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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 — -----.......-----...---- ....---...._.....----.------------._......................................................... .. Title Cost distribution ledger classification if claim paid motor vehicle highway fund