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250568 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 00352425 ONE CIVIC SQUARE AMERICAN SOCIETY OF LANDSCAPE AQtjF4CK AMOUNT: 6''""""443.75' CARMEL, INDIANA 46032 636 EYE STREET,NW CHECK NUMBER: 250568 WASHINGTON DC 20001-3736 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 MEMBERSHIP 443.75 ORGANIZATION & MEMBER American Society of Landscape Architects FIRST 636 Eye Street, NW, Washington, DC 20001-3736 AS I.A 202-898-2444 FAX 202-898-1185 www.asla.org1r F.E.I.N. 53-025-9019 3 a $6 7 8 ery NOTICE RENEW ONLINE at WWW.ASLA.OR ,� October 8, 201$ 5 �5699rs! Please provide any additional infonnation or corrections. Michael P. Hollibaugh,ASLA Fu rMetnbet-DA v Department of Community Services Work Phone: (3 17)571-2417 1 Civic Square �� ti Home Phone: (3 17)844-5502 Cannel iN 46032 �(s ry Fax: (317)571-2426 g 5 lanail: mhollibaugh@cannel.in.gov Website: ASLA Membership Billing Period From01/01/2016Through 12/31/2016 National Dues $355.00 Indiana Chapter S88.75 Urban Design $0.00 SUB-TOTAL $443.75 ASLA FUND Contribution*: O$25 O$50 O$100 O Other TOTAL *100%'fax Deductible Contribution NEW! Landscape Architecture Magazine Delivery(Check One) 1 prefer to receive my subscription to Landscape Architecture magazine in: Print Format Digital 1=onnat 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 S15 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 Preservation(03) Residential LA(09) _Campus Planning/Design(15) Mousing&Community Design(04) _Urban Design(11) _Ilealthcare/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&confirnnation.Do not mail if paying online. Check One: MasterCard Visa American Express Discover Account# AMOUNT PAID $ Name Listed on Card Expiration Date Authorized Signature ❑l=ull Payment Check Enclosed (Please make check payable to ASLA in USI) ❑.Renew monthly payment using account infonnation 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 Pl.n..nor..1-7'_,,,u/na+rnnuA Auc.+.nor rnr ArAucrrhl.•/x•r F.A.m!()RH Ac+o(l%)3 nnA 1G:'�..(nnr+nnnl rhr..iv de., .reA(ur_ .r.vh..rrprion ,1.1'/,A m.mh.•r.hip r.hn.rd orr rlrr rnAri ideal,rr rnr,rr++r nf.rnblr anA nun re(rnAnblr 535699 PLEASE DISREGARD THIS NOTICE IF ALREADY PAID 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)) 10/14/15 Mike H. Dues $443.75 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 VOUCHER NO. WARRANT NO. ALLOWED 20 American Society of Landscape Architects IN SUM OF $ 636 Eye Street, NW Washington, DC 20001-3736 $443.75 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACC-r#/TITLE AMOUNT Board Members 1192 43-553.00 $443.75 I hereby certify that the attached invoice(s), or I 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 Thursday Octo er P,2015 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund