HomeMy WebLinkAbout245169 5 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 141040
CHECK AMOUNT: $*******315.00*
ONE CIVIC SQUARE INDIANA CPA SOCIETY
S. 4 CARMEL, INDIANA 46032 8250 WOODFIELD CROSSING BLVD#305 CHECK NUMBER: 245169
INDIANAPOLIS IN 46240-4348 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 157.50 MCMANAMA
651 5023990 157.50 MCMANAMA
t r --
D ��
r
k CPA j Indiana CPA Society :.
s, Membershi Application
Sot p
MI S Last ��` Name to greet by:
First---�cc r�I ------- -- -------------- ----------------�----��.-,-,����-�=------ - ----- ----....----
CPA License No./State/Date Issued C r) 3 f�N--1 3`i;_f3_S_ _ _ _ _- Send all INCPAS mailings to: OHome OBusiness
Gender(optional) OMale ®Female Degrees and Professional Credentials ;mowt
Ethnic Background(optional) Birth Date(optional) AICPA Member No.
Home Address 3.;r 13,,ce c.,, Phone(Home)
City _./,I.1 Count ?�, �., - — State /,•i Zip Code yG L L z
Business Name c_,tY o� e ,�,t/ U , /__{_- -¢ Title C/_6'
Address jf, Phone(Cell)
Address 2 S�_{E— Phone Direct Line)
City -�`Yr,,,G!- -- - -- -- -County �l ,n;lL - = State. ..__/>`� ----- Zip Code
Fax ;t' • -T7i -2- 5
Preferred Email Address F-0,74-inc w �,�, / , Preferred Phone: OHome OCell Office
�, — - - ------------- -- ----- --
e
Is the firmicompany/organization you are employed by: OGovernment OEducation 0Public Accounting Olndustry
If public accounting,please select: OSole Practitioner 01-3 Partners 04-12 Partners 013 or more Partners
In case of an emergency,whom should we contact on your behalf? Name , E- ��,, K e = Phone 3 i-7 -
Membership Classifications _ CPA Candidate—$165
(Pursuing successful completion of the CPA Exam)
L.jiistfimeAppllicants—Pay Only$150 Affiliate—$315
Check here and choose a member type below (Working with the CPA profession and not eligible for other
O Resident O Affiliate(specify below) categories of membership)
0.Non Resident ' O Business Professional BUSIneSS Professional
O Government or Education O Firm Administrator
O Associate O Non-CPA Accounting Professional Firm Administrator
O CPA Candidate O Paraprofessional
O Senior Non-CPA Accounting Professional
Resident—$395 Paraprofessional
(Holder of CPA license-lives or works in Indiana)
Senior-$165(Must be retired)
Non Resident—$270 Students—Call the Indiana CPA Society for a free student
(Holder of CPA license-does not live or work in Indiana) membership application or visit incpas.org
Government or Education—$315 Reinstatement Fee—$25
(Holder of CPA license-works in a government or education position) (A$25 reinstatement fee applies to applicants who pieviousij,dropped or resigned
Associate—$315 membership or affiliation.Fee is in addition to full membership dues.)
(Does not hold an active CPA license,but successfully completed CPA
Exam)
l
Professional Interests
This category will be used to help identify your areas of interest so we may provide you with appropriate information related to these areas.Check as many as
six areas of interest.These codes are used to determine targeted mailing lists for notices on issue specific information and events.Keep your codes updated
to ensure that you receive appropriate mailings.
O Auto Dealers O Education O General Management O Manufacturing O Taxes-State&Local
O Agriculture O Employee Benefits O Health Care O Marketing/Public Relations O Technology
O Assurance Services O Employment Services O Holding/Investment Company O Museums.,ZoosfAn Galleries O Transportation
O Auditing(Internal) O Entertainment`Recreafion O Human Resources O Natural Resources O Treasury Management
O Auditing(Public) O Estate Planning O Hospitality O Nonprofit Organizations ®Utilities
O Budgeting/Planning O Financial Institutions O Insurance O Printing!Publishing O Waste Management/Recycling
O Business Valuation O Financial Planning-Business O International Business O Real Estate O Wholesale Trade
O Communications O Financial Planning-Personal O Investment Analysis O Restaurants
I"am joining the Society','
O Construction ®Financial Reporting O Litigation Services O Retail Trade (primaryreason)
O Consulting Services O Forensic Accounting O Legal Services O Risk Management O To take advantage,of.
member discounts::'
O Controllership O Governmental Accounting- O Management of an Accounting O SEC Reporting
Federal Practice O To network with colleagues:,
O Corporate Analysis O SecuritieslCommodilies
®Governmental Accounting- O Management of Information To gam access to
O Cost Accounting State Systems O Taxes Federal discounted continuing
education opportunities ;
O To suFpoit the profession
am willing to receive the following: (check all that apply) and help uphold the:
integpty,ofmycredential ,- .
