224945 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 164103 Page 1 of 1
ONE CIVIC SQUARE INTL MUNICIPAL LAWYERS ASSOCIATICHECK AMOUNT: $625.00
CARMEL, INDIANA 46032 7910 WOODMONT AVE SUITE 1440
BETHESDA MD 20814 CHECK NUMBER: 224945
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4355300 31288 19789470 625 . 00 MEMBERSHIP
ffm International Municipal
MMLawyers Association
Invoice Customer ID: 000255
Invoice Number: 19789470
Invoice Date: 9/3/2013
Notes: Renewal invoice
Order Tracking #23064150 - 000255 Please remit payment to:
Mr. Douglas C. Haney, Esq. International Municipal Lawyers
Carmel, Indiana Association
One Civic Square 7910 Woodmont Ave
Carmel, IN 46032 Suite 1440
Bethesda, MD 20814
United States
(P) (202) 466-5424
(F) (202) 785-0152
Credit Card Payment Information Balance Due $625.00
Credit Card Number: Donation/Contribution $
Card Type: CVV#: Total Payment Amount $
Name On Card:
Expiration Date:
Mr. Douglas C. Haney, Esq. Customer ID: 000255
Carmel, Indiana
One Civic Square Invoice Number: 19789470
Carmel, IN 46032 Invoice Date: 9/3/2013
Notes: Renewal invoice
IMLA Membership renewal 11/01/2013 to 10/31/2014. THANK YOU FOR RENEWING YOUR IMLA
MEMBERSHIP.
Payments can also be paid online through MyIMLA at www.imla.org, or above, by Visa or MasterCard
ONLY.
If you would prefer a different membership renewal date, please list it here and the Membership
Department will contact you.
Item Misc Product Notes Unit Price Quantity Amount
Municipal Members $625.00 1 $625.00
Term: 11/1/2013 - 10/31/2014
Subtotal $625.00
Invoice Total $625.00
Balance Due $625.00
Email address for confirmation:
Please contact IMLA's Membership Department with any questions about your renewal. Phone: 202-466-5424 x7106. Fax:
202-785-0152.
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INDIANA RETAIL TAX EXEMPT PAGE
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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.
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SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
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•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
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CLERK-TREASURER
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