223533 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1
ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATI2pECK AMOUNT: $150.00
CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440
a .o� BETHESDAMD 20814 CHECK NUMBER: 223533
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 150 . 00 EXTERNAL INSTRUCT FEE
Bass, Elaine A
From: trina @imla.org
Sent: Wednesday, August 14, 2013 3:00 PM
To: Ulbricht, Ashley M
Cc: Bass, Elaine A
Subject: Payment Confirmation No. 18195450 (Ms. Ashley M. Ulbricht, Esq.)
Dear Ms. Ashley M. Ulbricht, Esq.,
THANK YOU. This is your confirmation invoice or receipt for your purchase. For your records, here is a
summary of your purchase from The International Municipal Lawyers Association (Federal ID# 53-0214-280).
Please contact Trina or Jennifer directly if you have a question regarding membership or events. TRINA
SHROPSHIRE-PASCHAL: EVENTS trina@imla.org ; and JENNIFER RUHE: MEMBERSHIP
iruhegimla.org. Forward Check Payments to: International Municipal Lawyers Association, 7910 Woodmont
Avenue, Suite 1440,Bethesda, Maryland 20814
Date/Time: 8/14/2013 2:57 PM
Paid By:
Mr. Douglas C. Haney, Esq.
(Organization: Carmel, Indiana)
(317) 571-2472
aulbricht(&carmel.in.gov
Your confirmation number is: 18195450 Please keep this number for
any references.
Total Order/Invoice: Items Total
$550.00 Order 23062420 2 $550.00
Total $550.00
Payment $400.00
—' — Order Balance '$150.00
Payment Information
Payment Amount: $400.00
Payment Method: Manual Credit Card (_+ partially applied from available Credit)
1
For hotel reservations,program updates&to register Y �
online visit our web site:hftp://wwW:imla.oro r # o
Click on conference page to access hotel room block
IMLA's 78th Annual Conference " -
-- --San Francisco Hilton-Hotel )-September 29 -October 2, 2013 - - �--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 aulbricht @carmel.in.gov
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)
_T ___®-CLE-Credits,-please specify state(s)-Ind iana---- - Your-BarNo's--26930-20----- ----- ----- --
❑INSTITUTE FOR LOCAL GOVERNMENT LAWYERS(ILGL)$150 to register.For more information visit www.imla.org
❑FIRST TIME IMLA CONFERENCE ATTENDEE OR NEW ATTORNEY IN PRACTICE 1-5 YEARS: $300 to register
STATE/PROVINCE Breakfast$10 Monday❑ 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 qualify 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 IMLA'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.imla.org JE-MAJL:info@imia.org
Super Early REGISTRATION PAYMENT INFORMATION
Saver Rate Bird Rate Regular Rate A0-0-J5-v A
Registration Ends Ends Rate Ends After Bill Me ❑ -GhpAk Enclosed ❑ Visa ❑ Master Card
Type 5/31/13 7/15/13 8/15/13 8/16/13 Make all checks payable to IMLA;U.S.currency only.
First Member $650 $700 $77S $850
Addt'l.Member $575 $625 $700 $775 Amount $
3 or More From Name
Same Office
Each person* $475 $525 $600 $675
Judicial $200 $250 $355 $355 Card No.
Nonmember $800 $950 $1,200 $1,600 Exp.Date
Guest of 0 Full Guest Registration$170.00 includes the below
Event ❑Reception Only$125.00 Signature
Registrant Hospitality Suite$35.00 each❑Monday's oTuesday's
Check only if purchasing
MOBILE LAND USE WORKSHOP
11 MLA's 78 h Annual Conference
September 29, 2013
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 localgovernment lawyers with
an interest in land use to register early for this program.Bus seats will be available on a first-come,first-served basis.Besides being
registered for the Annual Conference,you must register separately for this Mobile Workshop. Only registered attorneys and
registered GUESTSfor the Conference are eligible to registerfor the Mobile Workshop.
COST. There is a charge of$25 for this event to cover the cost of the buses. There will be no-refunds_
Registration Form
If you are interested in participating, please complete the form below and return it as soon as possible to
IMLA via facsimile (202-785-0152), email cle @imla.org, subject line mobile workshop, or register-online
at www.imla.org: MyIMLA.
I am registered for IMLA's 78th Annual Conference and would like to participate in the Mobile Land Use Workshop.
If I have not registered for the conference, by completing this form or registering on-line for the Mobile Land Use
Workshop, I am authorizing IMLA to register me for the 2013 Conference.
—CIIZAE M WMCH7
Name Telephone Number
�WItZ �►JIOIA-Nf� a-ulbrrcht � CGt!'�e� � if���DiJ
City/State E-Mail Address
PAYMENT: o CHECK-Make payable to IMLA; US Currency Only AMOUNT$ , 0 O
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://www.imla.org--_-
Bethesda, Maryland 20814 fax: 202.785.0152 email: cle @imla.org
i
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
6� f� FEDERAL EXCISE TAX EXEMPT A53 3
35-60000972
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
-�1;',� �Lt•� �.�f.;�� �.v 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.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. �,_.,/['?_. �.%,,,/�',' �r
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f l .�Y••t_ t •l'1l'�K��il
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v J - I
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DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT
—ma=r# I hereby certify that the attached invoice(s), or
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bill(s) is (are) true and correct and that the
07-3 3 °�a materials or services itemized thereon for
which charge is made were ordered and
received except
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Cost distribution ledger classification if
claim paid motor vehicle highway fund