HomeMy WebLinkAbout241641 02/03/15 C4A .
CITY OF CARMEL, INDIANA VENDOR: 356912
i! ONE CIVIC SQUARE AMERICAN SOCIETY OF CIVIL ENGINEE09JECK AMOUNT: $*******240.00*
CARMEL, INDIANA 46032 PO Box 79162 CHECK NUMBER: 241641
BALTIMORE MD 21279-0162 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 240.00 ORGANIZATION & MEMBER
Page: 1 of 1
PROFORMA INVOICE
ASCEAMERICAN SOCIETY' Date: 28-Jan-2015
OF CIVIL ENGINEERS
Order Number: 1042927777
Order Date: 02-Auo-2014
Invoice Number:
Invoice Date:
Purchase Order:
Reference Number:
Bill-To: 000000376711 Ship-To: 000000376711
Jeremy Michael Kashman,P.E.,M.ASCE Jeremy Michael Kashman,P.E.,M.ASCE
18567 Pilot Mills Ct 18567 Pilot Mills Ct
Noblesville,IN 46062-6468 Noblesville,IN 46062-6468
United States United States
2240 - q.35s '3oo
Invoice No Unit
Product Fulfil Status Status Qty Unit Price Discount Coupon Adjustment Total
ASCE/MB-ASCE-National Membership Dues Active Proforma 1 $225.00 $0.00 $0.00 $0.00 $225.00
01-Jan-2015 to 31-Dec-2015
ASCE/01702M-ASCE-Indiana Section-Metro Active Proforma 1 $15.00 $0.00 $0.00 $0.00 $15.00
Indianapolis Branch Dues 01-Jan-2015 to
31-Dec-2015
TDI/TDIMBP-TDI-Transportation and Active Proforma 1 $0.00 $0.00 $0.00 $0.00 $0.00
Development Inst Dues(TDI)01-Jan-2015 to
31-Dec-2015
Shipping: $0.00
Total: $240.00
Paid To Date: $0.00
Current Amount Due: $240.00
Please detach the lower portion and return it with your payment.Thank you.
Customer: 000000376711-0 Jeremy Michael Kashman,P.E.,M.ASCE !
Order No.: 1042927777 Balance Due(USD): $240.00
Credit Card# Exp.Date: / Amount:
Send payments to: American Society of Civil Engineers
P.O.Box 79162
Baltimore,MD 21279-0162
USA
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
American Society of Civil Engineers Purchase Order No.
P.O. Box 79162 Terms
Baltimore, MD 21279-0162 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
112812015 0 Membership renewal -Jeremy Kashman $ 240.00
Total $ 240.00
1 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
VOUCHER NO WARRANT NO.
American Society of Civil Engineers ALLOWED 20
P.O. Box 79162 IN SUM OF $
Baltimore, MD 21279-0162
$ 240.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4355300 $ 240.00 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
2/2/2015
S�nature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund