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Home My WebLink About227004 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 154002 Page 1 of 1 ONE CIVIC SQUARE INDIANA MUNICIPAL LAWYERS ASSOC CHECK AMOUNT: $175.00 CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 340 L;oN.LO INDIANAPOLIS IN 46225 CHECK NUMBER: 227004 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 9072 100 . 00 ORGANIZATION & MEMBER 1180 4355300 9179 75 . 00 ORGANIZATION & MEMBER Miana MunWpa� Lawyers Asso ation 200 S. Meridian St., Suite 340, Indianapolis, IN 46225 Invoice Nr: 9072 Phone: 317-237-6200 Fax: 317-237-6206 jwoods @citiesandtowns.org invoice for 2014 Membership Membership is open to any Indiana attorney with an interest in local governmental law. Membership Type Contact Information $100: Individual Membership Douglas Haney $100: First "participating attorney" City Attorney of a government entity Carmel ❑ One Civic Square$75:Second "participating attorney" Third Floor El $50:Additional "participating attorney(s)" Carmel, IN 46032 Phone: 317571-2472 Fax: Email: dhaney @carmel.in.gov Attorney Nr: 11207-49 Member Dues For 2014: $100.00 Positions Many attorneys hold Client Title positions with more than one entity. Please Carmel City Attorney add additional client and job titles here if needed: AREAS OF PRACTICE -check all that apply ❑ Cities ❑ Council ❑ Counties ❑ Schools ❑ Sewer ❑ Solid Waste Districts ❑Towns ❑Townships ❑ Utilities ❑Zoning I hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing all just credits, and that no part of the same has been paid. JoAngela Woods IM LA Secretary-Treasurer TACT General Council Ondiana Munidpap Lawyers Assodation 200 S. Meridian St., Suite 340, Indianapolis, IN 46225 Invoice Nr: 9179 Phone: 317-237-6200 Fax: 317-237-6206 jwoods @citiesandtowns.org Invoice for 2014 Membership Membership is open to any Indiana attorney with an interest in local governmental law. Membership Type Contact Information ❑ $100: Individual Membership Ashley Ulbricht ❑ $100: First "participating attorney" Carmel of a government entity One Civic Square - 0$75:Second "participating attorney" Carmel, IN 46032 ❑ $50:Additional "participating attorney(s)" Phone: 317-571-2472 Fax: 317-571-2484 Email: aulbricht @carmel.in.gov Attorney Nr: 26930-20 Member Dues For 2014: $75.00 Positions Many attorneys hold Client Title positions with more than one entity. Please Carmel City Attorney add additional client and job titles here if needed: AREAS OF PRACTICE -check all that apply ❑ Cities ❑ Council ❑ Counties ❑ Schools ❑ Sewer ❑ Solid Waste Districts ❑Towns ❑Townships ❑ Utilities ❑Zoning I hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing all just credits, and that no part of the same has been paid. JoAngela Woods IMLA Secretary-Treasurer IACT General Council Alk Indiana Municipal Lawyers Association November 21, 2013 Dear 2013 IMLA Member: Thank you for your 2013 membership in IMLA. Enclosed you will find an invoice for your 2014 dues payment and a W-9 form for the dues payor. The invoice design is produced by the IACT database so please make changes if anything is wrong or fill in any blanks! All of the information on the invoice helps us to update our database,provide you with information and to report CLE credits. IMLA is always planning municipally related CLE opportunities. Each year the annual Municipal Law Seminar,which is specifically designed for those with a local government law practice,seems to improve and it always provides an opportunity for networking with other local government colleagues.-I'he annual Municipal Law Seminar is tentatively set for Thursday-Friday June 19 - 20, 2014 at an Indianapolis location to be determined. It includes the popular Municipal Law Updates. Plans are to allow for at least six(6) CLE credits on the first day and three(3) credits on the next day including ethics. Your membership in IMLA will entitle you to a reduced registration fee for the Municipal Law Seminar and to special electronic and"snail mail" mailings about other CLE workshop programs that might affect your city,town or county. IMLA has a services agreement with the Indiana Association of Cities and Towns(IACT). As part of this relationship some of the workshops that are a part of IACT's local official education program will be CLE qualified and available to IMLA members. However, not every workshop and all webinars are not CLE eligible so please call us to see which ones are CLE. Most CLE eligible workshops will have attorney speakers and are posted on the IACT website at www.citiesandtowns.org. The IACT Annual Conference will be in Ft.Wayne, September 9-11, 2014. It provides an opportunity for CLE credits at an extremely reasonable rate too. In the past you could attend the entire event or attend only on"Municipal Day". This past year the TACT Annual Conference offered 6.8 hours of CLE credit. IMLA members may also benefit from the relationship with IACT by signing up to receive IACT's electronic Legislative Summary(the weekly report on legislative matters during the legislative session),the Final Statehouse Report, the biweekly Municipal Dispatch(IACT's electronic newsletter) and the annual Budget Bulletin. IACT's membership in the national municipal lawyers association(International Municipal Lawyers Association) also benefits IMLA members. Again,please make sure your information is correct on your renewal form. Also note that as of December 6, 2013, IACT and thus IMLA will be relocating its offices to 125 West Market Street, Suite 240, Indianapolis, IN 46204. Phone numbers do not change. Once again, thank you for your past support. I look forward to assisting you in your municipal law practice. Please do not hesitate to call me. Ve truly yours, ltl,010 �/odie Woods IACT General Counsel IMLA Administrative Director 200 S.Meridian St., Suite 340, Indianapolis IN 46225 ■ Phone: 317.237.6200 Fax: 317.237.6206 www.citiesandtowns.org Form N W 9 Request for Taxpayer Give Form to the (Rev.August 2013) Identification Number and Certification requester.Do not Department of the Treasury Internal Revenue Service send to the IRS. Name(as shown on your income tax return) Indiana Municipal Lawyers Association, Inc. N Business name/disregarded entity name,If different from above m rn CO Check appropriate box for federal tax classification: Exemptions(see instructions): 0 ❑Individual/sole proprietor ✓ C Corporation p p ❑ p ❑ S Corporation ❑ Partnership ❑Trust/estate c o Exempt payee code(if any) 2 [] ners 10,Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=parthip) 0 Exemption from FATCA reporting code(if any) IL — -❑ Other(see instructions)b- ra- Address(number,street,and apt.or suite no.) Requester's name and address(optional) Station Place,200 S.Meridian St., Ste.340 City,state,and ZIP code d Indianapolis, IN 46225 List account number(s)here(optional) - EMIM Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line social security number avoid backup withholding.For individuals,this is your social security number However,for a re -m - resident alien,sole proprietor,or disregarded entity,see the Part I instructions on n page 3.For other entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number number to enter. 3 1 - 1 0 9 3 4 4 4 Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.citizen or other U.S.person(defined below),and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of ,_ G,� Here U.S.person► "°`��ac / iY+Q�G y i i Date► `•/ Z/�o�d�` General Instructions withholding tax on foreign partners'share of effectively connected income,and Section references are to the Internal Revenue Code unless otherwise noted. 4.Certify that FATCA code(s)entered on this form(f any)indicating that you are exempt from the FATCA reporting,is correct. Future developments.The IRS has created a page on IRS.gov for information Note.If you are a U.S.person and a requester gives you a form other than Form about Form W-9,at www.irs.gov 1w9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially affecting Form W-9(such as legislation enacted after we release it)will be posted similar to this Form W-9. on that page. Definition of a U.S.person.For federal tax purposes,you are considered a U.S. Purpose of Form person if you are: A person who is required to file an information return with the IRS must obtain your •An individual who is a U.S.citizen or U.S.resident alien, correct taxpayer identification number(TIN)to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the you,payments made to you in settlement of payment card and third party network United States or under the laws of the United States, transactions,real estate transactions,mortgage interest you paid,acquisition or •An estate(other than a foreign estate),or abandonment of secured property,cancellation of debt,or contributions you made to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from 1.Certify that the TIN you are giving is correct(or you are waiting for a number such business.Further,in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a to be issued), foreign person,and pay the section 1446 withholding tax.Therefore,if you are a 2.Certify that you are not subject to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income. any partnership income from a U.S.trade or business is not subject to the Cat.No.10231X Form W-9(Rev.8-2013) Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Indiana Municipal Lawyers Association Purchase Order No. 125 West Market Street, Suite 240 Terms Indianapolis, Indiana 46204 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/4/13 4355300 2014 Membership Dues per attached (Haney) $100.00 4355300 2014 Membership Dues per attached (Ulbricht) $75.00 Total $175.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 1 IN SUM OF $ 125 West Market Street, Suite 240 Indianapolis, IN 46204 $ $175.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law 4355300 - Organization & Member Dues Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 1180 907 Gj�r $100.00 or bill(s) is (are) true and correct and that 1180 917 75.00 the materials or services itemized thereon for which charge is made were ordered and received except 2013 et v gnature Cost distribution ledger classification if Title claim paid motor vehicle highway fund