226350 11/19/2013 VOIDED a°��.F CITY OF CARMEL, INDIANA VENDOR: 143001 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOC OF CITIES&TOWNS CHECK AMOUNT: $290.00
s4�, CARMEL, INDIANA 46032 CONFERENCE REGISTRATION
o��a, 200 S MERIDIAN ST,SUITE 340 CHECK NUMBER: 226350
INDIANAPOLIS IN 46225
CHECK DATE: 11119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 25328 6854 290 . 00 REGISTRATION
LEARN THE MUNICIPAL LAW M REGISTRATION FORM
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Name
AsxzeY M IZ,45R�cHT
Preferred Name for Badge S L L IG 14 T
Attorney Number(for CLE credits)
MUNICIPAL LAW IS A SEMINAR DESIGNED TO KEEP THE Municipality,County or Firm e 1 l' C
LOCAL GOVERNMENT ATTORNEY CURRENT on important Address 0 r� c_ S l
legislative and case law changes, both state and federal,over the
City/Town
past year and to provide up to 9.9 hours of continuing legal educa- CDAPV tZ
tion(CLE)credits. The workshop sessions are focused strictly on State Zip L (]
local government law issues and are designed to make the role of Phone
the local government attorney easier.
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Highlights of this year's seminar include presentations from the Email l b r•f C arm e d
Honorable Loretta Rush, Indi- Will you be attending the luncheon on Thursday,June 20? AYes ❑No
ana Supreme Court Justice on Municipal Law Seminar is presented
working with the courts and in partnership with Are you an Indiana attorney? Ayes ❑No
Daniel Crean,Chair of the Special Needs/Dietary estrictions:
International Municipal Law- Indiana ry �����'Ge
Municipal <<.L--n 4ree, Soy -&ee, n0 Gorr\ , 1a
yer Association's Personnel Lawyers
Section,on ADA's reason-
able accommodations for
mental and emotional impairments. Carolyn Coleman, Director of Cities and towns may pay for the registration fee of their attorney,but only if the
Federal Relations for the National League of Cities,will speak at attorney is full time or it is spelled out in the municipal attorney's contract with the
the Thursday lunch, providing attendees with a federal government city or town.
update. Seminar sessions will benefit the experienced and the new )($290-IMLA Member that will receive PRINTED BINDER
city,town or county attorney by covering additional topics,such as, ° Receive all materials in printed binder
public&quasi-public forum issues,vacant and abandoned housing, ❑$250-IMLA Member that will DOWNLOAD BINDER ONLINE
and due process claims. ° Full access to seminar materials online
❑Late Fee-After June 13 add$25
SAVE $40 BY DOWNLOADING MATERIALS ONLINE! The registration deadline is June 13.Any registration received after June 13
Choose to receive access to all speakers'materials online prior to will be treated as an on-site registration with an additional charge of$25.
the seminar and save$40 on your registration fee. ❑$365 Non-member that will receive PRINTED BINDER
IOW TO REGISTER Receive all materials in printed binder
MAIL registration form and payment to IACT at 200 S. Meridian St., ❑$325 Non-member that will DOWNLOAD BINDER ONLINE
• Full access to seminar materials online
Suite 340, Indianapolis, IN 46225
❑YES,I want to join IMLA and save$50 on my registration fee.
FAX to[ACT at(317)237-6206(Attn: Municipal Law) ❑$100-First municipal member&individual
❑$75-Second municipal member
MOTEL INFORMATION ❑$50-All other municipal members
Contact the Indianapolis Marriott North(3645 River Crossing Park- Total:$oZ D .O D
way,Indianapolis, IN)at(800)228-9290 and request the Indiana
Association of Cities and Towns block to receive the conference o o W GYM 1!
rate of$109(plus 17%tax). Reservation deadline is Wednesday,
June 5.IACT and IMLA are not responsible for hotel reservations or (Circle One) Check MasterCard Visa Discover
cancellations.
19q&
FREE WIRELESS INTERNET Card Number
Free wireless access will be available at the seminar. Bring your
device fully charged,as there is limited access to power. Expiration Date 3 digit Security Code
CANCELLATION POLICY Name of Cardholder
Refunds will be made only if TACT receives a written cancellation by June 13,by fax, Authorized Signature
email(kstorms@citiesandtowns.org)or mail.Your registration is considered your com-
mitment to attend.All written cancellations received by June 13 will be refunded less
a$40 administrative fee.Unless attendees follow the cancellation policy,no shows will
be billed.
E-!VERIFY COMPLIANCE City/town
TACT is an enrolled employer in the E-Verify Program verifying the work eligibility status State Zip
of its new employees and will remain so until that program no longer exists.
f� INDIANA RETAIL TAX EXEMPT PAGE
City (�;II ,°�r el CERTIFICATE NO.003120155 002 0�.v JL ��//(SJS Y�a� 11 PURCHASE ORDER NUMBER
D L TA ; j, FEDERAL EXCISE TAX EXEMPT /)� ?�35-60000972 p( ,.,,)
ONE CIVIC SQUARE rTHIUS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 CHER, DELIVERY MEMO, PACKING SLIPS,
PING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE B�bARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR c / /
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
ION
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94. • 'y 6 a i
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY' ¢
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL \ s
SHIPPING LABELS. �r,•„rr-^'J/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHARTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NCB.,_ _,__WARKANT
ALLOWED 20
_ ^ IN THE SUM OF$
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except---------------------------------------
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