CPA e-Perspective,biweekly e-newsletter(0 Yes O No Emails on issues of interest O Yes O No
CPA IN Perspective,quarterly magazine O Yes O No Emails on events O Yes O No O'To stay current on new
developments affecting
my work.
Note:INCPAS dues are not deductible as charitable contributions,but may be deductible as ordinary and necessary business expenses.A portion of the dues,how-
ever.is not deductible as an ordinary and necessary business expense to the extent that the Indiana CPA Society engages in state and federal lobbying as defined by
IRS regulations.Please contact the Society office to obtain the nondeductible portion of the dues.
NOTICE:If this is the first time you are applying for membership in the Indiana CPA Society,pay only the$150 fee for the first-year.
Payment Information
Method of Payment: 4Check OAmerican Express ODiscover OMasterCard OVISA
Card No. Cardholder's Name
Cardholder's Signature Expiration Date CVV#
(h•st�a a�er 5 �01 card? _
To the best of my knowledge the information contained herein is accurate.I agree lobe governed by the bylaws of the Indiana CPA Society and the Code of Professional Conduct.
Signature: C i',nt n Date:
Indiana CPA Society • 8250 Woodfield Crossing Blvd. • Suite 100 - P.O. Box 40069 • Indianapolis, IN 4. 6240
P: (317)726-5000/ 1-800-272-2054 •F: (317)726-5005 • info@incpas.org • incpas.org
All applications must be returned with payment of dues. The Society's 2014-15 fiscal year is July 1 through June 30"
1
VOUCHER# 151809 WARRANT# ALLOWED
i
141040 IN SUM OF $
Indiana CPA Society
8250 Woodfield Crossing Blvd.
Indianapolis, IN 46240-4348
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
051115 01-6040-08 $157.50
Voucher Total $157.50
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
141040
Indiana CPA Society Purchase Order No.
8250 Woodfield Crossing Blvd. Terms
#305 Due Date 5/8/2015
Indianapolis, IN 46240-4348
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2015 051115 $157.50
I
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
Date ffice
�GpA~'s. Indiana CPA Society
soaE,Y.
Membership Application
First-- C c�,- l ----- -- -MI S Last--?���.���� ----Name to greet by: 6-
CPA License No./State/Date Issued C_nt o S,111-3j/ 5/1;/�'S __Send all INCPAS mailings to: OHome 0Business
Gender(optional) OMale ®Female Degrees and Professional Credentials
Ethnic Background(optional) _ _ _ _ Birth Date(optional) -_ AICPA Member No.
Home Address 3 r.3_ [3 c C•r ---- -- -- --- Phone(Home)_ -2- -2 9-.7=;z 3 z-- - -
City 1111_J. k_v, r- County ����r _—State - /��- -- -- Zip Code-�/G-L�Z ------ -- — --
Business Name C'_;6u of C°�e»�t/= v k,'/; Est ` Title e/=y
Address 1Phone(Cell)_ _
Address 2 Sv {F. '---- ------------- --- -...---- --- ---- Phone(Direct Line)
CityC_�,r�,a i------ --- ----County %<.,,, � -- State f f Zi_Code_11&o -
Fax ;1? .57 ----
Preferred Email Address F,��� , �,� L_c_�;,�,�/ <<, v.� Preferred Phone_OHome OCell Office
Is the firmlcompany/organization you are employed by: QGovernment OEducation 0Public Accounting Olndustry
If public accounting,please select: OSole Practitioner 01-3 Partners 04-12 Partners 013 or more Partners
In case of an emergency,whom should we contact on your behalf?_Name Phone 3 i-7
Membership, .Classifications CPA Candidate–$165
_ (Pursuing successful completion of the CPA Exam)
First Time Applicants--.Pay Only$150 Affiliate–$315
Check here and choose a.member type below (Working with the CPA profession and not eligible for other
O Resident O Affiliate(specify below):' categories of membership)
O Non Resident O Business Professional 13USIneSS Professional
0 Government or Education O Firm.Administrator
O Associate O Non-CPA Accounting Professional Firm Administrator
.. O Paraprofessional
O CPA Candidate
o senior Non-CPA Accounting Professional
-/Resident–$395 Paraprofessional
(Holder of CPA license-lives or works in Indiana)
—Senior-$165(Must be retired)
Non Resident–$270 Students–Call the Indiana CPA Society for a free student
(Holder of CPA license-does not live or work in Indiana) membership application or visit incpas.org
Government or Education–$315 Reinstatement Fee–$25
(Holder of CPA license-works in a government or education position) (A$25 reinstatement fee applies to applicants who previously dropped or resigned
Associate–$315 membership or affiliation.Fee is in addition to full membership dues,)
(Does not hold an active CPA license,but successfully completed CPA
Exam)
Professional Interests
This category will be used to help identify your areas of interest so we may provide you with appropriate information related to these areas.Check as many as
six areas of interest.These codes are used to determine targeted mailing lists for notices on issue specific information and events.Keep your codes updated
to ensure that you receive appropriate mailings.
0 Auto Dealers 0 Education 0 General Management 0 Manufacturing O Taxes-State&Local
0 Agriculture O Employee Benefits C)Health Care 0 Marketing,'Public Relations C)Technology
0 Assurance Services 0 Employment Services 0 Holdinglinvestment Company 0 Museums.2oos!Aq Galleries 0 Transportation
0 Auditing(Internal) 0 Eniertainment,"Recreation 0 Human Resources 0 Natural Resources 0 Treasury Management
0 Auditing(Public) 0 Estate Planning 0 Hospitality 0 Nonprofit Organizations 0 Utilities
()Budgeting/Planning 0 Financial Institutions 0 insurance 0 PrintingiPublishing 0 Waste Management/Recycling
0 Business Valuation 0 Financial Planning-Business 0 International Business 0 Real Estate 0 Wholesale Trade
0 Communications 0 Financial Planning-Personal 0 Investment Analysis 0 Restaurants
am lomin'g the Society `
0 Construction 4)Financial Reporting O Litigation Services 0 Retail Trade (p"'reason)
0 Consulting Services 0 Forensic Accounting O Legal Services 0 Risk Management -_-6�16'take advantage o
member discounts
O
e erdlsCourrlsC)Controllership 0 Governmental Accounting- 0 Management of an Accounting 0 SEC Reporting
Federal Practice O:To network with colleagues"i,
0 Corporate Analysis Q Securities/Commodities
(0 Governmental Accounting- 0 Management of Information ,4'To'.gja1fi access to
0 Cost Accounting State Systems 0 Taxes-Federal s 'n n1Jnumg-1'-,-.,.-,.,
".'education.:oppottunities
CQ o support the profession,,
I am willing to receive the following: (check all that apply) :and helpuphold the";
integntyof,my credential,
CPA e-Perspective,biweekly e-newsletter Yes Q No Emails on issues of interest iD Yes 0 No
6 stay current on Emails on events 0 Yes 0 No
CPA IN Perspective,quarterly magazine 0 Yes 0 No
ew}:developments affectingY
Note:INCPAS dues are not deductible as charitable contributions,but may be deductible as ordinary and necessary business expenses.A portion of the dues,hoty-
ever,is not deductible as an ordinary and necessary business expense to the extent that the Indiana CPA Society engages in state and federal lobbying as defined by
IRS regulations.Please contact the Society office to obtain the nondeductible portion of the dues.
NOTICE:If this isthefirst time you are applying for membership in the Indiana CPA Society,pay only the$150 fee for the first year.
Payment Information
Method of Payment: ®Check OAmerican Express ODiscover OMasterCard ()VISA
Card No. Cardholder's Name
Cardholder's Signature Expiration Date CVV#
To the best of my knoiWedge Me information contained herein is accurate.l agree to be governed by the bylauls of the Indiana CPA Society and the Code of Professional Conduct.
Signature: Date: 5-IL11115
et 8250 Woodfield Crossing Blvd. . Suite 100 - P:0. Box 40069 ,k Indianapolis, IN,46240,
In.dJqhA CPA Sodi..,y 9
o@incp' in:
P: (317)7126-5000 R'(317. )72&.5005 1 ht asorg e cpps.org
1katioris must payment of d The'Societv's 2014-15 fiscal year is July I through June 30.
All apo be.returned with dues.
VOUCHER # 155484 WARRANT# ALLOWED
141040 IN SUM OF $
Indiana CPA Society
8250 Woodfield Crossing Blvd.
#305
Indianapolis, IN 46240-4348
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
051115 01-7040-08 $157.50
Voucher Total $157.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
141040
Indiana CPA Society Purchase Order No.
8250 Woodfield Crossing Blvd. Terms
#305 Due Date 5/8/2015
Indianapolis, IN 46240-4348
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2015 051115 $157.50
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
Date icer