26433 ALI ABA df INDIANA RETAIL TAX EXEMPT PAGE
C i QQ..\�/ -may l\ a cme CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
TAX
DC19 hm -W bF A �1 �c FEDERAL 5- 0 0972 EXEMPT V-53
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES; AIP
CARMEL, INDIANA46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR nA /-/1 6»ta-44- Zip/ TO
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LeetielfiCey,Pit I9Yo1'3o99
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASUREI DESCRIPTION 4 I UNIT PRICE I EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
`i 04 7 3.0 57ooy tt[��� PAYMENT----LL ao�r i 0/.0 BD
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BD ca., NP VOUCHER CANNOT BE AEP,ROVED, FOR PAYMENT UNLESS THE P O.
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NUMBER IS MAC/CA PART OF THE VOUCHER AND EVERY INVOICE AND
"VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS C.. I HEREBY CERTIFY THAT,THERE'ISAN UNOBOGATED,BALANCE IN
THIS APPROPRI ¶IMbSUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE i/ii I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 4 3 3 CLERK TREASURER
'DOCUMENT CONTROL NO. OFFICE COPY
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AL1 ABA P louana Re hoz��zr(andimth al�
fr f •Amerrcan Law Institut American Bar Association r
1, Continuing Leadership rn Professional Education
Please register me for the following ALI -ABA Course of Study /Webcast/Telephone Seminar:
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Live COURSE /Program Title Advanced Employment Law and Litigation 2012
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06 Live Course Location Washington, D.C. (Washington Plaza)
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Live Course /Program No. CT033GOV Date(s) March 22 -24, 2012 Tuition 1,014.00
Live WEBCAST (on your computer) Program Title
Live Webcast Program No. Date(s) Tuition
I would like to register for only a segment(s) of this program: A B C 0 17 E F G H
Please check the Webcast FAQs and Webcast Test Page for important information.
For group viewing of the live webcast, please contact oroupregistration(aali- aba.orq. For the group registration form, click here.
E Live TELEPHONE SEMINAR Program Title
Live Telephone Seminar Program No. Date(s) Tuition
Registrant's Name Douglas C. Haney
Firm /Organization City Attorney. Carmel. Indiana
Street Address (no P.O. boxes) One Civi c Soartment of Law
City Carmel State Indiana Zip +4 46032
Phone 317 571 -2472 Fax 317 571 -2484
E -mail Address: (required for webcast and telephone seminar registrants) dhaney @carmel.in.gov
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