HomeMy WebLinkAbout223526 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 155400 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE BAR ASSOC
CARMEL, INDIANA 46032 ONE INDIANA SQUARE,SUITE 530 CHECK AMOUNT: $130.00
INDIANAPOLIS IN 46204-2199 CHECK NUMBER: 223526
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 37795 130 . 00 ORGANIZATION & MEMBER
E¢,**** INDIANA STATE AR ASSOCIATION METHOD OF PAYMENT(CHECK ONE BOX)
6 DUES NOTICE El VISA ❑ MASTERCARD El DISCOVER
AT �DUly 1, 2013 - Jenne 30, 2014
CARD NUMBER
ONE INDIANA SQUARE, SUITE 530 ❑❑❑❑❑❑111111 1111❑❑11❑❑
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
EXP.DATE
e-mail: isbaadmin @inbar.org —
YOU MAY PAY.DUES ONLINE & UPDATE SIGNATURE ❑❑❑❑
YOUR MEMBERSHIP INFORMATION Verification Code
UNTIL 9-30-13: www.inbar.or 9 E] CHECK
payable to:Indiana State Bar Association
Automatic Credit Card Renewal Option: __ . By initialing here, your
37795 First Reminder Notice dues will automatically be charged to your credit card July 1st of each year
at the appropriate dues rate in existence for the ISBA at the time of renewal.
Ashley Marie Ulbricht 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
Government Rate more than 6 years 115.00
Governmental Practice Section 15.00
ADDRESS,E-MAID,PHONE&FAX CORRECTIONS REQUESTED ON BACK Total
CHANGES IN SECTION ENROLLMENTS: Please 130.00
indicate with an X any section you wish to add.
AGRICULTURAL LAW $20
ALTERNATIVE DISPUTE RESOLUTION $20
ANIMAL LAW $15 Amount Paid:
APPELLATE PRACTICE $20
BANKRUPTCY&CREDITORS'RIGHTS $30
BUSINESS LAW $10
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
LAND USE&ZONING $15
LITIGATION $15
PLEADS(Prof.Legal Ed.,Admissions&Development) $20
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. 6d��t�aD®� �Pb9� ®��®®� ®������ �����
m mr n 0 D
37795
R COCIRE
Ash)ey Marie Ulbritht �] "" _} „ qH � cl � : 4T g.� �Ju l
"Y'••. i
City of Carmel _______ _
One Civic Square Total 130.00:
-------------------
Carmel, IN 46032
o '•aim a e p � � m° � o., m ® m
PLEASE UPDATE YOUR E-MAIL ADDRESS, PHONE, FAX
AND OTHER DEMOGRAPHIC INFORMATION
E-MAIL ADDRESS
PHONE NUMBER FAX NUMBER
❑HOME -- —
OFFiCL-
Membership Dues and Section Dues are not tar,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.
^ — J 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.U AFRICAN AMERICAN 2.❑AMERICAN INDIAN 3.❑ASIAN
4.❑CAUCASIAN 5.❑ HISPANIC 6.❑OTHER
Membership Dues and Section Dues are not tax deductible as charitable * INDIANA STATE BAR ASSOCIATION
contributions, but a portion may be tax deductible under other provisions DUES NOTICE
of the internal Revenue Code.This year, 5%of your dues were used for
lobbying expenses and rnay not be tax deductible. Duly 1, 2013 - June 30, 2014
The Indiana Bar Foundation is a 501(c)(3)organization.The$40.00 listed ONE INDIANA SQUARE, SUITE 530 ATA
is a voluntary charitable contribution. INDIANAPOLIS, IN 46204-2199
317-639-5465 800-266-2581 Fax: 317-266-2588
BARPAC is a political action committee.The$10.00 contribution listed is e-mail:isbaadmin @inbar.org
voluntary and not tax deductible. YOU IWAY PAY DUES ONLINE& UPDATE -
$5.00 is allocated from your dues payment for your Res Gestae YOUR MEMBERSHIP INFORMATION
subscription. UNTIL 9-30-13: lwtru.h?bar.org
City ®J�° Carmel INDIANA RETAIL TAX EXEMPT PAGE
,J,J,�`rr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
J/��/, � ) FEDERAL EXCISE TAX EXEMPT 0/(7�
/� iJ 93
35-60000972
ONE CIVIC SQUARE
THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY,STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
Cl Jc-3o TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY ULOF SURE v DESCRIPTIONS /� UNIT PRICE EXTENSION
Af A4.1
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
stA
ON COUNT OF APP PRIATION FOR
&0
Board Members
PO#or INVOICE NO. ACCT#(rITLE AMOUNT
Dc= # I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
3g 9� 3Q" materials or services itemized thereon for
which charge is made were ordered and
received except
r� 3 20�
io —
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund