HomeMy WebLinkAbout232727 05/21/14 4y w.4�n*�.
�/ � CITY OF CARMEL, INDIANA VENDOR: 368226
ONE CIVIC SQUARE ALLIANCE FOR COMMUNITY MEDIA CHECK AMOUNT: $R i R••R"250.00'
CARMEL, INDIANA 46032 4248 PARK GLEN ROAD CHECK NUMBER: 232727
°M,��oN�:= MINNEAPOLIS MN 55416 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4355300 RENEWAL 250.00 ORGANIZATION & MEMBER
MembershipAlliance for Community Media
• •
ACM represents public,educational and governmental (PEG) access organizations and media centers and the people who use
PEG access to communicate with their communities.ACM seeks to help these individuals and organizations maximize their
resources and continue delivering local media content by creating a forum where people can learn,share ideas and interact
with their colleagues.Be a part of the only national organization that truly represents the interests of community media and
has a readily mobilized constituency.Join the Alliance today!
Membership Benefits
- Legislative advocacy - Discounted rate to ACM's Annual Conference
- Professional development:access to workshops and - Subscription to weekly e-newsletter
webinars - Hometown Media Awards entry discount
- Contacts for networking and professional information - Member Listsery network access
Please Provide.the:Folloviling_Informatiori
Name Nancy Heck Organization City of Carmel, Indiana
VV-)vA (ZCA et.fi o rvj
Address One Civic Square Carmel, IN 46032 0(k-,_C,1 C 0 eu��
Phone 314-431-5393Email__i n he C« � �' a f VY121� � f1 . °l o V
Membership Classification*
*Members receive all benefits listed above unless otherwise specified
Individual Memberships(check one)
❑ Individual—$200 ❑ Supporter—$50 ❑ Community*—$0
Those who work for the cause of Volunteers,Students,Retirees Individual users and volunteers of
CommunityMedia and the ACM PEG's and CMC's(*Community
� tY
(e.g.staff,elected officials,board members only receive access to
directors,independent producers) weekly e-newsletter.)
Organization--See Chart(check one)J,-
��'Commu
ify Media &Public Education,and/or Government Organizations
� ters ❑ ❑ ❑ ❑ 8 El
Organizatidn Less than1349,000
150,000- $350,000— $550,000- $750,000— $1,000,000- $1.5m T
Budget $150,000 $549,000 1$749,000 1$999,000 1 $1,499,999
Dues $250 $400 1$800 1$1,200 1$2,000 $3,200 $5,200
Pa ment Information
Please make checks or money orders payable to: Mail this form and payment to:Alliance for Community Media
Alliance for Community Media 4248 Park Glen Road Minneapolis,MN 55416
Name on Card
Card Type(circle one): MasterCard VISA AMEX Discover
Card Number Exp.Date
Billing Address
Signature
— i'hewreby certify that the completed information above is true and correct,and I understand that this membership Is NOT REFUNDABLE.
I also understand that my membership is for one full year.
For questions,contact membership at(952)928-4643 or email info@allcommunitymedia.org
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alliance for Community Media
IN SUM OF$
4248 Park Glen Road
Minneapolis, MN 55416
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Renewal 43-553.00 $250.00
I hereby certify that the attached invoice(s), or
I,
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
Monday, May 19,2014
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind oflservice,where performed,dates service rendered, by
whom, rates per day, number of hours,rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/19/14 Renewal $250.00
I hereby certify that the attached invoice(s), or bill(s), is(are)jrue and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer