration fees include speaker's materials, available electronically. These materials will also be available for registrants from (MLA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional$350 to your registration fee and check here. _ FIVE EASY WAYS TO REGISTER! MAIL:IMLA,7910 Woodmont Avenue Suite 1440 Bethesda,MD 20814 PHONE:202-466-5424 1 FAX:202-785-0152 1 MyIMLA Online:www.imia.org i E-MAIL:info @imla.org =anEarly REGISTRATION PAYMENT INFORMATION Bird Rate Regular Rate Ends Rate Ends After Bill Me ❑ .meek Enclosed ❑ Visa ❑ MasterCard 7/15/13 8/15/13 6/16/13 Make all checks payable to IMLA;U.S.currency only First Member $6S0 $700 $77S $850 Addt'l.Member $575 $625 $700 $775 Amount $ 3 or More From Same Office Name Eac -person's $475 $525 $600 $675 Judicial $200 $250 $35S $355 Card No. Nonmember $800 $950 $1,200 $1,600 Guest of ❑Full Guest Registration$170.00 includes the below Exp.Date Event O Reception Only$125.00 Signature Registrant Hospitality Suite$35.00 each❑Monday's oTuesday s Check only if purchasing ilk September 29, 2013 MOBILE LAND USE WORKSHOP JAMA's 78h Annual Conference 0 go 970 San Francisco, California IMLA will be having it's every popular Mobile Land Use Workshop on Sunday; space is limited and first come, first served. Discover this City's creativity and unique architecture while accommodating commercial expansion and encouraging investment. Please arrive at the bus loading area 10 minutes before your tour starts, so everyone is seated for an on-time departure. Time and departure location will be forthcoming. NOTE. There are limited bus seats available for this educational Workshop. IMLA encourages local government lawyers with an interest in land use to register early for this program.Bus seats will be available on afilst-come,first-served basis. Besides being registered for the Annual Conference,you must register separately for this Mobile Workshop. Only registered attorneys and registered GUESTS for the Conference are eligible to register for the Mobile Workshop. COST. There is a charge of$25for this event to cover the cost of the uses There o efu s ev A . er be r nd Registration Form If you are interested in participating, please complete the form below and return it as soon as possible to IMLA via facsimile(202-785-0152), email cle@imla.org, subject line mobile workshop, or register online at www.imla.org: MyIMLA. I am registered for IMLA's 78th Annual Conference and would like to participate in the Mobile Land Use Workshop. If I have not registered for the conference, by completing this form or registering on-line for the Mobile Land Use Workshop, I am authorizing IMLA to register me for the 2013 Conference. Name Telephone.Number MO- , _TJOD 4tJ4 City/State f .1, — _a Abrichf (�� C_Ckrmeb / �,Yvd P- 0 J* E-Mail Address PAYMENT: o CHECK-Make payable to IMLA; US Currency Only AMOUNT$JT�() 0 CREDIT CARD: o VISA o MasterCard Card Number Exp. Date Cardholder Name(Please Print) Cardholder Signature IMLA, 7910 Woodmont Avenue,Suite 1440 tele: 202.466.5424 x-7102 web: httP:Hwww-imla.org- 6efhe-sda' , Maryland- 20814 fax:202.785.0152 email: cle@imia.org f� 'INDIANA.RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 l�l PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT /��J 35-60000972 / 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION V I C 13 VENDOR / L SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT Fy QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Ac� /0 L ZZ ,. "A 9�j Send Invoice To: I. PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT / t SO /.3a - �/3oa•�- PAYMENT F/- /O A/P�� NU 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 LABELS. I/ /J• •� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ` it��'L,.'}1 l� i1 A_J_7�,•eO, AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ' _ ����� CLERK-TREASURER -DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE ' VOUCHER VVARRANTNO`__.__ ALLOWED 20___ |N THE SUM OF$ ONACCOUNT {}FAPPROPR/AT|ONFOR .. Board Members PO#or INVOICE NO. ACCT#iTITLE AMOUNT | hereby certify that the attached invoice(s). or 91 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge io made were ordered and received except------............___ 20 45' ature , ^�� ' | `. ""* `------ Cost distribution ledger classification h ' . claim paid motor vehicle highway fund | .