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HomeMy WebLinkAbout238751 11/05/14 °'*R CITY OF CARMEL, INDIANA VENDOR: 00352425 j ONE CIVIC SQUARE AMERICAN SOCIETY OF LANDSCAPE AQdriCK AMOUNT: $'"•"'"428.75' ,• CARMEL, INDIANA 46032 636 EYE STREET,NW • CHECK NUMBER: 238751 FM;iroN.�o.` WASHINGTON DC 20001-3736 CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 535699 428.75 ORGANIZATION & MEMBER American Society of Landscape Architects FIRST 1 636 Eye Street,NW, Washington, DC 20001-373 2 J MJ4 AS.i.A 202-898-2444 FAX 202-898-1185 www.asla org _ RENEWAL F.E.LN. 53-025-9019 (NOTICE RENEW ONLINE at WWW.ASLA.ORG October 10, 2014 535699 Please provide any additional information or IIIIIIII"II'll�llliil����tl��l�lt�l�l�ltlllll�lllltltill�lllllll corrections. Michael P.Hollibaugh,ASLA Full Member Work Phone: (317)571-2444 Department Of Community Services 1 Civic Sq Home Phone: (317)571-2444 Carmel IN 46032-2584 Fax: (317)571-2426 Email: mhollibaugh@carmel.in.gov Website: --ship Billing Period FromOi/01/2015 Through 12/31/2015 Indiana Chapter ' " -" �� $83.75 -- - National Dues $345.00 Urban Design $0.00 SUB-TOTAL $428.75 ASLA FUND Contribution*: ()$25 ()$50 ()$100 ()Other TOTAL *100%Tax Deductible Contribution NEW! Landscape Architecture Magazine Delivery(Check One) I prefer to receive my subscription to Landscape Architecture magazine in: Print Format Digital Format Professional Practice Networks(PPN) If you already have a PPN listed above this will be considered as the complimentary PPN. If there is not a PPN listed above,please select your one complimentary PPN below.Additional PPNs are$15 per network;payment must be included with your membership renewal payment. _Design Technology(01) _Parks&Recreation(07) —Water Conservation (13) _Sustainable Design(26) _Design/Build(02) _Reclamation&Restoration(08) _Women in LA(14) _Children's Outdoor Envirn.(27) Historic rreservanon 03'j _Residential LA(Oct) _Campus Planniug/Design(15) Housing&Community Design(04) _Urban Design(11) _Healthcare/Therapeutic Gardens(16) _Planting Design(28) Landscape/Land Use Planning(06)_International Practice(12) _Landscape Architecture and Transportation(17) Please Choose Payment Option ❑ Using a Credit Card? Pay online at www.asla.org to receive immediate update&confirmation.Do not mail if paying online. Check One: MasterCard Visa American Express Discover Account# AMOUNT PAID $ Name Listed on Card Expiration Date Authorized Signature ❑Full Payment Check Enclosed (Please make check payable to ASLA in USD ❑Renew monthly payment using account information on file. Authorized Signature ❑New monthly payment-1/12th annual dues deducted monthly;complete monthly payment form and return to ASLA. Chapter Membership is required for all US Members Please note dmt 7.7740 f nntionnl dues it not m deductible per Fede l ORR Ao of 1993 and 10?.of n ionol dues 1c de ign W(or your-ba -ipai ASLA membership h bused on the indh•iduol;it is nontransferable and no fe doble 535699 PLEASE DISREGARD THIS NOTICE IF ALREADY PAID VOUCHER NO. WARRANT NO. ALLOWED 20 American Society of Landscape Architects IN SUM OF $ 636 Eye Street, NW Washington, DC 20001-3736 $428.75 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 I 535699 I 43-553.00 I $428.75 1 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 Monday, November 03, 2014 Dim(c or Title Cost distribution ledger classification if claim paid motor vehicle highway fund I Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/10/14 535699 dues $428.75 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer